Nursing role in the assessment and care of hepatic sinusoidal obstruction syndrome patients: a consensus paper by the “Gruppo Italiano Trapianto di Midollo Osseo”

Stefano Botti, Iris Agreiter, Laura Orlando, Gianpaolo Gargiulo, Francesca Bonifazi, Marina Marialuisa Banfi, Lorella Cappucciati, Cristiana Caffarri, Valentina De Cecco, Giuseppe Marco Deiana, Marta Gavezzotti, Antonio Magarò, Maria Giovanna Netti, Adriana Concetta Pignatelli, Elena Rostagno, Emanuela Samarani, Janini Silva Cardoso, Sonia Soave, Concetta Maria Valente, Alessio VedovettoMarco Zecca, Stefano Luminari, Francesco Merli, Monica Guberti

Research output: Contribution to journalArticlepeer-review


Purpose: Sinusoidal obstruction syndrome (SOS) is one of the most serious complications post haematopoietic stem cell transplantation (HSCT). The diagnosis of SOS is clinical, but nurses should be involved in the pre-transplant risk assessment period and play a crucial role in the early detection of signs and symptoms during and after hospitalization. The aim of this work is to achieve a consensus on nurses’ behaviour in caring for SOS. Methods: On behalf of the Italian Group for Bone and Marrow Transplantation (GITMO), a promoter committee was established to put in place a consensus conference approach. A multidisciplinary group of GITMO together with four nurses, three haematology physicians and one patient representative acted as jury, who reviewed the reports and wrote recommendations and suggestions. Recommendations gaining 100% of consensus were considered ‘Golden Points of Care’; if a consensus was achieved by ≥ 75% of the jury’s members, those recommendations were defined as ‘Good Practices’. Results: Eighteen papers written by nurses as first authors have been identified. Golden Points of Care and Good Practices were worked out for the following topics: nurses’ role in general, nurses’ role in pre-transplant assessment, pre-transplant risk assessment and risk stratification, baseline monitoring, suspected mild or moderate SOS, suspected severe or very severe SOS and late-onset cases. Conclusion: SOS is relatively rare; therefore, a holistic approach to the patients’ needs considering nursing role as essential may result in better care outcomes.

Original languageEnglish
Pages (from-to)5125-5137
Number of pages13
JournalSupportive Care in Cancer
Publication statusPublished - Nov 1 2020


  • Endothelial complications
  • Multi-organ failure
  • Nurse management
  • Sinusoidal obstruction syndrome
  • Stem cell transplantation
  • Veno-occlusive disease

ASJC Scopus subject areas

  • Oncology


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