Pre-transplant Rehabilitation to Decrease the Post-transplant Length of Stay for Hematological Malignancy Patients Undergoing Allo-HSCT.

allogeneic hematopoietic stem cell transplantation hematological malignancy length of stay pre-transplant rehabilitation

Journal

Progress in rehabilitation medicine
ISSN: 2432-1354
Titre abrégé: Prog Rehabil Med
Pays: Japan
ID NLM: 101707740

Informations de publication

Date de publication:
2021
Historique:
received: 05 11 2020
accepted: 07 04 2021
entrez: 3 5 2021
pubmed: 4 5 2021
medline: 4 5 2021
Statut: epublish

Résumé

Pre-transplant rehabilitation for hematological malignancy patients undergoing allogeneic hematopoietic stem cell transplantation (allo-HSCT) helps improve physical capacity. However, its benefit with respect to post-transplant hospital length of stay (LOS) is unclear. Consequently, the aim of this study was to investigate the effect of pre-transplant rehabilitation on post-transplant LOS for hematological malignancy patients undergoing allo-HSCT. Data on patients diagnosed between April 2014 and March 2017 were collected from the Japanese Diagnosis Procedure Combination database. The patients were identified using the ICD-10 codes C81-85, C90-94, C96, and D46. Multilevel linear regression analyses were conducted to identify the effects of pre-transplant rehabilitation on post-transplant LOS (log transformed). In total, 3614 patients were included in the study. Pre-transplant rehabilitation was associated with a significant reduction in post-transplant hospital LOS (β=-0.134, P<0.001). Pre-transplant rehabilitation may be an effective strategy for shortening the post-transplant hospital LOS in hematological malignancy patients undergoing allo-HSCT. Consequently, it may be necessary to consider starting rehabilitation before transplantation.

Identifiants

pubmed: 33937548
doi: 10.2490/prm.20210020
pii: 20210020
pmc: PMC8080154
doi:

Types de publication

Journal Article

Langues

eng

Pagination

20210020

Informations de copyright

©2021 The Japanese Association of Rehabilitation Medicine.

Déclaration de conflit d'intérêts

CONFLICTS OF INTEREST: The authors declare that there are no conflicts of interest.

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Auteurs

Ryutaro Matsugaki (R)

Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.

Makoto Ohtani (M)

Information Systems Center for Occupational Health, University of Occupational and Environmental Health, Kitakyushu, Japan.

Yuko Mine (Y)

Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.

Satoru Saeki (S)

Department of Rehabilitation Medicine, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.

Kiyohide Fushimi (K)

Department of Health Policy and Informatics, Tokyo Medical and Dental University Graduate School, Tokyo, Japan.

Shinya Matsuda (S)

Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.

Classifications MeSH