Long-Term Follow-Up

Health Screening Tests

Q. What health screening tests should I have after transplant, and when should I have them?

Three major organizations (Center for International Blood and Marrow Transplant Research, the American Society for Blood and Marrow Transplantation and the European Group for Blood and Marrow Transplantation) agree on general recommendations for health screening after a transplant.

On this chart, you’ll find a schedule outlining these recommendations. Other screening or prevention measures may be recommended by your health care providers depending on your particular situation.

KEY

  • All = All transplant patients
  • ALLO = Allogeneic transplant patients
  • cGVHD/IS = Patients with ongoing chronic graft-vs.-host disease or on systemic immunosuppressive therapy
  • Ind = If patient has had abnormal test results or has developed new symptoms
Screening or Prevention 6 months 1 year Annually
INFECTIONS
Pneumocystis pneumonia (PCP) preventative therapy All cGVHD/IS cGVHD/IS
Antibiotic therapy – encapsulated bacteria cGVHD/IS cGVHD/IS cGVHD/IS
CMV test cGVHD/IS cGVHD/IS
Immunizations All All
MOUTH
Dental exam All All All
LIVER
Liver function test (LFT) All All Ind
Serum ferritin level All Ind
LUNGS
Exam All All All
Smoking avoidance All All All
Pulmonary function test (PFT) ALLO Ind
Chest x-ray Ind Ind Ind
HORMONES
Thyroid function test All Ind
Growth velocity (children) All All
Gonadal function assessment (pre-puberty patients) All All All
Gonadal function assessment (post-puberty females) All All
EYES
Symptom evaluation All All All
Schirmer’s (tear production) test Ind Ind
Eye exam All Ind
BONES
Bone density test (females/prolonged corticosteroid or calcineurin inhibitor treatment) All Ind
NEW CANCER SCREENING
Education and counseling on what to watch for All All
Breast/skin/testicle self-exam All All
Physical exam All All
Pap smear/mammogram (females over 40 years of age) All All
NERVES
Neurologic exam All Ind
KIDNEYS
Blood pressure screening All All All
Urine protein test All All All
BUN/Creatinine blood test All All All
CARDIOVASCULAR
Risk factor assessment All All
PSYCHOLOGICAL/QUALITY OF LIFE
Assessment exam/discussion All All All
Sexual function assessment/discussion All All All
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