Validating the positive impact of in-hospital lay care-partner support on patient survival in allogeneic BMT: a prospective study

Validating the positive impact of in-hospital lay care-partner support on patient survival in allogeneic BMT: a prospective study
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DOI:
10.1038/bmt.2012.208
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发表时间:
2013-05-01
影响因子:
4.8
通讯作者:
Bolwell, B.
Bolwell, B.
中科院分区:
医学3区
文献类型:
--
作者:
Foster, L. W.;McLellan, L.;Bolwell, B.

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This prospective study validates the finding from retrospective research that having an inpatient lay care-partner (CP) is associated with better survival following allogeneic BMT. Compared with patients without a CP (n = 76), patients with a CP (n = 88) have significantly better OS (P = 0.017) and relapse-free survival (RFS) (P = 0.020). Four-year and median survivals were 42% and 36 months among patients with CPs, compared with 26% and 10 months among those without CPs. Four-year survival and median RFS were 39% and 25 months among those with CPs, compared with 23% and 7 months among those without CPs. Further, better survival and RFS were associated with CP visit duration of >3 h per day (P = 0.005 and P = 0.007, respectively) and with CP frequency of visits >75% of inpatient days (P = 0.004 and P = 0.010, respectively). A CP support program should encourage not only presence of a CP but also duration and frequency of CP visits associated with better patient survival.