Improvement of supportive nursing care in cancer patients autografted with bone marrow and mobilized peripheral blood haematopoietic progenitors

Eur J Cancer Care (Engl). 1996 Mar;5(1):21-5. doi: 10.1111/j.1365-2354.1996.tb00201.x.

Abstract

We report that in cancer patients a dramatic reduction in infection rate, days of isolation, oral mucositis and hospitalization due to high-dose chemotherapy is achievable by autografting with haematopoietic progenitor cells (CPCs) circulating in peripheral blood following cancer therapy with high-dose cyclophosphamide (HD-CTX) and administration of recombinant haematopoietic cytokines. Thirty patients (29 lymphomas, one breast cancer) were treated with total body irradiation and high-dose melphalan followed by either: (i) bone marrow transplant (Group A); (ii) bone marrow plus HD-CTX-mobilized CPC transplant (Group B); or (iii) bone marrow plus HD-CTX- and cytokine-mobilized CPC transplant (Group C). Nursing care load was remarkably higher in Group A patients compared to Group B and C patients, thus demonstrating clinical advantages of transplantation of HD-CTX-f and cytokine-mobilized CPCs.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Antineoplastic Agents, Alkylating / therapeutic use
  • Bone Marrow Transplantation / nursing*
  • Combined Modality Therapy
  • Cyclophosphamide / therapeutic use
  • Erythroid Precursor Cells / transplantation*
  • Female
  • Humans
  • Lymphoma / therapy*
  • Male
  • Melphalan / therapeutic use
  • Middle Aged
  • Transplantation, Autologous
  • Treatment Outcome
  • Whole-Body Irradiation / nursing
  • Workload

Substances

  • Antineoplastic Agents, Alkylating
  • Cyclophosphamide
  • Melphalan