アブストラクト | OBJECTIVES: 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. METHODS: 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). RESULTS: In total, 3614 patients were included in the study. Pre-transplant rehabilitation was associated with a significant reduction in post-transplant hospital LOS (beta=-0.134, P<0.001). CONCLUSIONS: 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. |
ジャーナル名 | Progress in rehabilitation medicine |
投稿日 | 2021/5/4 |
投稿者 | Matsugaki, Ryutaro; Ohtani, Makoto; Mine, Yuko; Saeki, Satoru; Fushimi, Kiyohide; Matsuda, Shinya |
組織名 | Department of Preventive Medicine and Community Health, School of Medicine,;University of Occupational and Environmental Health, Kitakyushu, Japan.;Information Systems Center for Occupational Health, University of Occupational;and Environmental Health, Kitakyushu, Japan.;Department of Rehabilitation Medicine, School of Medicine, University of;Occupational and Environmental Health, Kitakyushu, Japan.;Department of Health Policy and Informatics, Tokyo Medical and Dental University;Graduate School, Tokyo, Japan. |
Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/33937548/ |