Post‐transplantation employment status of adult survivors of childhood allogeneic hematopoietic cell transplant: A report from the Center for International Blood and Marrow Transplant Research (CIBMTR)
Background Data are scarce regarding employment outcomes of survivors of childhood allogeneic hematopoietic cell transplantation (alloHCT) and the factors that affect their employment status. Methods By using the Center for International Blood and Marrow Transplant Research database, the authors stu...
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| Veröffentlicht in: | Cancer 2019-01, Vol.125 (1), p.144-152 |
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| creator | Bhatt, Neel S. Brazauskas, Ruta Tecca, Heather R. Carreras, Jeanette Burns, Linda J. Phelan, Rachel Salit, Rachel B. Syrjala, Karen L. Talano, Julie‐An M. Shaw, Bronwen E. |
| description | Background
Data are scarce regarding employment outcomes of survivors of childhood allogeneic hematopoietic cell transplantation (alloHCT) and the factors that affect their employment status.
Methods
By using the Center for International Blood and Marrow Transplant Research database, the authors studied employment outcomes of ≥1‐year survivors of childhood alloHCT who were age ≥18 years at their most recent assessment (year of transplantation, 1985‐2010). Employment status was assessed at their attained ages (ages 18‐22, 23‐27, and 28‐32 years) and according to transplantation center (TC) location (United States or International). A multivariable analysis assessing the factors that affected employed status (full‐time/part‐time work or student) was performed.
Results
Unemployment rates among 2844 survivors were persistently high at all attained ages (United States TCs: ages 18‐22 [14%], 23‐27 [15%], and 28‐32 [13%] years; International TCs: ages 18‐22 [56%], 23‐27 [53%], and 28‐32 [68%] years). The factors associated a with higher likelihood of employment included: older age at alloHCT (ages 5‐9‐years: hazard ratio [HR], 2.07; 95% confidence interval [CI], 1.65‐2.6; ages 10‐14 years: HR, 4.43; 95% CI, 3.58‐5.47; ages 15‐18‐years: HR, 7.13; 95% CI, 5.72‐8.88), myeloablative conditioning without total body irradiation (TBI) (HR, 1.56; 95% CI, 1.38‐1.77), reduced‐intensity conditioning with TBI (HR, 1.47; 95% CI, 1.19‐1.8) or without TBI (HR, 2.51; 95% CI, 2.15‐2.92), and US‐based TC (HR, 1.84; 95% CI, 1.62‐2.08).
Conclusions
Young adult survivors of childhood alloHCT have high unemployment rates at all studied attained ages after HCT. Future efforts should be directed toward understanding the causes of unemployment their and relation to quality of life using patient‐reported outcome measures.
Employment outcomes among survivors of childhood allogeneic hematopoietic cell transplantation are unknown. Findings from this large, multi‐institutional, and multinational study, which includes 2844 patients, indicate that survivors of childhood allogeneic transplantation have persistently high unemployment rates at all studied attained ages after transplantation (range, 18‐32 years). |
