Impact of chronic graft-versus-host disease on non-relapse mortality and survival.

IF 2.2 4区 医学 Q3 HEMATOLOGY Leukemia & Lymphoma Pub Date : 2024-11-01 Epub Date: 2024-06-12 DOI:10.1080/10428194.2024.2365910
Justin Jiang, Audrey M Sigmund, Qiuhong Zhao, Patrick Elder, Sumithira Vasu, Samantha Jaglowski, Alice Mims, Hannah Choe, Karilyn Larkin, Sarah Wall, Nicole Grieselhuber, Basem William, Sam Penza, Don M Benson, Yvonne A Efebera, Nidhi Sharma
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Abstract

Chronic graft-versus-host-disease (cGVHD) is one of the primary causes of morbidity and mortality for patients who undergo allogeneic hematopoietic stem cell transplantation (allo-HCT). In recent years, advancements in allo-HCT have allowed a broader range of patients to receive transplant, particularly older patients. We sought to assess the impact of cGVHD on outcomes in patients undergoing allo-HCT, for older patients as compared to their counterparts. We performed a retrospective analysis of all patients who underwent allo-HCT 1999-2018. Our results showed that those patients who developed cGVHD by D + 180 had an increased risk and incidence of NRM as compared to those patients without cGVHD. There was no significant difference in outcomes for those patients with cGVHD by age (≥60 years old [yo] and <60 yo). These findings suggest the significant morbidity of cGVHD, regardless of age.

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慢性移植物抗宿主疾病对非复发死亡率和存活率的影响。
慢性移植物抗宿主疾病(cGVHD)是异基因造血干细胞移植(allo-HCT)患者发病和死亡的主要原因之一。近年来,异基因造血干细胞移植技术的进步让更多患者,尤其是老年患者接受了移植。我们试图评估cGVHD对接受allo-HCT患者的预后的影响,老年患者与同龄患者相比有何影响。我们对 1999-2018 年接受allo-HCT 的所有患者进行了回顾性分析。结果显示,与未发生 cGVHD 的患者相比,在 D+180 时发生 cGVHD 的患者发生 NRM 的风险和发生率更高。年龄(≥60 岁[yo]和≥50 岁[yo])对 cGVHD 患者的预后没有明显差异。
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来源期刊
Leukemia & Lymphoma
Leukemia & Lymphoma 医学-血液学
CiteScore
4.10
自引率
3.80%
发文量
384
审稿时长
1.8 months
期刊介绍: Leukemia & Lymphoma in its fourth decade continues to provide an international forum for publication of high quality clinical, translational, and basic science research, and original observations relating to all aspects of hematological malignancies. The scope ranges from clinical and clinico-pathological investigations to fundamental research in disease biology, mechanisms of action of novel agents, development of combination chemotherapy, pharmacology and pharmacogenomics as well as ethics and epidemiology. Submissions of unique clinical observations or confirmatory studies are considered and published as Letters to the Editor
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