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Therapeutics","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007136","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006797","name":"HistoGenetics","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006797","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Data are scarce regarding employment outcomes of survivors of childhood allogeneic hematopoietic cell transplantation (alloHCT) and the factors that affect their employment status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>By using the Center for International Blood and Marrow Transplant Research database, the authors studied employment outcomes of \u22651\u2010year survivors of childhood alloHCT who were age \u226518 years at their most recent assessment (year of transplantation, 1985\u20102010). Employment status was assessed at their attained ages (ages 18\u201022, 23\u201027, and 28\u201032 years) and according to transplantation center (TC) location (United States or International). A multivariable analysis assessing the factors that affected employed status (full\u2010time\/part\u2010time work or student) was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Unemployment rates among 2844 survivors were persistently high at all attained ages (United States TCs: ages 18\u201022 [14%], 23\u201027 [15%], and 28\u201032 [13%] years; International TCs: ages 18\u201022 [56%], 23\u201027 [53%], and 28\u201032 [68%] years). The factors associated a with higher likelihood of employment included: older age at alloHCT (ages 5\u20109\u2010years: hazard ratio [HR], 2.07; 95% confidence interval [CI], 1.65\u20102.6; ages 10\u201014 years: HR, 4.43; 95% CI, 3.58\u20105.47; ages 15\u201018\u2010years: HR, 7.13; 95% CI, 5.72\u20108.88), myeloablative conditioning without total body irradiation (TBI) (HR, 1.56; 95% CI, 1.38\u20101.77), reduced\u2010intensity conditioning with TBI (HR, 1.47; 95% CI, 1.19\u20101.8) or without TBI (HR, 2.51; 95% CI, 2.15\u20102.92), and US\u2010based TC (HR, 1.84; 95% CI, 1.62\u20102.08).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Young adult survivors of childhood alloHCT have high unemployment rates at all studied attained ages after HCT. Future efforts should be directed toward understanding the causes of unemployment their and relation to quality of life using patient\u2010reported outcome measures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cncr.31781","type":"journal-article","created":{"date-parts":[[2018,10,28]],"date-time":"2018-10-28T14:48:29Z","timestamp":1540738109000},"page":"144-152","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Post\u2010transplantation employment status of adult survivors of childhood allogeneic hematopoietic cell transplant: A report from the Center for International Blood and Marrow Transplant Research (CIBMTR)"],"prefix":"10.1002","volume":"125","author":[{"given":"Neel S.","family":"Bhatt","sequence":"first","affiliation":[{"name":"Department of Pediatric Hematology\/Oncology\/Bone Marrow Transplantation Medical College of Wisconsin Milwaukee Wisconsin"},{"name":"Center for International Blood 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