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Published on: October 16, 2018
From Cure to Combat: Deployment After Lymphoma
Kyle Yuan1, Johnathon M Rolwes2, Sarah Darmon3,4
1Department of Hematology/Oncology, Walter Reed National Military Medical Center, Bethesda, MD 20814, USA.
Approximately 13.7% of previously deployed active-duty service members diagnosed with lymphoma deployed again after treatment. Hodgkin lymphoma survivors were more likely to redeploy, demonstrating successful cancer survivorship in military personnel.
Area of Science:
- Oncology
- Military Medicine
- Hematologic Malignancies
Background:
- Lymphoma is the most common hematologic malignancy among active-duty service members (ADSMs).
- Fitness for duty post-lymphoma diagnosis impacts careers and military readiness.
- Previous studies lack data on redeployment after lymphoma treatment in ADSMs.
Purpose of the Study:
- To determine the proportion of previously deployed ADSMs who redeployed after a lymphoma diagnosis.
- To characterize the deployments of these service members.
Main Methods:
- Retrospective analysis of lymphoma cases (Hodgkin lymphoma [HL] and non-Hodgkin lymphoma [NHL]) diagnosed between 2001-2022 from the Defense Health Agency Cancer Registry.
- Deployment data sourced from the Defense Manpower Data Center.
- Analysis included only ADSMs with a history of deployment at the time of diagnosis.
Main Results:
- A total of 866 previously deployed ADSMs with lymphoma were identified (455 HL, 411 NHL).
- 119 individuals (13.7%) deployed post-diagnosis: 18.9% with HL and 8.0% with NHL (p < 0.001).
- The mean interval to redeployment was 5.1 years for HL and 4.5 years for NHL; all 119 individuals were alive at last follow-up.
Conclusions:
- Roughly one in six previously deployed ADSMs with lymphoma redeployed after diagnosis and treatment, typically within five years.
- Deployment after lymphoma treatment is feasible for a significant number of service members.
- These findings underscore the effectiveness of military cancer care and its positive impact on operational readiness.
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