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This study evaluated neurocognitive and psychosocial outcomes in long-term AML survivors treated with bone marrow transplantation (BMT) or intensive chemotherapy (IC) without BMT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>AML survivors (N\u2009=\u2009482; median age at diagnosis\u2009=\u20098 [range\u2009=\u20090-20] years; median age at evaluation\u2009=\u200930 [range\u2009=\u200918-49] years) treated with BMT (n\u2009=\u2009183) or IC (n\u2009=\u2009299) and sibling controls (N\u2009=\u20093190; median age at evaluation\u2009=\u200932 [range\u2009=\u200918-58] years) from the Childhood Cancer Survivor Study were compared on emotional distress (Brief Symptom Inventory-18), neurocognitive problems (Childhood Cancer Survivor Study Neurocognitive Questionnaire), health-related quality of life (SF-36), and social attainment. Outcomes were dichotomized (impaired vs nonimpaired) using established criteria, and relative risks (RRs) were estimated with multivariable Poisson regression, adjusted for age at evaluation and sex.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>AML survivors were more likely than siblings to report impairment in overall emotional (RR\u2009=\u20092.19, 95% confidence interval [CI]\u2009=\u20091.51 to 3.18), neurocognitive (RR\u2009=\u20092.03, 95% CI\u2009=\u20091.47 to 2.79), and physical quality of life (RR\u2009=\u20092.71, 95% CI\u2009=\u20091.61 to 4.56) outcomes. Survivors were at increased risk for lower education (RR\u2009=\u20091.15, 95% CI\u2009=\u20091.03 to 1.30), unemployment (RR\u2009=\u20091.41, 95% CI\u2009=\u20091.16 to 1.71), lower income (RR\u2009=\u20091.39, 95% CI\u2009=\u20091.17 to 1.65), and not being married or having a partner (RR\u2009=\u20091.33, 95% CI\u2009=\u20091.17 to 1.51). BMT-treated survivors did not differ statistically significantly from IC-treated on any outcome measure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>AML survivors are at increased risk for psychosocial impairment compared with siblings; however, BMT does not confer additional risk for psychosocial late effects compared with treatment without BMT.<\/jats:p><\/jats:sec>","DOI":"10.1093\/jnci\/djaa102","type":"journal-article","created":{"date-parts":[[2020,8,11]],"date-time":"2020-08-11T04:10:10Z","timestamp":1597119010000},"page":"481-495","source":"Crossref","is-referenced-by-count":28,"title":["Long-Term Neurocognitive and Psychosocial Outcomes After Acute Myeloid Leukemia: A Childhood Cancer Survivor Study Report"],"prefix":"10.1093","volume":"113","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3386-744X","authenticated-orcid":false,"given":"Kristen J","family":"Stefanski","sequence":"first","affiliation":[{"name":"Akron Children\u2019s Hospital, 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Texas, MD Anderson Cancer Center, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stella","family":"Davies","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leslie L","family":"Robison","sequence":"additional","affiliation":[{"name":"St. Jude Children\u2019s Research Hospital, Memphis, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory T","family":"Armstrong","sequence":"additional","affiliation":[{"name":"St. Jude Children\u2019s Research Hospital, Memphis, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0476-7001","authenticated-orcid":false,"given":"Kevin R","family":"Krull","sequence":"additional","affiliation":[{"name":"St. Jude Children\u2019s Research 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