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 |
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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. We offer a review of the existing literature and recommendations for assessment and management of this patient population.</description><identifier>ISSN: 0268-3369</identifier><identifier>EISSN: 1476-5365</identifier><identifier>DOI: 10.1038/bmt.2008.211</identifier><identifier>PMID: 18641678</identifier><identifier>CODEN: BMTRE9</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>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</subject><ispartof>Bone marrow transplantation (Basingstoke), 2008-08, Vol.42 (4), p.221-226</ispartof><rights>Macmillan Publishers Limited 2008</rights><rights>2008 INIST-CNRS</rights><rights>COPYRIGHT 2008 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Aug 2008</rights><rights>Macmillan Publishers Limited 2008.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c548t-62c088547d73c480cf3cfa5bad49746ab5156cd1466d4fc3c00230a50846b7ae3</citedby><cites>FETCH-LOGICAL-c548t-62c088547d73c480cf3cfa5bad49746ab5156cd1466d4fc3c00230a50846b7ae3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/bmt.2008.211$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/bmt.2008.211$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20665427$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18641678$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stagno, S J</creatorcontrib><creatorcontrib>Busby, K</creatorcontrib><creatorcontrib>Shapiro, A</creatorcontrib><creatorcontrib>Kotz, M M</creatorcontrib><title>Patients at risk: addressing addiction in patients undergoing hematopoietic SCT</title><title>Bone marrow transplantation (Basingstoke)</title><addtitle>Bone Marrow Transplant</addtitle><addtitle>Bone Marrow Transplant</addtitle><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.</description><subject>Alcoholism</subject><subject>Alcoholism and acute alcohol poisoning</subject><subject>Algorithms</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Bone marrow</subject><subject>Bone marrow, stem cells transplantation. 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 & 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. Complications. Transfusion reactions. Cell and gene therapy</subject><subject>Transplantation</subject><issn>0268-3369</issn><issn>1476-5365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp10c1rHCEUAHAJKckmzS3nMqS0p87W73FyC0v6AYEUmp7FUWfXdEY36hz639dht90GUjwo-vM9fQ-ASwSXCBLxsRvzEkMolhihI7BAtOE1I5wdgwXEXNSE8PYUnKX0CCGiFLITcIoEp4g3YgHuv6nsrM-pUrmKLv28rpQx0abk_HpeOp1d8JXz1faPnLyxcR1msLGjymEbnM1OV99XD6_Bq14NyV7s53Pw49Ptw-pLfXf_-evq5q7WjIpcc6yhEIw2piGaCqh7onvFOmVo21CuOoYY1wZRzg3tNdEQYgIVg4LyrlGWnIO3u7jbGJ4mm7J8DFP0JaXEnGIMuSBtUVf_VYhzhghtD6HWarDS-T7kqPTokpY3SDDc4kbAopYvqDKMHZ0O3vau7D-78P6fCxurhrxJYZjmcqbn8MMO6hhSiraX2-hGFX9JBOXcYllaLOcWl0ejwt_s_zR1ozUHvO9pAe_2QCWthj4qr13660ppOKO4Ka7euVSO_NrGQ3FeTPwbXDe5jg</recordid><startdate>20080801</startdate><enddate>20080801</enddate><creator>Stagno, S J</creator><creator>Busby, K</creator><creator>Shapiro, A</creator><creator>Kotz, M M</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7QP</scope><scope>7T5</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20080801</creationdate><title>Patients at risk: addressing addiction in patients undergoing hematopoietic SCT</title><author>Stagno, S J ; Busby, K ; Shapiro, A ; Kotz, M M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c548t-62c088547d73c480cf3cfa5bad49746ab5156cd1466d4fc3c00230a50846b7ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Alcoholism</topic><topic>Alcoholism and acute alcohol poisoning</topic><topic>Algorithms</topic><topic>Anesthesia. 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 & 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. Complications. Transfusion reactions. Cell and gene therapy</topic><topic>Transplantation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stagno, S J</creatorcontrib><creatorcontrib>Busby, K</creatorcontrib><creatorcontrib>Shapiro, A</creatorcontrib><creatorcontrib>Kotz, M M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Bone marrow transplantation (Basingstoke)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stagno, S J</au><au>Busby, K</au><au>Shapiro, A</au><au>Kotz, M M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patients at risk: addressing addiction in patients undergoing hematopoietic SCT</atitle><jtitle>Bone marrow transplantation (Basingstoke)</jtitle><stitle>Bone Marrow Transplant</stitle><addtitle>Bone Marrow Transplant</addtitle><date>2008-08-01</date><risdate>2008</risdate><volume>42</volume><issue>4</issue><spage>221</spage><epage>226</epage><pages>221-226</pages><issn>0268-3369</issn><eissn>1476-5365</eissn><coden>BMTRE9</coden><abstract>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.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>18641678</pmid><doi>10.1038/bmt.2008.211</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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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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