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001-es BibID:	BIBFORM114431
035-os BibID:	(WoS)000921253000001 (Scopus)85146688051
Első szerző:	Waszczuk-Gajda, Anna
Cím:	Safety and efficacy of autologous stem cell transplantation in dialysis-dependent myeloma patients - The DIADEM study from the chronic malignancies working party of the EBMT / Anna Waszczuk-Gajda, Luuk Gras, Liesbeth C. de Wreede, Tiarlan Sirait, Arpad Illes, Zubeyde Nur Ozkurt, John A. Snowden, Mutlu Arat, Claude Eric Bulabois, Judith Niederland, Matjaz Sever, Shankara Paneesha, Victoria Potter, Alain Gadisseur, Thomas Chalopin, Gwendolyn Van Gorkom, Joaquin Martínez López, Tessa Kerre, Joanna Drozd-Sokolowska, Kavita Raj, Patrick J. Hayden, Meral Beksac, Ibrahim Yakoub-Agha, Donal P. McLornan, Stefan Schönland
Dátum:	2023
ISSN:	0268-3369
Megjegyzések:	The role of high-dose chemotherapy followed by autologous stem cell transplantation (ASCT) in the treatment of myeloma (MM) patients with severe and/or dialysis-dependent renal impairment remains uncertain. We report on the outcomes of 110 patients (median age 57 years) who had become dialysis-dependent pre-ASCT and who underwent a first ASCT between 1997 and 2017. Sixty-three (57%) patients had light chain MM. All patients required dialysis (94% hemodialysis and 6% peritoneal). Forty-four of 71 (62%) patients received bortezomib-based induction regimens and 42 (39%) patients had achieved at least a very good partial response (VGPR) pre-ASCT. Melphalan dosing was as follows: <= 140 mg/m(2) (82%), and >140 mg/m(2) (18%). The median PFS after ASCT was 35 months (95% CI: 21.5-42.2) and the median OS 102 months (95% CI: 70.4-129.1). At 1, 2, and 5 years after ASCT, 8% (95% CI 3-14%), 13% (6-20%), and 20% (12-29%) of patients, respectively, had achieved dialysis independence. In multivariate analyses of OS and PFS including age at ASCT, response at ASCT, and year of ASCT, younger age at ASCT and better response at ASCT (CR/VGPR/PR vs. MR/SD/progression) were significantly associated with better OS and PFS.
Tárgyszavak:	Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk
Megjelenés:	Bone Marrow Transplantation. - 58 : 4 (2023), p. 424-429. -
További szerzők:	Gras, Luuk Wreede, Liesbeth C. de Sirait, Tiarlan Illés Árpád (1959-) (belgyógyász, haematológus, onkológus) Ozkurt, Zubeyde Nur Snowden, John A. Arat, Mutlu Bulabois, Claude Eric Niederland, Judith Sever, Matjaz Paneesha, Shankara Potter, Victoria Gadisseur, Alain Chalopin, Thomas Gorkom, Gwendolyn Van López, Joaquin Martínez Kerre, Tessa Drozd-Sokolowska, Joanna Raj, Kavita Hayden, Patrick J. Beksac, Meral Yakoub-Agha, Ibrahim McLornan, Donal P. Schönland, Stefan
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