Table 7.

Long-term management considerations after allogeneic HCT and GT

Management area	Specific needs
Transplant related	Regular follow-ups for GVHD and infection screening
	Engraftment and chimerism monitoring
SCD	Annual eye assessments for retinopathy screening
	Ongoing assessment of organ function especially in areas of previous damage (kidney, lung, etc)
Chronic pain management	Assessment for any evidence of ongoing pain due to previous bone/muscular damage or caused by opioid-induced hyperalgesia
	Long-term pain plan discussion including goals of weaning off opioids or switching to buprenorphine-based pain management
Psychosocial monitoring	Evaluation for depression, anxiety, and posttraumatic stress disorder
	Counseling for emotional and psychological adjustment
	Social determinants of health assessment
Neurocognitive monitoring	Neurocognitive testing to assist people with entering school or workforce
	Referral for neurocognitive rehabilitation of needed
	Evaluation for any progression of previous infarcts or CNS-vascular damage
Lifestyle adjustment	Ensure individual understands the needing for continuous health care coverage
	Guidance on healthy diet and physical activity
	Education on navigating and understanding the adult health care systems
	Identification of other health providers (PCP and GYN) needed for the adult

CNS, central nervous system; GYN, Gynaecologist; PCP, Primary Care Physician.