Transplant Wellness Clinic for Elderly or High Risk Patients Undergoing BMT

Summary

As the average age of individuals undergoing stem cell transplant continues to increase, challenges associated with balancing the side effects of cancer treatments while also managing other medical conditions develop. Studies have shown these individuals develop more treatment related side effects and take longer to leave the hospital due to complications. The purpose of this study is to develop a multiple provider clinic that will help identify any additional needs in the more complicated and generally older transplant patient population. If needed, this clinic will recommend interventions or referrals to the appropriate specialties to the participant and the transplant physician for the participant before your transplant procedure. Examples of potential areas of improvement include a course of physical therapy, nutritional supplements, or modifications of medications, among others with the goal to make your transplant safer and to decrease length of time in the hospital.

Conditions

• Stem Cell Transplant Complications
• Myeloma
• Lymphoma
• Allogeneic and Autologous Stem Cell Transplant

Interventions

OTHER

physical therapy consult

Physical therapy consult to assess physical functioning on a separate office visit prior to attending the Transplant Wellness Clinic. Full evaluation that incorporates several tools to measure the risk of falling and to assess mobility and strength

OTHER

Cognitive Assessment

Montreal cognitive assessment (MoCA) and the Blessed Orientation-Memory-Concentration Test (BOMC)

OTHER

Cancer Aging Research Group (CARG) assessment

CARG assessment - utilized to capture information about a participant's medical history as well as functional, cognitive, and psychosocial status

OTHER

Medication Review

Medication Review via Beers Assessment

OTHER

Nutrition assessment

Nutrition assessment Via Mini Nutrition Assessment (MNA)

OTHER

Laboratory studies

Laboratory studies including urine toxicology screen, C-reactive protein, albumin, pre-albumin, vitamin D

OTHER

Patient satisfaction questionnaire

Patient satisfaction questionnaire

OTHER

Physician Questionnaire

Physician Questionnaire: Questionnaire to learn about physician satisfaction with information received from reports and participant questionnaires.

OTHER

Patient follow-up questionnaire

Patient follow-up questionnaire: Questionnaire to learn more about participant opinions concerning the clinic and the quality of care received during visits with specialists

Sponsors & Collaborators

• Case Comprehensive Cancer Center

  lead OTHER

Principal Investigators

• Linda M Baer, APRN · University Hospitals Cleveland Medical Center, Case Comprehensive Cancer Center

• Brenda H Cooper, MD · University Hospitals Cleveland Medical Center, Case Comprehensive Cancer Center

Study Design

Allocation

NA

Purpose

SUPPORTIVE_CARE

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2021-05-01

Primary Completion

2024-06-27

Completion

2025-03-28

Countries

• United States

Study Locations