Supervivencia de los niños con Leucemia Linfoide Aguda manejados con protocolo Basado en ALL-IC-BFM 2009 en Bogotá D.C. Colombia.

Pediatría Pub Date : 2021-04-16 DOI:10.14295/RP.V53I4.205
Daniel Ozaeta, A. Casallas, Leila Martínez, A. Castillo, O. Baquero, O. Cobos
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Abstract

Introduction: Acute Lymphoid Leukemia is the most frequent neoplasm in childhood, and therefore, the treatment strategy and access to each of the interventions are defining aspects in the patient's cure. Objectives: To determine the overall and event-free survival of patients with Acute Lymphoid Leukemia treated with a strategy based on the Intercontinental Berlin Frankfurt and Munster Acute Lymphoid Leukemia protocol (ALL-IC-BFM 2009) with a permanent administrative follow-up program to which they are admitted. The patient once the oncological diagnosis is made. To establish the patients' survival according to the assigned risk group and describe the relapse rate in the evaluated group. Methods: 51 patients under 18 years of age diagnosed with Acute Lymphoid Leukemia, treated with the ALL-IC-BFM 2009 strategy, entered the comprehensive care program for cancer patients at the Colsubsidio Children's Clinic, were followed for four years. Observational prospective cohort study with survival analysis. Results: Overall survival for the 4-year cohort was 71.1%, while event-free survival was 69.4%. According to the risk groups, the overall survival was 89%; for the standard risk, it was 85.2% for the intermediate-risk group and 39.8% for the high-risk group. Conclusions: Overall survival behaved as reported in the region; however, the results obtained in standard and intermediate-risk patients exceeded overall survival.
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基于ALL-IC-BFM 2009方案管理的急性淋巴细胞白血病儿童存活率。
简介:急性淋巴细胞白血病是儿童时期最常见的肿瘤,因此,治疗策略和每一种干预措施的可及性是患者治愈的决定性因素。目的:确定急性淋巴性白血病患者的总体生存率和无事件生存率,该治疗策略基于柏林法兰克福洲际和明斯特急性淋巴性白血病方案(ALL-IC-BFM 2009),并对其进行永久性的行政随访计划。病人一旦得到肿瘤诊断。根据指定的风险组建立患者的生存期,描述评估组的复发率。方法:采用ALL-IC-BFM 2009策略治疗的51例18岁以下急性淋巴细胞白血病患者进入Colsubsidio儿童诊所癌症患者综合护理项目,随访4年。生存分析的观察性前瞻性队列研究。结果:4年队列的总生存率为71.1%,无事件生存率为69.4%。根据风险组,总生存率为89%;对于标准风险,中危组为85.2%,高危组为39.8%。结论:该地区的总体生存表现与报告一致;然而,在标准和中危患者中获得的结果超过了总生存期。
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