Reason against referral n=160 N (%) Non-Hodgkins Hodgkins
Lymphoma
Myeloma
1.Uninsured
1 (1   1  

1a Illegal

3 (2) 2   1
2.Lack of social support
1 (1)     1
3.Substance abuse
2(1)     2
4.Poor performance status - total
21 (13)      
a. Alzheimers/dementia
5 1   4
b. Pulmonary

( Corrected DLCO <40)

4     4
c. Heart

(LV EF <45%)

6     6
d. Other co-morbidities
6 2 1 3
5. Medical non-compliance
5 (3) 1 2 2
6. Transplant not indicated at this time – total
103 (64)      
a. In remission
49 38 9 2
b. Not indicated for this disease
15 12   3*
c. Refractory disease
8 2 1 5
d. Cured
25 12 13  
e. age precludes transplant
6 1   5
7. No information
5 (3) 3 1 1
8. Refuses treatment
7 (4) 2 1 4
9. Patient no longer available total
6 (4)      
a. Patient moves
2   1 1
b. LTF
4 1 2 1
10. Patient dies before referral
5 (3) 4 1  
11. Referred to VA
1 (1)     1
Table 2: Reasons against * Of three patients with myeloma, two had “smoldering myeloma” and one patient had an incorrect diagnosis.