Health-Related Quality-of-Life Comparison of Adult Related and Unrelated HSC Donors: An RDSafe Study

Galen E. Switzer , Jessica G. Bruce , Deidre M. Kiefer , Hati Kobusingye , Kaleab Z. Abebe , Rebecca Drexler , RaeAnne M. Besser , Dennis L. Confer , Mary M. Horowitz , Roberta J. King , Bronwen E. Shaw , Marcie Riches , Brandon Hayes-Lattin , Michael Linenberger , Brian Bolwell , Scott D. Rowley , Mark R. Litzow , Michael A. Pulsipher
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引用次数: 5

Abstract

Multiple investigations have documented the health-related quality-of-life (HRQoL) and donation-related experiences of unrelated donors (URDs), but similar investigations of the related donor (RD) experience have been less common. The central goal of this study was to longitudinally examine and compare HRQoL of RD and URD hematopoietic stem cell (HSC) donors from predonation through 1 year postdonation. This prospective investigation included adult HSC donors ages 18 to 60 years who donated bone marrow or peripheral blood stem cells at one of 48 geographically diverse US transplant/donor centers and completed HRQoL interviews at predonation and 4 weeks and 1 year postdonation. At predonation, related donors were less ambivalent about donation (t = –3.30; P = .001), more satisfied with their decision to donate (t = 2.65; P = .009), and more likely to define themselves as donors (t = 2.94; P = .004) than were URDs. However, related donors were more concerned about the use of needles (odds ratio [OR] = 2.19; P = .012), about who would pay for the procedure (OR = 2.80; P = .011), and the possibility that they would feel responsible if the transplant failed (t = 2.31; P = .022). Shortly postdonation, related donors were more likely to report donation-related pain (t = 2.50; P = .013) and lightheadedness (OR = 3.63; P = .028). At 1 year postdonation, related donors were less likely to be fully recovered from donation (OR = 0.10; P = .010) and more likely to report a longer recovery period following donation (t = 2.57; P = .011), although this latter finding was primarily due to the percentage of related versus unrelated donors not fully recovered at 1 year postdonation (10% versus 1%). Taken together, these findings suggest that current related donor management practices may be sufficient in preparing related donors for the psychological aspects of donation but that there may be more to do in terms of calibrating the description of donation-related experiences and recovery time to the related donor group (i.e., descriptions of donation experiences based on unrelated donation may not provide best estimates of experience for this group).

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成人相关和非相关HSC供体的健康相关生活质量比较:一项RDSafe研究
多项调查记录了非亲属献血者(URDs)的健康相关生活质量(HRQoL)和捐赠相关经历,但对相关献血者(RD)经历的类似调查却不太常见。本研究的中心目标是纵向检查和比较RD和URD造血干细胞(HSC)供者从捐献前到捐献后1年的HRQoL。这项前瞻性调查包括年龄在18至60岁的成人HSC捐赠者,他们在美国48个地理位置不同的移植/捐赠中心之一捐赠骨髓或外周血干细胞,并在捐赠前、捐赠后4周和1年完成HRQoL访谈。在捐赠前,相关献血者对捐赠的矛盾心理较少(t = -3.30;P = .001),对捐赠决定更满意(t = 2.65;P = 0.009),更有可能将自己定义为捐赠者(t = 2.94;P = .004)。然而,相关献血者更关心针头的使用(优势比[OR] = 2.19;P = .012),关于谁将支付手术费用(OR = 2.80;P = 0.011),如果移植失败,他们会感到有责任的可能性(t = 2.31;p = .022)。在捐赠后不久,相关的献血者更有可能报告捐赠相关的疼痛(t = 2.50;P = 0.013)和头晕(OR = 3.63;p = .028)。在捐赠后1年,相关献血者不太可能从捐赠中完全恢复(OR = 0.10;P = 0.010),更有可能报告捐赠后的恢复期较长(t = 2.57;P = 0.011),尽管后一项发现主要是由于亲属和非亲属捐赠者在捐赠后1年未完全康复的百分比(10%对1%)。综上所述,这些发现表明,目前的相关捐赠者管理实践可能足以使相关捐赠者做好捐赠心理方面的准备,但在校准捐赠相关经历的描述和相关捐赠群体的恢复时间方面可能还有更多工作要做(即,基于不相关捐赠的捐赠经历描述可能无法为该群体提供最佳的经验估计)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.60
自引率
0.00%
发文量
1061
审稿时长
3-6 weeks
期刊介绍: Biology of Blood and Marrow Transplantation publishes original research reports, reviews, editorials, commentaries, letters to the editor, and hypotheses and is the official publication of the American Society for Transplantation and Cellular Therapy. The journal focuses on current technology and knowledge in the interdisciplinary field of hematopoetic stem cell transplantation.
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