TY - JOUR
T1 - Neurocognitive Impairment After Hematopoietic Stem Cell Transplant for Hematologic Malignancies
T2 - Phenotype and Mechanisms
AU - Harrison, Rebecca A.
AU - Sharafeldin, Noha
AU - Rexer, Jennie L.
AU - Streck, Brennan
AU - Petersen, Melissa
AU - Henneghan, Ashley M.
AU - Kesler, Shelli R.
N1 - Funding Information:
We would like to acknowledge and thank Lorie Kmetz for her assistance in preparation of this manuscript. Noha Sharafeldin is supported by the Leukemia and Lymphoma Society Career Development Award (LLS 3386‐19). Rebecca A. Harrison and Shelli Kesler are supported by the National Institutes of Health Research Projects Grant Program (R01CA226080, R01CA172145).
Publisher Copyright:
© 2021 AlphaMed Press.
PY - 2021/11
Y1 - 2021/11
N2 - Hematopoietic stem cell transplant (HSCT) plays a central role in the treatment of hematologic cancers. With the increasing survival of patients after HSCT, survivorship issues experienced by this population have become an important outcome. Cognitive impairment is an established sequela of HSCT, with studies to date establishing its presence, associated risk factors, and clinical phenotype. There are multiple potential contributors to cognitive impairment after HSCT. Efforts are ongoing to further characterize its clinical phenotype, associated biomarkers, and biologic underpinnings. A fundamental knowledge of post-HSCT cognitive impairment is of value for all clinicians who interface with this population, and further academic efforts are needed to more fully understand the impact of this cancer treatment on brain health. Implications for Practice: As survival outcomes after hematopoietic stem cell transplant (HSCT) improve, an awareness of the post-treatment challenges faced by this population has become central to its care. HSCT can have a sustained and broad impact on brain health, causing cognitive dysfunction, fatigue, disturbed mood, and sleep. In affected patients, autonomy, return to work, relationships, and quality of life may all be affected. A fundamental fluency in this area is important for clinicians interfacing with HSCT survivors, facilitating the identification and management of cognitive dysfunction and concurrent symptom clusters, and stimulating interest in these sequelae as areas for future clinical research.
AB - Hematopoietic stem cell transplant (HSCT) plays a central role in the treatment of hematologic cancers. With the increasing survival of patients after HSCT, survivorship issues experienced by this population have become an important outcome. Cognitive impairment is an established sequela of HSCT, with studies to date establishing its presence, associated risk factors, and clinical phenotype. There are multiple potential contributors to cognitive impairment after HSCT. Efforts are ongoing to further characterize its clinical phenotype, associated biomarkers, and biologic underpinnings. A fundamental knowledge of post-HSCT cognitive impairment is of value for all clinicians who interface with this population, and further academic efforts are needed to more fully understand the impact of this cancer treatment on brain health. Implications for Practice: As survival outcomes after hematopoietic stem cell transplant (HSCT) improve, an awareness of the post-treatment challenges faced by this population has become central to its care. HSCT can have a sustained and broad impact on brain health, causing cognitive dysfunction, fatigue, disturbed mood, and sleep. In affected patients, autonomy, return to work, relationships, and quality of life may all be affected. A fundamental fluency in this area is important for clinicians interfacing with HSCT survivors, facilitating the identification and management of cognitive dysfunction and concurrent symptom clusters, and stimulating interest in these sequelae as areas for future clinical research.
KW - Cancer
KW - Cognitive dysfunction
KW - Hematologic cancer
KW - Hematopoietic stem cell transplantation
KW - Oncology
UR - http://www.scopus.com/inward/record.url?scp=85109875329&partnerID=8YFLogxK
U2 - 10.1002/onco.13867
DO - 10.1002/onco.13867
M3 - Article
C2 - 34156729
AN - SCOPUS:85109875329
SN - 1083-7159
VL - 26
SP - e2021-e2033
JO - Oncologist
JF - Oncologist
IS - 11
ER -