The Financial Impact of Allogeneic Stem Cell Transplantation on Patient and Family
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Purpose
The purpose of this pilot study is to determine the feasibility of conducting a study of out-of-pocket costs and the long-term financial impact of allogeneic stem cell transplant.
| Condition | Intervention |
|---|---|
|
Financial Impact of Stem Cell Transplantion |
Other: Household financial data collection |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | The Financial Impact of Allogeneic Stem Cell Transplantation on Patient and Family: A Pilot Study |
- To study the feasibility of using a patient maintained diary to capture out-of-pocket costs over the first 3 months following allogeneic HSCT [ Time Frame: Pre-transplant and for 3 months post-transplant ] [ Designated as safety issue: No ]
- To determine the feasibility of conducting interviews to collect financial information at 6, 12, 18 and 24 months after allogeneic HSCT [ Time Frame: 6, 12, 18 and 24 month time points post-transplant ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 30 |
| Study Start Date: | March 2009 |
| Estimated Study Completion Date: | September 2012 |
| Estimated Primary Completion Date: | September 2012 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
allogeneic stem cell recipients
Pediatric and adult allogeneic stem cell transplant recipients and their care givers.
|
Other: Household financial data collection
Baseline financial survey pre-transplant, financial diary post-transplant every two weeks for 3 months, and financial questionnaire via phone survey at 6, 12, 18 and 24 months post-transplant.
|
Detailed Description:
Allogeneic hematopoietic stem cell transplantation (HSCT) is the indicated treatment for many life-threatening illnesses affecting both adults and children. Transplant recovery and late effects require long-term medical care. At the same time that the family faces a medical crisis, a resulting financial crisis may also be pending, but is often pushed to the background due to the necessity of first preserving life. A large proportion of patients undergoing HSCT incur significant financial burden from out-of-pocket costs and a decrease in household income. Predetermined variables, both medical and demographic, gathered at the pre-transplant clinical consultation have the potential to predict the patients at greatest financial risk. This study will describe both the out-of-pocket costs and the income changes that may result from HSCT to help patients and their caregivers have a clearer picture of these costs and develop a financial plan. Health care providers can utilize this information to better inform patients and connect them to resources.
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Pediatric and adult allogeneic stem cell transplant recipients and their care givers from three U.S. transplant medical centers.
Inclusion Criteria:
- Adult recipients and parents/guardians of pediatric (age 0-17 years) recipients of allogeneic HSCT
- Recipient has a primary caregiver, who is a member of the recipient's household
- Allogeneic HSCT using any donor cell source (related, unrelated, or cord blood)
- Any age at HSCT
- Diagnosis of primary disease for which HSCT is being performed must have been made within two years prior to transplantation
- Adult recipients, parents/guardians of pediatric recipients, and primary caregivers should be able to read, write, and understand the English language
- Signed informed consent from adult patient, caregiver and/or parent/guardian for study participation
- Signed consent to participate in the Center for International Blood and Marrow Transplant Research (CIBMTR) research database.
Exclusion Criteria:
- Recipients who have had a previous HSCT (autologous or allogeneic)
- Households with more than one transplant recipient
Contacts and Locations| United States, Minnesota | |
| University of Minnesota | |
| Minneapolis, Minnesota, United States, 55455 | |
| United States, New York | |
| Roswell Park Cancer Institute | |
| Buffalo, New York, United States, 14263 | |
| United States, Wisconsin | |
| Medical College of Wisconsin | |
| Milwaukee, Wisconsin, United States, 53226 | |
| Study Chair: | Navneet Majhail, MD, MS | University of Minnesota / CIBMTR |
| Study Chair: | Douglas Rizzo, MD, MS | Medical College of Wisconsin / CIBMTR |
More Information
No publications provided
| Responsible Party: | Center for International Blood and Marrow Transplant Research |
| ClinicalTrials.gov Identifier: | NCT00795054 History of Changes |
| Other Study ID Numbers: | CIBMTR HS 07-02 |
| Study First Received: | November 19, 2008 |
| Last Updated: | July 31, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Center for International Blood and Marrow Transplant Research:
|
Stem cell transplantation Financial impact |
ClinicalTrials.gov processed this record on May 23, 2013