Table 3.
Late complications | Risk factors |
---|---|
cGVHD | (a) Donor characteristics Matched sibling donor is better than matched unrelated donor and is in turn better than haplo-identical unmatched donor [15] Gender Males make better donors than previously pregnant females [16] (b) Graft source/characteristics Umbilical cord blood is associated with less risk due to immunological immaturity of T cells. [17, 18] PBSCT associated with higher risk than BMT [19] (c) Stem cells manipulation with T cell depleted better than T cell replete [20] (e) Cytomegalovirus status [21] |
Secondary malignancies | (a) Prior therapy: chemotherapy/radiotherapy [22] (b) Conditioning regimen: myelo ablative/reduced intensity conditioning [22] |
Organ toxicity | (a) Prior therapy: chemotherapy/radiotherapy [22]. (b) Conditioning regimen: myeloablative/reduced intensity conditioning [22] (c) Post-transplant immunosuppression with busulphan and methotrexate are risk factors for the development of BO [23] |
Infertility | (a) Total body irradiation predisposes to infertility [22] |