Blood and Marrow Transplantation LTFU

What is BMT Long-Term Follow-Up?

Fred Hutch’s Blood and Marrow Transplantation (BMT) Long-Term Follow-Up (LTFU) Program provides life-long monitoring and care for patients following a bone-marrow or stem-cell transplant. Our services are provided through the Fred Hutch.

Fred Hutch physicians and researchers work in partnership with a patient's personal doctor to resolve medical problems and gather information for research. This information is used to develop improved strategies for preventing and treating the long-term effects of transplantation, and to educate patients about post-transplant problems.

BMT LTFU Telemedicine Services

The LTFU Telemedicine team serves patients for life. Patients can call about routine post-transplant care or complications.

  • The LTFU Telemedicine team can be reached at 206.606.4415
  • The service accepts calls from the patient or their service providers, Monday – Friday, 8:30 a.m. – 4 p.m. PST.
  • Patients can leave a voicemail message outside of business hours, email ltfu@fredhutch.org and/or send a fax to 800.376.8197.

Calls go through a brief intake process with a Patient Care Coordinator. They are returned by an LTFU Telemedicine RN after they have reviewed the patient’s transplant history and any recent clinical activity. Most calls are returned within 48 business hours, with priority being placed on more urgent matters. The RNs often request medical records (clinic notes, labs, current medication list, radiology reports and images, etc.), medical photographs and/or a completed GVHD Assessment and Scoring Form from the caller. Providing these items in a timely fashion will decrease the turnaround time. For inquiries requiring physician involvement, the RN will present the case during LTFU Telemedicine rounds on Tuesdays, Thursdays and Fridays. The LTFU attending physician will review available data and make recommendations.

Please note that the LTFU serves over 6,000 patients and we receive hundreds of pages of medical records from patients each day. You must call, email or fax your inquiry with the medical records for it to be reviewed by a clinician. Medical records that arrive without an accompanying phone, email or faxed inquiry are filed in the patient’s LTFU chart without a clinician review.

Photo of patient holding a BMT survivor t-shirt

Information for Patients

Patients can find resources for general long-term care and dietary guidelines related to cancer diagnoses and post-transplant care.

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Information for Physicians

We offer guidelines for doctors with patients who’ve received a hematopoietic stem cell transplant from Fred Hutch.

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Post-Transplant FAQ

We understand post-transplant patients and their families are braving new territory. Our frequently asked questions section features queries we hear most, updated as patient inquiries change.

Outpatient Long-Term Follow-Up Clinic

We see patients at both routine intervals and as needed for post-transplant complications. Patients receiving allogeneic (donor) transplants are asked to return to the clinic one year after their transplant for special testing to review their progress and plan future care. For some types of problems, local patients and those willing to travel may return for specialized care, such as treatment for chronic graft-versus-host disease (GVHD). Our team works with specialty providers for comprehensive, post-transplant outpatient care, and multiple appointments may be scheduled to meet the patient’s needs.

Research Services

After returning to their primary care provider, patients can join the LTFU Research Program for as long as they’re willing to participate. Patients (and their doctors) are asked to complete an annual questionnaire on their transplant anniversary. Collecting data from patients and their doctors, even decades after treatment, allows Fred Hutch researchers to learn about the long-term effects of transplantation. To ensure research is complete, it’s important that patients without post-transplant problems also participate in this program.

“Most people think that because you are cured of your disease/disorder you are back to completely normal. They have no concept about the toll that it takes on your body!”

— Allogeneic transplant patient, 2008

Latest BMT LTFU News

All news
‘I can’t remember the last time I saw someone with bad gut GVHD’: BMT expert reflects on recent lifesaving successes
‘I can’t remember the last time I saw someone with bad gut GVHD’: BMT expert reflects on recent lifesaving successes Fred Hutch bone marrow transplant and GVHD expert Dr. Geoffrey Hill explains how a new approach has changed the BMT landscape, where research is headed next November 18, 2025
Honoring years of service at Fred Hutch
Honoring years of service at Fred Hutch Celebrating staff whose decades of service have helped shape our mission November 14, 2025
Fred Hutch is 50
Fred Hutch is 50 Celebrating five decades of science, clinical care and community September 17, 2025
Two lifetimes’ worth of bone marrow transplant breakthroughs
Two lifetimes’ worth of bone marrow transplant breakthroughs Bone marrow transplant pioneer Dr. Rainer Storb retires and reflects on six decades of science and mentorship August 14, 2025
Fred Hutch campus

Contact BMT LTFU

Mailing Address:
BMT Long-Term Follow-Up Program
Fred Hutch Cancer Center
Mail Stop LF-240
PO Box 19024
Seattle, WA 98109-1024

206.606.4415

206.667.5619 or 800.376.8197