Quality of Life in Patients with β-thalassemia Major: Short-term and Long-term Effects After Haematopoietic Stem Cell Transplantation

Author(s): Lu Zhai, Yuhua Liu, Rongrui Huo, Zhaofang Pan, Juan Bin, Zhi Li, Qiaomei Tang, Jing Fan*

Journal Name: Current Stem Cell Research & Therapy

Volume 16 , Issue 8 , 2021


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Abstract:

Background: Allogeneic haematopoietic stem cell transplantation (ALLO-HSCT) is a potentially curative approach to treat β-thalassemia major (β-TM).

Objective and Methods: To assess the quality of life (QOL) of patients with β-TM after ALLO-HSCT, we searched PubMed, Embase, Web of Science, and MEDLINE for articles on the quality of life (QOL) of patients with β-TM from 1 Feb 2020 to 31 Mar 2020.

Results: Our review revealed that the QOL of patients with β-TM after ALLO-HSCT from a sibling donor is higher than that of patients that received blood infusion and iron-chelating therapy. Survivors of ALLO-HSCT have a QOL as good as that of a healthy population and the ability to return to normal life. However, studies thus far are limited to investigations with a few patients with β-TM who received ALLO-HSCT of the bone marrow (BM) from a sibling donor or related donor. Graft vs. host disease, patient age, gender, sexual desire, health condition, psychological state, financial and employment stress, and social support contributed to a worse QOL after ALLO-HSCT. Medicine usage, physical therapy, and psychological intervention may help improve the decline in QOL related to ALLO-HSCT in patients with β-TM.

Conclusion: Doctors and nurses must focus on implementing medicine usage, physical therapy, and psychological intervention to improve the decline in QOL related to ALLO-HSCT.

Keywords: Quality of life, β-thalassemia major, haematopoietic stem cell transplantation, blood infusion, iron-chelating therapy, bone marrow.

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Article Details

VOLUME: 16
ISSUE: 8
Year: 2021
Published on: 02 February, 2021
Page: [924 - 930]
Pages: 7
DOI: 10.2174/1574888X16666210203105340
Price: $65

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