| doi_str_mv | 10.1002/cncr.31781 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2126910916</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2159492944</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4591-60d78fb1d6549845fa2de76a4655b56f0a7918c35a16b7cc3efd542c8f32568e3</originalsourceid><addsrcrecordid>eNp9kUFu1DAUhi0EotPChgMgS2xapBQ7sZ2EXRtBGakFNBokdpHHeSapnDjYTqvZcQTuxS16EpyZUiQWrOz_6dNnP_0IvaDklBKSvlGDcqcZzQv6CC0oKfOEUJY-RgtCSJFwln09QIfeX8eYpzx7ig4ykokiz-kC_fpsfbj78TM4OfjRyCHI0NkBQz8au-1hCNjH0eSx1Vg2k4l5cjfdjXW7kWo707TWNlgaY7_BAJ3CLfQy2NF2EGJSYAz-63-Lz7CD0bqAtbM9Di3gKr4DDmvr8HK-DbtPSIPPzU49NPhKOmdv8frBg1fgQTrV4uNqeX61Xp08Q0-0NB6e359H6Mv7d-vqQ3L56WJZnV0mivGSJoI0eaE3tBGclQXjWqYN5EIywfmGC01kXtJCZVxSscmVykA3nKWq0FnKRQHZETree0dnv0_gQ913ft5SDmAnX6c0FWXsgYqIvvoHvbZTXM_MFC9ZmZaMRer1nlLOeu9A16Preum2NSX1XHE9V1zvKo7wy3vltOmheUD_dBoBugduOwPb_6jq6mO12kt_A9K5tmI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2159492944</pqid></control><display><type>article</type><title>Post‐transplantation employment status of adult survivors of childhood allogeneic hematopoietic cell transplant: A report from the Center for International Blood and Marrow Transplant Research (CIBMTR)</title><source>Wiley Free Content</source><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>Bhatt, Neel S. ; Brazauskas, Ruta ; Tecca, Heather R. ; Carreras, Jeanette ; Burns, Linda J. ; Phelan, Rachel ; Salit, Rachel B. ; Syrjala, Karen L. ; Talano, Julie‐An M. ; Shaw, Bronwen E.</creator><creatorcontrib>Bhatt, Neel S. ; Brazauskas, Ruta ; Tecca, Heather R. ; Carreras, Jeanette ; Burns, Linda J. ; Phelan, Rachel ; Salit, Rachel B. ; Syrjala, Karen L. ; Talano, Julie‐An M. ; Shaw, Bronwen E.</creatorcontrib><description>Background
Data are scarce regarding employment outcomes of survivors of childhood allogeneic hematopoietic cell transplantation (alloHCT) and the factors that affect their employment status.
Methods
By using the Center for International Blood and Marrow Transplant Research database, the authors studied employment outcomes of ≥1‐year survivors of childhood alloHCT who were age ≥18 years at their most recent assessment (year of transplantation, 1985‐2010). Employment status was assessed at their attained ages (ages 18‐22, 23‐27, and 28‐32 years) and according to transplantation center (TC) location (United States or International). A multivariable analysis assessing the factors that affected employed status (full‐time/part‐time work or student) was performed.
Results
Unemployment rates among 2844 survivors were persistently high at all attained ages (United States TCs: ages 18‐22 [14%], 23‐27 [15%], and 28‐32 [13%] years; International TCs: ages 18‐22 [56%], 23‐27 [53%], and 28‐32 [68%] years). The factors associated a with higher likelihood of employment included: older age at alloHCT (ages 5‐9‐years: hazard ratio [HR], 2.07; 95% confidence interval [CI], 1.65‐2.6; ages 10‐14 years: HR, 4.43; 95% CI, 3.58‐5.47; ages 15‐18‐years: HR, 7.13; 95% CI, 5.72‐8.88), myeloablative conditioning without total body irradiation (TBI) (HR, 1.56; 95% CI, 1.38‐1.77), reduced‐intensity conditioning with TBI (HR, 1.47; 95% CI, 1.19‐1.8) or without TBI (HR, 2.51; 95% CI, 2.15‐2.92), and US‐based TC (HR, 1.84; 95% CI, 1.62‐2.08).
Conclusions
Young adult survivors of childhood alloHCT have high unemployment rates at all studied attained ages after HCT. Future efforts should be directed toward understanding the causes of unemployment their and relation to quality of life using patient‐reported outcome measures.
