Effect of the severity of acute graft-versus-host disease on physical function after allogeneic hematopoietic stem cell transplantation View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-11-12

AUTHORS

Ryota Hamada, Tadakazu Kondo, Masanobu Murao, Jyunsuke Miyasaka, Michiko Yoshida, Manabu Nankaku, Junya Kanda, Akifumi Takaori-Kondo, Ryosuke Ikeguchi, Shuichi Matsuda

ABSTRACT

PurposeThe purpose of this study was to retrospectively investigate the effect of the severity of acute graft-versus-host disease (GVHD) on physical function after allogeneic hematopoietic stem cell transplantation (allo-HSCT).Methods76 patients were included as subjects of this study. Severity of acute GVHD was classified according to the method defined by Grucksberg. To evaluate physical function, the knee extensor strength and six-minute walk distance (6MWD) were performed.ResultsAmong these patients, 54% developed acute GVHD; of these, 32%, 54%, and 15% of patients had grade I, grade II, and grades III–IV GVHD, respectively. In the grade I–II groups, mild acute GVHD following allo-HSCT resulted in a gradual decline in physical function, which improved at discharge. However, in cases of severe acute GVHD, physical function deteriorated, implementation of rehabilitation became difficult, and the decline in physical function persisted even at discharge.ConclusionThese results indicate that severe acute GVHD negatively affects physical function leading to longer hospital days because of inadequate rehabilitation interventions. More... »

PAGES

3189-3196

References to SciGraph publications

  • 2017-07-10. Gender differences in physical function and muscle mass change in patients undergoing allogeneic hematopoietic stem cell transplantation in BONE MARROW TRANSPLANTATION
  • 2008-02-11. Reduced respiratory and skeletal muscle strength in survivors of sibling or unrelated donor hematopoietic stem cell transplantation in BONE MARROW TRANSPLANTATION
  • 2006-07-03. Steroid myopathy in patients with acute graft-versus-host disease treated with high-dose steroid therapy in BONE MARROW TRANSPLANTATION
  • 1997-04-01. A survey of the prophylaxis and treatment of acute GVHD in Europe: a report of the European Group for Blood and Marrow Transplantation (EBMT) in BONE MARROW TRANSPLANTATION
  • 2011-05. Steroid myopathy: Some unresolved issues in JOURNAL OF ENDOCRINOLOGICAL INVESTIGATION
  • 2009-07-13. A controlled randomized study examining the effects of exercise therapy on patients undergoing haematopoietic stem cell transplantation in BONE MARROW TRANSPLANTATION
  • 2009-02-23. A randomized trial on the effect of a multimodal intervention on physical capacity, functional performance and quality of life in adult patients undergoing allogeneic SCT in BONE MARROW TRANSPLANTATION
  • 2018-08-28. Factors affecting lower limb muscle strength and cardiopulmonary fitness after allogeneic hematopoietic stem cell transplantation in SUPPORTIVE CARE IN CANCER
  • 2003-09-16. Effects of an exercise program on muscle performance in patients undergoing allogeneic bone marrow transplantation in BONE MARROW TRANSPLANTATION
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00520-019-05124-1

    DOI

    http://dx.doi.org/10.1007/s00520-019-05124-1

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1122523675

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/31712955


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