Rebecca D. Pentz
Tanzania
Research Article
Referral Patterns and Clinical Outcomes for Transplant-Eligible Lymphoma
and Myeloma Patients Evaluated at an Urban County Hospital
Author(s): Hyun D. Yun, Tehseen Dossul, Leon Bernal-Mizrachi, Jeffrey Switchenko, Chukwuma Ndibe, Abiola Ibraheem, Margie D. Dixon, Amelia A. Langston, Ajay K. Nooka, Christopher R. Flowers, Rebecca D. Pentz and Edmund K. Waller
Hyun D. Yun, Tehseen Dossul, Leon Bernal-Mizrachi, Jeffrey Switchenko, Chukwuma Ndibe, Abiola Ibraheem, Margie D. Dixon, Amelia A. Langston, Ajay K. Nooka, Christopher R. Flowers, Rebecca D. Pentz and Edmund K. Waller
Disparities in clinical care have been described for patients with limited insurance coverage or social support. We hypothesized that patients with relapsed Hodgkin lymphoma (HL), non-Hodgkin lymphoma (NHL), or multiple myeloma (MM) treated at an urban county hospital serving indigent and under-insured patients would face barriers for referral to a private academic transplant center for autologous stem cell transplantation (ASCT). Charts of patients with HL, NHL, or MM treated at Grady Memorial Hospital between 2007 and 2013 were reviewed, and 215 patients with diagnosis of HD (n=40), NHL (n=96), and MM (n=79). 55 patients were referred for ASCT consults and 160 patients were not referred. Reasons for transplant non-referral included established clinical criteria (64% of cases), poor performance status (13%), refusal (4%), moved/lost-to-follow-up (4%).. View More»
DOI:
10.4172/2157-7633.1000328