Employment outcomes among survivors of childhood allogeneic hematopoietic cell transplantation are unknown. Findings from this large, multi‐institutional, and multinational study, which includes 2844 patients, indicate that survivors of childhood allogeneic transplantation have persistently high unemployment rates at all studied attained ages after transplantation (range, 18‐32 years).</description><identifier>ISSN: 0008-543X</identifier><identifier>EISSN: 1097-0142</identifier><identifier>DOI: 10.1002/cncr.31781</identifier><identifier>PMID: 30368771</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adult ; Age ; Age Distribution ; allogeneic hematopoietic cell transplantation ; Blood ; Cancer Survivors ; Childhood ; Children ; Conditioning ; Confidence intervals ; Economic conditions ; Employment ; Female ; Hematopoietic Stem Cell Transplantation - adverse effects ; Humans ; Irradiation ; late effects ; Male ; Multivariate Analysis ; Oncology ; Prospective Studies ; Quality of life ; Radiation ; Risk Assessment ; Stem cell transplantation ; survivorship ; Transplantation ; Transplantation, Homologous - adverse effects ; Transplants & implants ; unemployment ; Unemployment - statistics & numerical data ; United States ; Young Adult</subject><ispartof>Cancer, 2019-01, Vol.125 (1), p.144-152</ispartof><rights>2018 American Cancer Society</rights><rights>2018 American Cancer Society.</rights><rights>2019 American Cancer Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4591-60d78fb1d6549845fa2de76a4655b56f0a7918c35a16b7cc3efd542c8f32568e3</citedby><cites>FETCH-LOGICAL-c4591-60d78fb1d6549845fa2de76a4655b56f0a7918c35a16b7cc3efd542c8f32568e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fcncr.31781$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fcncr.31781$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30368771$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bhatt, Neel S.</creatorcontrib><creatorcontrib>Brazauskas, Ruta</creatorcontrib><creatorcontrib>Tecca, Heather R.</creatorcontrib><creatorcontrib>Carreras, Jeanette</creatorcontrib><creatorcontrib>Burns, Linda J.</creatorcontrib><creatorcontrib>Phelan, Rachel</creatorcontrib><creatorcontrib>Salit, Rachel B.</creatorcontrib><creatorcontrib>Syrjala, Karen L.</creatorcontrib><creatorcontrib>Talano, Julie‐An M.</creatorcontrib><creatorcontrib>Shaw, Bronwen E.</creatorcontrib><title>Post‐transplantation employment status of adult survivors of childhood allogeneic hematopoietic cell transplant: A report from the Center for International Blood and Marrow Transplant Research (CIBMTR)</title><title>Cancer</title><addtitle>Cancer</addtitle><description>Background
Data are scarce regarding employment outcomes of survivors of childhood allogeneic hematopoietic cell transplantation (alloHCT) and the factors that affect their employment status.
Methods
By using the Center for International Blood and Marrow Transplant Research database, the authors studied employment outcomes of ≥1‐year survivors of childhood alloHCT who were age ≥18 years at their most recent assessment (year of transplantation, 1985‐2010). Employment status was assessed at their attained ages (ages 18‐22, 23‐27, and 28‐32 years) and according to transplantation center (TC) location (United States or International). A multivariable analysis assessing the factors that affected employed status (full‐time/part‐time work or student) was performed.
Results
Unemployment rates among 2844 survivors were persistently high at all attained ages (United States TCs: ages 18‐22 [14%], 23‐27 [15%], and 28‐32 [13%] years; International TCs: ages 18‐22 [56%], 23‐27 [53%], and 28‐32 [68%] years). The factors associated a with higher likelihood of employment included: older age at alloHCT (ages 5‐9‐years: hazard ratio [HR], 2.07; 95% confidence interval [CI], 1.65‐2.6; ages 10‐14 years: HR, 4.43; 95% CI, 3.58‐5.47; ages 15‐18‐years: HR, 7.13; 95% CI, 5.72‐8.88), myeloablative conditioning without total body irradiation (TBI) (HR, 1.56; 95% CI, 1.38‐1.77), reduced‐intensity conditioning with TBI (HR, 1.47; 95% CI, 1.19‐1.8) or without TBI (HR, 2.51; 95% CI, 2.15‐2.92), and US‐based TC (HR, 1.84; 95% CI, 1.62‐2.08).
Conclusions
Young adult survivors of childhood alloHCT have high unemployment rates at all studied attained ages after HCT. Future efforts should be directed toward understanding the causes of unemployment their and relation to quality of life using patient‐reported outcome measures.
