Treatment and Nursing for Steroid-Refractory Acute Graft-Versus-Host Disease
- PMID: 37677777
- DOI: 10.1188/23.CJON.397-403
Treatment and Nursing for Steroid-Refractory Acute Graft-Versus-Host Disease
Abstract
Background: Acute graft-versus-host disease (aGVHD) is a significant complication for patients who receive allogeneic stem cell transplantation. Patients whose aGVHD is refractory to corticosteroids face additional complications.
Objectives: This article provides foundational knowledge on steroid-refractory (SR) aGVHD, current treatment options, and related supportive care.
Methods: Therapies for patients with SR aGVHD are summarized, along with supportive care recommendations and a review of related nursing considerations.
Findings: Current treatment and research on SR aGVHD offer opportunities for improved clinical outcomes for these patients. Nursing knowledge of the pathophysiology, treatment, and supportive care for patients with SR aGVHD is integral to the provision of optimal nursing care for a complex population of patients.
Keywords: graft-versus-host disease; steroid-refractory GVHD; supportive care.
Similar articles
-
Steroid-Refractory Chronic Graft-Versus-Host Disease: Treatment Options and Nursing Care.Clin J Oncol Nurs. 2023 May 18;27(3):259-265. doi: 10.1188/23.CJON.259-265. Clin J Oncol Nurs. 2023. PMID: 37267484 Review.
-
Steroid-Sensitive, but Not Steroid-Dependent or Steroid-Resistant Acute Graft-versus-Host Disease, Results in Similar Infection Risk as No Graft-versus-Host Disease following Allogeneic Hematopoietic Cell Transplantation.Transplant Cell Ther. 2022 Aug;28(8):509.e1-509.e11. doi: 10.1016/j.jtct.2022.05.008. Epub 2022 May 14. Transplant Cell Ther. 2022. PMID: 35577324
-
A Prospective Study of Alemtuzumab as a Second-Line Agent for Steroid-Refractory Acute Graft-versus-Host Disease in Pediatric and Young Adult Allogeneic Hematopoietic Stem Cell Transplantation.Biol Blood Marrow Transplant. 2016 Dec;22(12):2220-2225. doi: 10.1016/j.bbmt.2016.09.016. Epub 2016 Sep 21. Biol Blood Marrow Transplant. 2016. PMID: 27664325 Free PMC article.
-
[Anti-CD(25) monoclonal antibody as a salvage therapy for steroid-refractory acute graft-versus-host disease in 80 patients receiving allogeneic hematopoietic stem cell transplantation].Zhonghua Nei Ke Za Zhi. 2018 May 1;57(5):324-329. doi: 10.3760/cma.j.issn.0578-1426.2018.05.004. Zhonghua Nei Ke Za Zhi. 2018. PMID: 29747286 Chinese.
-
Steroid Refractory Acute GVHD: The Hope for a Better Tomorrow.Am J Hematol. 2025 May;100 Suppl 3:14-29. doi: 10.1002/ajh.27592. Am J Hematol. 2025. PMID: 40123554 Review.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Research Materials