More tests needed to show when BMT can help older people
Blood and marrow transplant is underused in people older than 60
AgeN/A
Number of ParticipantsN/A
Research GoalImprove Survival
Transplant doctors agree that transplant can help older patients, but BMT can have serious effects, and doctors worry that older people might get too sick after transplant.
According to a recent survey, about 90% of transplant doctors believe they need better tests to help predict which older adults can safely undergo BMT.
Many doctors say the current tests of how well a person functions in daily life are not enough. These tests don’t detect problems older people may have before transplant that would make getting a transplant less safe. Some problems may affect memory, thinking and emotional wellness. Other problems can cause weakness, falling or dangerous weight loss.
Plus, if detected, it’s possible that problems can be treated to make it safer for an older adult to have a BMT.
A doctor who specializes in cancer treatments for older people, called a geriatric oncologist, can help, too. But not all transplant centers have these special doctors.
According to a recent survey, about 90% of transplant doctors believe they need better tests to help predict which older adults can safely undergo BMT.
Many doctors say the current tests of how well a person functions in daily life are not enough. These tests don’t detect problems older people may have before transplant that would make getting a transplant less safe. Some problems may affect memory, thinking and emotional wellness. Other problems can cause weakness, falling or dangerous weight loss.
Plus, if detected, it’s possible that problems can be treated to make it safer for an older adult to have a BMT.
A doctor who specializes in cancer treatments for older people, called a geriatric oncologist, can help, too. But not all transplant centers have these special doctors.
What’s next
A separate study may find some better tests for older people. The study is called the Composite Health Assessment Risk Model (CHARM) for Older Adults. It’s nearing completion at 26 transplants centers in the US. Results will be available in about 2 years.
Ask your doctor
- Would a HCT help treat my disease?
- Since I’m older, would a geriatric assessment be helpful for me?