Cardiac |
Prolonged QTc |
Endocrinopathies |
Metabolic syndrome |
Thyroid dysfunction |
Low cortisol production |
Growth delays |
Hypertriglyceridemia |
Low activity levels/sedentary lifestyle |
Gastrointestinal |
Pneumatosis |
Pancreatitis |
Poorly-diversified microbiome |
Hypoalbuminemia/hypoproteinemia |
Genetic variants (HLA and non-HLA genes) |
Intensive care |
Number of hospitalizations |
Extracorporeal membrane oxygenation |
Iron overload |
Number of red blood cell transfusions received |
T2*MRI |
Neuropsychiatric concerns |
Developmental delay |
Isolation |
Poor resiliency |
Behavior concerns |
Attention deficit hyperactivity disorders |
Poor sleep patterns |
Low scores on validated, age-appropriate patient-reported outcomes |
Pain requiring scheduled opioid medications |
Predisposition to transplant-associated microangiopathy |
High inflammatory markers (e.g., C reactive protein) preceding conditioning |
High baseline terminal complement system pathway factors (eg, soluble C5b-9) |
High urine protein to creatinine ratio |
Socioeconomic factors/access to care |
Noncompliance with treatments |
Homelessness |
Poor family support system |
Social isolation |
Food insecurity |
Financial toxicity/insurance concerns |
Amount of school/work missed |
Marginalized populations/disparities in care |
Vitamin and mineral deficiencies |
Vitamin D |
Iron |
Zinc |
Cardiac |
Prolonged QTc |
Endocrinopathies |
Metabolic syndrome |
Thyroid dysfunction |
Low cortisol production |
Growth delays |
Hypertriglyceridemia |
Low activity levels/sedentary lifestyle |
Gastrointestinal |
Pneumatosis |
Pancreatitis |
Poorly-diversified microbiome |
Hypoalbuminemia/hypoproteinemia |
Genetic variants (HLA and non-HLA genes) |
Intensive care |
Number of hospitalizations |
Extracorporeal membrane oxygenation |
Iron overload |
Number of red blood cell transfusions received |
T2*MRI |
Neuropsychiatric concerns |
Developmental delay |
Isolation |
Poor resiliency |
Behavior concerns |
Attention deficit hyperactivity disorders |
Poor sleep patterns |
Low scores on validated, age-appropriate patient-reported outcomes |
Pain requiring scheduled opioid medications |
Predisposition to transplant-associated microangiopathy |
High inflammatory markers (e.g., C reactive protein) preceding conditioning |
High baseline terminal complement system pathway factors (eg, soluble C5b-9) |
High urine protein to creatinine ratio |
Socioeconomic factors/access to care |
Noncompliance with treatments |
Homelessness |
Poor family support system |
Social isolation |
Food insecurity |
Financial toxicity/insurance concerns |
Amount of school/work missed |
Marginalized populations/disparities in care |
Vitamin and mineral deficiencies |
Vitamin D |
Iron |
Zinc |
HLA, human leukocyte antigen; MRI, magnetic resonance imaging. While not exhaustive, many of these entities have been evaluated as possible contributors to poor health and/or medical complications in transplant and/or nontransplant patients and may contribute to acute and long-term complications in areas of human health that could impact NRM and OS after HCT in youths.