Patients at risk: addressing addiction in patients undergoing hematopoietic SCT

Addictive disorders are common and underdiagnosed in the general medical population. While it is well recognized that alcohol consumption is linked to cancers of the head and neck as well as the large bowel, its association with cancers for which hematopoietic SCT (HSCT) is a modality of treatment i...

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Veröffentlicht in:Bone marrow transplantation (Basingstoke) 2008-08, Vol.42 (4), p.221-226
Hauptverfasser: Stagno, S J, Busby, K, Shapiro, A, Kotz, M M
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container_end_page 226
container_issue 4
container_start_page 221
container_title Bone marrow transplantation (Basingstoke)
container_volume 42
creator Stagno, S J
Busby, K
Shapiro, A
Kotz, M M
description Addictive disorders are common and underdiagnosed in the general medical population. While it is well recognized that alcohol consumption is linked to cancers of the head and neck as well as the large bowel, its association with cancers for which hematopoietic SCT (HSCT) is a modality of treatment is not as clear. Further, the complications of alcohol or other drug addiction in patients undergoing HSCT has not been well studied. However, patients with comorbid substance use disorders (SUDs) are at higher risk for morbidity and mortality while undergoing HSCT due to medical sequelae of SUDs and issues of social support, adherence to treatment plans, and impairment of judgment and decision-making. Behavioral patterns of patients with SUDs are clearly relevant factors to consider in patient selection, management and outcome. We offer a review of the existing literature and recommendations for assessment and management of this patient population.
doi_str_mv 10.1038/bmt.2008.211
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While it is well recognized that alcohol consumption is linked to cancers of the head and neck as well as the large bowel, its association with cancers for which hematopoietic SCT (HSCT) is a modality of treatment is not as clear. Further, the complications of alcohol or other drug addiction in patients undergoing HSCT has not been well studied. However, patients with comorbid substance use disorders (SUDs) are at higher risk for morbidity and mortality while undergoing HSCT due to medical sequelae of SUDs and issues of social support, adherence to treatment plans, and impairment of judgment and decision-making. Behavioral patterns of patients with SUDs are clearly relevant factors to consider in patient selection, management and outcome. 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Graft versus host reaction ; Cancer ; Cell Biology ; Complications ; Complications and side effects ; Decision making ; Denial (Psychology) ; Disorders ; Drug addiction ; Hematology ; Hematopoietic Stem Cell Transplantation - adverse effects ; Hematopoietic Stem Cell Transplantation - psychology ; Humans ; Internal Medicine ; Literature reviews ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Morbidity ; Neoplasms - complications ; Neoplasms - therapy ; Patient Compliance ; Patients ; Public Health ; review ; Risk factors ; Social interactions ; Social Support ; Stem cell transplantation ; Stem Cells ; Substance abuse ; Substance use ; Substance-Related Disorders - complications ; Substance-Related Disorders - psychology ; Toxicology ; Transfusions. Complications. Transfusion reactions. 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While it is well recognized that alcohol consumption is linked to cancers of the head and neck as well as the large bowel, its association with cancers for which hematopoietic SCT (HSCT) is a modality of treatment is not as clear. Further, the complications of alcohol or other drug addiction in patients undergoing HSCT has not been well studied. However, patients with comorbid substance use disorders (SUDs) are at higher risk for morbidity and mortality while undergoing HSCT due to medical sequelae of SUDs and issues of social support, adherence to treatment plans, and impairment of judgment and decision-making. Behavioral patterns of patients with SUDs are clearly relevant factors to consider in patient selection, management and outcome. 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Graft versus host reaction</subject><subject>Cancer</subject><subject>Cell Biology</subject><subject>Complications</subject><subject>Complications and side effects</subject><subject>Decision making</subject><subject>Denial (Psychology)</subject><subject>Disorders</subject><subject>Drug addiction</subject><subject>Hematology</subject><subject>Hematopoietic Stem Cell Transplantation - adverse effects</subject><subject>Hematopoietic Stem Cell Transplantation - psychology</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Literature reviews</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Morbidity</subject><subject>Neoplasms - complications</subject><subject>Neoplasms - therapy</subject><subject>Patient Compliance</subject><subject>Patients</subject><subject>Public Health</subject><subject>review</subject><subject>Risk factors</subject><subject>Social interactions</subject><subject>Social Support</subject><subject>Stem cell transplantation</subject><subject>Stem Cells</subject><subject>Substance abuse</subject><subject>Substance use</subject><subject>Substance-Related Disorders - complications</subject><subject>Substance-Related Disorders - psychology</subject><subject>Toxicology</subject><subject>Transfusions. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Bone marrow</topic><topic>Bone marrow, stem cells transplantation. Graft versus host reaction</topic><topic>Cancer</topic><topic>Cell Biology</topic><topic>Complications</topic><topic>Complications and side effects</topic><topic>Decision making</topic><topic>Denial (Psychology)</topic><topic>Disorders</topic><topic>Drug addiction</topic><topic>Hematology</topic><topic>Hematopoietic Stem Cell Transplantation - adverse effects</topic><topic>Hematopoietic Stem Cell Transplantation - psychology</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Literature reviews</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Morbidity</topic><topic>Neoplasms - complications</topic><topic>Neoplasms - therapy</topic><topic>Patient Compliance</topic><topic>Patients</topic><topic>Public Health</topic><topic>review</topic><topic>Risk factors</topic><topic>Social interactions</topic><topic>Social Support</topic><topic>Stem cell transplantation</topic><topic>Stem Cells</topic><topic>Substance abuse</topic><topic>Substance use</topic><topic>Substance-Related Disorders - complications</topic><topic>Substance-Related Disorders - psychology</topic><topic>Toxicology</topic><topic>Transfusions. 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subjects Alcoholism
Alcoholism and acute alcohol poisoning
Algorithms
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Bone marrow
Bone marrow, stem cells transplantation. Graft versus host reaction
Cancer
Cell Biology
Complications
Complications and side effects
Decision making
Denial (Psychology)
Disorders
Drug addiction
Hematology
Hematopoietic Stem Cell Transplantation - adverse effects
Hematopoietic Stem Cell Transplantation - psychology
Humans
Internal Medicine
Literature reviews
Medical sciences
Medicine
Medicine & Public Health
Morbidity
Neoplasms - complications
Neoplasms - therapy
Patient Compliance
Patients
Public Health
review
Risk factors
Social interactions
Social Support
Stem cell transplantation
Stem Cells
Substance abuse
Substance use
Substance-Related Disorders - complications
Substance-Related Disorders - psychology
Toxicology
Transfusions. Complications. Transfusion reactions. Cell and gene therapy
Transplantation
title Patients at risk: addressing addiction in patients undergoing hematopoietic SCT
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