Table 2.
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.

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