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Patients’ symptoms and challenges during the first year after allogeneic haematopoietic cell transplantation—patients’ own expressions

Hagelin, Carina Lundh LU ; Kisch, Annika M. LU orcid ; Holmberg, Katarina ; O’Sullivan, Anna ; Wengström, Yvonne ; Winterling, Jeanette LU and Bergkvist, Karin (2026) In Supportive Care in Cancer 34(5).
Abstract

Purpose: The study aimed to describe patients’ experiences of physical, psychological, social, and existential symptoms and challenges during the first year after allogeneic haematopoietic cell transplantation (allo-HCT). Methods: Quantitative and qualitative data were collected and analysed with descriptive methods as part of a large retrospective cross-sectional online survey of patients who underwent allo-HCT between 2017 and 2020. Results: In total, 126 (59.7%) of all eligible patients participated, mean age 57 years (range 21–75), equal distribution of gender and time after allo-HCT. Most patients (58%) had experienced fewer than 5 coexisting symptoms, although 8% reported more than 10. Physical symptoms or challenges (83.0%) were... (More)

Purpose: The study aimed to describe patients’ experiences of physical, psychological, social, and existential symptoms and challenges during the first year after allogeneic haematopoietic cell transplantation (allo-HCT). Methods: Quantitative and qualitative data were collected and analysed with descriptive methods as part of a large retrospective cross-sectional online survey of patients who underwent allo-HCT between 2017 and 2020. Results: In total, 126 (59.7%) of all eligible patients participated, mean age 57 years (range 21–75), equal distribution of gender and time after allo-HCT. Most patients (58%) had experienced fewer than 5 coexisting symptoms, although 8% reported more than 10. Physical symptoms or challenges (83.0%) were most often reported, followed by social (52%), existential (50%), and psychological (43%), as described in responses to open-ended questions. Analysed descriptions resulted in 12 categories/areas of physical symptoms and challenges; two categories each of psychological—My inner self and Me in my context; social—Social isolation and Impact on relationships; and existential symptoms and challenges—Re-evaluating life and myself and An uncertain future. Conclusion: Patients experienced a variety of symptoms and challenges as a multidimensional experience during the first year after allo-HCT. A holistic approach to symptoms and challenges is needed to address individual patients’ situations. This knowledge emphasises the importance of patients receiving supportive care to navigate life after transplantation and into survivorship.

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author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Allogeneic haematopoietic cell transplantation, Cancer, Cancer survivorship, Multidimensional challenge, Symptom experiences, Symptom occurrence
in
Supportive Care in Cancer
volume
34
issue
5
article number
429
publisher
Springer Science and Business Media B.V.
external identifiers
  • scopus:105035820781
  • pmid:41986694
ISSN
0941-4355
DOI
10.1007/s00520-026-10655-5
language
English
LU publication?
yes
id
944fff73-f113-4196-9ccb-18584b61cf31
date added to LUP
2026-05-29 11:44:04
date last changed
2026-06-12 13:14:37
@article{944fff73-f113-4196-9ccb-18584b61cf31,
  abstract     = {{<p>Purpose: The study aimed to describe patients’ experiences of physical, psychological, social, and existential symptoms and challenges during the first year after allogeneic haematopoietic cell transplantation (allo-HCT). Methods: Quantitative and qualitative data were collected and analysed with descriptive methods as part of a large retrospective cross-sectional online survey of patients who underwent allo-HCT between 2017 and 2020. Results: In total, 126 (59.7%) of all eligible patients participated, mean age 57 years (range 21–75), equal distribution of gender and time after allo-HCT. Most patients (58%) had experienced fewer than 5 coexisting symptoms, although 8% reported more than 10. Physical symptoms or challenges (83.0%) were most often reported, followed by social (52%), existential (50%), and psychological (43%), as described in responses to open-ended questions. Analysed descriptions resulted in 12 categories/areas of physical symptoms and challenges; two categories each of psychological—My inner self and Me in my context; social—Social isolation and Impact on relationships; and existential symptoms and challenges—Re-evaluating life and myself and An uncertain future. Conclusion: Patients experienced a variety of symptoms and challenges as a multidimensional experience during the first year after allo-HCT. A holistic approach to symptoms and challenges is needed to address individual patients’ situations. This knowledge emphasises the importance of patients receiving supportive care to navigate life after transplantation and into survivorship.</p>}},
  author       = {{Hagelin, Carina Lundh and Kisch, Annika M. and Holmberg, Katarina and O’Sullivan, Anna and Wengström, Yvonne and Winterling, Jeanette and Bergkvist, Karin}},
  issn         = {{0941-4355}},
  keywords     = {{Allogeneic haematopoietic cell transplantation; Cancer; Cancer survivorship; Multidimensional challenge; Symptom experiences; Symptom occurrence}},
  language     = {{eng}},
  number       = {{5}},
  publisher    = {{Springer Science and Business Media B.V.}},
  series       = {{Supportive Care in Cancer}},
  title        = {{Patients’ symptoms and challenges during the first year after allogeneic haematopoietic cell transplantation—patients’ own expressions}},
  url          = {{http://dx.doi.org/10.1007/s00520-026-10655-5}},
  doi          = {{10.1007/s00520-026-10655-5}},
  volume       = {{34}},
  year         = {{2026}},
}