PMID- 35488073 OWN - NLM STAT- MEDLINE DCOM- 20220711 LR - 20221007 IS - 1476-5365 (Electronic) IS - 0268-3369 (Linking) VI - 57 IP - 7 DP - 2022 Jul TI - Health-related quality of life in pediatric patients with beta-thalassemia major after hematopoietic stem cell transplantation. PG - 1108-1115 LID - 10.1038/s41409-022-01663-0 [doi] AB - Our main purpose was to evaluate health-related quality of life (HRQOL) in beta-thalassemia major patients who underwent transplantation from September 2012 to November 2019. The PedsQL 4.0 scale proxy version was administered to 221 transplant patients aged 5-18 years. Their HRQOL results in the proxy-report were compared with those in the proxy-report of 429 matched healthy peers and 198 matched nontransplant patients. Compared with their healthy peers, the transplant patients exhibited worse HRQOL in the physical health domain (P < 0.001), school domain (P < 0.001) and overall scores (P = 0.006). Patients within 4 years after transplantation exhibited physical functioning (P < 0.001), school functioning (P < 0.001) and overall HRQOL damage (P = 0.001); the scores across all domains for patients more than 4 years after transplantation were not significantly different from those for the healthy controls. The transplant patients rated their HRQOL for all domains better than the nontransplant patients (P < 0.001). The HRQOL of patients after human leukocyte antigen (HLA)-matched related and HLA-matched unrelated donor transplantation were not significantly different. Chronic graft-versus-host disease and two or more comorbidities were independently negatively associated with overall HRQOL outcomes (P = 0.032 and P < 0.001, respectively). In conclusion, patients more than 4 years after transplantation achieve an HRQOL equal to that of their healthy peers. CI - (c) 2022. The Author(s), under exclusive licence to Springer Nature Limited. FAU - Liang, Haiyan AU - Liang H AUID- ORCID: 0000-0002-5220-4369 AD - The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, 530021, PR China. FAU - Pan, Lin AU - Pan L AD - The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, 530021, PR China. FAU - Xie, Yanni AU - Xie Y AD - The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, 530021, PR China. FAU - Fan, Jing AU - Fan J AD - The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, 530021, PR China. FAU - Zhai, Lu AU - Zhai L AD - The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, 530021, PR China. FAU - Liang, Shaohua AU - Liang S AD - The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong, 524002, PR China. FAU - Zhang, Zhongming AU - Zhang Z AD - The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, 530021, PR China. FAU - Lai, Yongrong AU - Lai Y AUID- ORCID: 0000-0002-0371-1719 AD - The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, 530021, PR China. laiyongrong@263.net. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220429 PL - England TA - Bone Marrow Transplant JT - Bone marrow transplantation JID - 8702459 RN - 0 (HLA Antigens) SB - IM MH - Child MH - *Graft vs Host Disease MH - HLA Antigens MH - *Hematopoietic Stem Cell Transplantation MH - Humans MH - Quality of Life MH - *beta-Thalassemia/therapy EDAT- 2022/04/30 06:00 MHDA- 2022/07/12 06:00 CRDT- 2022/04/29 23:26 PHST- 2021/12/02 00:00 [received] PHST- 2022/03/24 00:00 [accepted] PHST- 2022/03/21 00:00 [revised] PHST- 2022/04/30 06:00 [pubmed] PHST- 2022/07/12 06:00 [medline] PHST- 2022/04/29 23:26 [entrez] AID - 10.1038/s41409-022-01663-0 [pii] AID - 10.1038/s41409-022-01663-0 [doi] PST - ppublish SO - Bone Marrow Transplant. 2022 Jul;57(7):1108-1115. doi: 10.1038/s41409-022-01663-0. Epub 2022 Apr 29.