Employment outcomes among survivors of childhood allogeneic hematopoietic cell transplantation are unknown. Findings from this large, multi‐institutional, and multinational study, which includes 2844 patients, indicate that survivors of childhood allogeneic transplantation have persistently high unemployment rates at all studied attained ages after transplantation (range, 18‐32 years).</description><subject>Adult</subject><subject>Age</subject><subject>Age Distribution</subject><subject>allogeneic hematopoietic cell transplantation</subject><subject>Blood</subject><subject>Cancer Survivors</subject><subject>Childhood</subject><subject>Children</subject><subject>Conditioning</subject><subject>Confidence intervals</subject><subject>Economic conditions</subject><subject>Employment</subject><subject>Female</subject><subject>Hematopoietic Stem Cell Transplantation - adverse effects</subject><subject>Humans</subject><subject>Irradiation</subject><subject>late effects</subject><subject>Male</subject><subject>Multivariate Analysis</subject><subject>Oncology</subject><subject>Prospective Studies</subject><subject>Quality of life</subject><subject>Radiation</subject><subject>Risk Assessment</subject><subject>Stem cell transplantation</subject><subject>survivorship</subject><subject>Transplantation</subject><subject>Transplantation, Homologous - adverse effects</subject><subject>Transplants & implants</subject><subject>unemployment</subject><subject>Unemployment - statistics & numerical data</subject><subject>United States</subject><subject>Young Adult</subject><issn>0008-543X</issn><issn>1097-0142</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFu1DAUhi0EotPChgMgS2xapBQ7sZ2EXRtBGakFNBokdpHHeSapnDjYTqvZcQTuxS16EpyZUiQWrOz_6dNnP_0IvaDklBKSvlGDcqcZzQv6CC0oKfOEUJY-RgtCSJFwln09QIfeX8eYpzx7ig4ykokiz-kC_fpsfbj78TM4OfjRyCHI0NkBQz8au-1hCNjH0eSx1Vg2k4l5cjfdjXW7kWo707TWNlgaY7_BAJ3CLfQy2NF2EGJSYAz-63-Lz7CD0bqAtbM9Di3gKr4DDmvr8HK-DbtPSIPPzU49NPhKOmdv8frBg1fgQTrV4uNqeX61Xp08Q0-0NB6e359H6Mv7d-vqQ3L56WJZnV0mivGSJoI0eaE3tBGclQXjWqYN5EIywfmGC01kXtJCZVxSscmVykA3nKWq0FnKRQHZETree0dnv0_gQ913ft5SDmAnX6c0FWXsgYqIvvoHvbZTXM_MFC9ZmZaMRer1nlLOeu9A16Preum2NSX1XHE9V1zvKo7wy3vltOmheUD_dBoBugduOwPb_6jq6mO12kt_A9K5tmI</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Bhatt, Neel S.</creator><creator>Brazauskas, Ruta</creator><creator>Tecca, Heather R.</creator><creator>Carreras, Jeanette</creator><creator>Burns, Linda J.</creator><creator>Phelan, Rachel</creator><creator>Salit, Rachel B.</creator><creator>Syrjala, Karen L.</creator><creator>Talano, Julie‐An M.</creator><creator>Shaw, Bronwen E.</creator><general>Wiley Subscription Services, Inc</general><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>7TO</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20190101</creationdate><title>Post‐transplantation employment status of adult survivors of childhood allogeneic hematopoietic cell transplant: A report from the Center for International Blood and Marrow Transplant Research (CIBMTR)</title><author>Bhatt, Neel S. ; Brazauskas, Ruta ; Tecca, Heather R. ; Carreras, Jeanette ; Burns, Linda J. ; Phelan, Rachel ; Salit, Rachel B. ; Syrjala, Karen L. ; Talano, Julie‐An M. ; Shaw, Bronwen E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4591-60d78fb1d6549845fa2de76a4655b56f0a7918c35a16b7cc3efd542c8f32568e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Age</topic><topic>Age Distribution</topic><topic>allogeneic hematopoietic cell transplantation</topic><topic>Blood</topic><topic>Cancer Survivors</topic><topic>Childhood</topic><topic>Children</topic><topic>Conditioning</topic><topic>Confidence intervals</topic><topic>Economic conditions</topic><topic>Employment</topic><topic>Female</topic><topic>Hematopoietic Stem Cell Transplantation - adverse effects</topic><topic>Humans</topic><topic>Irradiation</topic><topic>late effects</topic><topic>Male</topic><topic>Multivariate Analysis</topic><topic>Oncology</topic><topic>Prospective Studies</topic><topic>Quality of life</topic><topic>Radiation</topic><topic>Risk Assessment</topic><topic>Stem cell transplantation</topic><topic>survivorship</topic><topic>Transplantation</topic><topic>Transplantation, Homologous - adverse effects</topic><topic>Transplants & implants</topic><topic>unemployment</topic><topic>Unemployment - statistics & numerical data</topic><topic>United States</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bhatt, Neel S.