Blood & Marrow Transplant Program

How to Make a Referral or Request a Consultation with BMT

We accept referrals from primary care physicians, specialty physicians, insurance case managers, and from the patients themselves.

You may make a referral or request a consultation about your patient by calling our program at (615) 936-1803 or (615) 343-7085 or by calling our Cancer Information Program at (800) 811-8480.

Eligibility criteria

We welcome the opportunity to consult with you about any patient that you believe may be a candidate for a transplant. You may find the following eligibility criteria helpful.

Myeloablative transplants

  • 55 years old or younger for related transplants
  • 50 years old or younger for unrelated transplants
  • 65 years old or younger for autologous transplants
  • Karnofsky status equal to 70% or better
  • No active infections
  • FVC, FEV1, DLCO equal to or greater than 60% of normal
  • LV ejection fraction equal to or greater than 50%
  • Creatinine clearance equal to or greater than ML/MIN

Non-myeloablative transplants

  • 18-65 years old
  • Karnofsky status equal to or greater than 70%
  • Serum creatinine equal to or less than 2mg/dL
  • Serum bilirubin equal to or less than 3mg/dL
  • LV ejection fraction equal to or greater than 40% on MUGA or echocardiogram
  • DLCO equal to or greater than 40% of predicted
  • FEV1 and FVC equal to or greater than 40%
  • A total combined comorbidity score plus age score of 5 or less

Partnership After Transplant

Our partnership with you continues after your patient completes the transplant and is ready to be discharged back to your care.

Criteria for Discharge to Referring Physician

  • Patient is engrafted
  • Sufficient oral intake
  • Oral medications
  • Afebrile
  • Adequate caregiver support
  • No active graft-versus-host disease

Follow-up care

Patients may experience complications for many months after their transplant. We recommend that patients see you every one to two months until you feel comfortable with less frequent visits. You will receive comprehensive follow-up guidelines upon discharge, and our physicians and others on our team are available to answer any questions and offer consultation to assist in the management of your patient.

We also have developed a specialized long-term follow up clinic, one of just a few in the Southeast. This clinic is intended as a service to you and your patient, not as a substitute for the care that you provide to your patient.

We suggest that patients have a follow-up visit annually with their Vanderbilt-Ingram physicians.

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