</creatorcontrib><creatorcontrib>Brazauskas, Ruta</creatorcontrib><creatorcontrib>Tecca, Heather R.</creatorcontrib><creatorcontrib>Carreras, Jeanette</creatorcontrib><creatorcontrib>Burns, Linda J.</creatorcontrib><creatorcontrib>Phelan, Rachel</creatorcontrib><creatorcontrib>Salit, Rachel B.</creatorcontrib><creatorcontrib>Syrjala, Karen L.</creatorcontrib><creatorcontrib>Talano, Julie‐An M.</creatorcontrib><creatorcontrib>Shaw, Bronwen E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bhatt, Neel S.</au><au>Brazauskas, Ruta</au><au>Tecca, Heather R.</au><au>Carreras, Jeanette</au><au>Burns, Linda J.</au><au>Phelan, Rachel</au><au>Salit, Rachel B.</au><au>Syrjala, Karen L.</au><au>Talano, Julie‐An M.</au><au>Shaw, Bronwen E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Post‐transplantation employment status of adult survivors of childhood allogeneic hematopoietic cell transplant: A report from the Center for International Blood and Marrow Transplant Research (CIBMTR)</atitle><jtitle>Cancer</jtitle><addtitle>Cancer</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>125</volume><issue>1</issue><spage>144</spage><epage>152</epage><pages>144-152</pages><issn>0008-543X</issn><eissn>1097-0142</eissn><abstract>Background
Data are scarce regarding employment outcomes of survivors of childhood allogeneic hematopoietic cell transplantation (alloHCT) and the factors that affect their employment status.
Methods
By using the Center for International Blood and Marrow Transplant Research database, the authors studied employment outcomes of ≥1‐year survivors of childhood alloHCT who were age ≥18 years at their most recent assessment (year of transplantation, 1985‐2010). Employment status was assessed at their attained ages (ages 18‐22, 23‐27, and 28‐32 years) and according to transplantation center (TC) location (United States or International). A multivariable analysis assessing the factors that affected employed status (full‐time/part‐time work or student) was performed.
Results
Unemployment rates among 2844 survivors were persistently high at all attained ages (United States TCs: ages 18‐22 [14%], 23‐27 [15%], and 28‐32 [13%] years; International TCs: ages 18‐22 [56%], 23‐27 [53%], and 28‐32 [68%] years). The factors associated a with higher likelihood of employment included: older age at alloHCT (ages 5‐9‐years: hazard ratio [HR], 2.07; 95% confidence interval [CI], 1.65‐2.6; ages 10‐14 years: HR, 4.43; 95% CI, 3.58‐5.47; ages 15‐18‐years: HR, 7.13; 95% CI, 5.72‐8.88), myeloablative conditioning without total body irradiation (TBI) (HR, 1.56; 95% CI, 1.38‐1.77), reduced‐intensity conditioning with TBI (HR, 1.47; 95% CI, 1.19‐1.8) or without TBI (HR, 2.51; 95% CI, 2.15‐2.92), and US‐based TC (HR, 1.84; 95% CI, 1.62‐2.08).
Conclusions
Young adult survivors of childhood alloHCT have high unemployment rates at all studied attained ages after HCT. Future efforts should be directed toward understanding the causes of unemployment their and relation to quality of life using patient‐reported outcome measures.
Employment outcomes among survivors of childhood allogeneic hematopoietic cell transplantation are unknown. Findings from this large, multi‐institutional, and multinational study, which includes 2844 patients, indicate that survivors of childhood allogeneic transplantation have persistently high unemployment rates at all studied attained ages after transplantation (range, 18‐32 years).</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>30368771</pmid><doi>10.1002/cncr.31781</doi><tpages>0</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Age Age Distribution allogeneic hematopoietic cell transplantation Blood Cancer Survivors Childhood Children Conditioning Confidence intervals Economic conditions Employment Female Hematopoietic Stem Cell Transplantation - adverse effects Humans Irradiation late effects Male Multivariate Analysis Oncology Prospective Studies Quality of life Radiation Risk Assessment Stem cell transplantation survivorship Transplantation Transplantation, Homologous - adverse effects Transplants & implants unemployment Unemployment - statistics & numerical data United States Young Adult |
| title | Post‐transplantation employment status of adult survivors of childhood allogeneic hematopoietic cell transplant: A report from the Center for International Blood and Marrow Transplant Research (CIBMTR) |
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