The impact of chelation therapy on survival in transfusional iron overload: a meta-analysis of myelodysplastic syndrome.

The impact of chelation therapy on survival in transfusional iron overload: a meta-analysis of myelodysplastic syndrome.
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螯合疗法对输血铁超负荷生存的影响:骨髓增生异常综合征的荟萃分析。

DOI:
10.1111/bjh.13053
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发表时间:
2014
影响因子:
6.5
通讯作者:
Coates,ThomasD
Coates,ThomasD
中科院分区:
医学2区
文献类型:
--
作者:
Mainous3rd,ArchG;Tanner,RebeccaJ;Hulihan,MaryM;Amaya,Mirna;Coates,ThomasD

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铁的升高与普通人群中发病率和死亡率的增加有关(Mainous等人,2004年)。此外,输注红细胞(RBC)的医源性后果可能会导致铁超载。在长期输血治疗严重贫血的患者中,输血铁超载并不少见(De Ville de Goyer等人,2013年),就像骨髓增生异常综合征(MDS)患者一样。依赖输血的患者死亡率增加(De Ville de Goyer等人,2013年)。铁螯合疗法(ICT)是一种解决MDS患者输血铁超载的策略,并利用药物排泄时清除铁的药物。几项观察性研究检验了MDS患者ICT与生存的关系。我们对观察性研究进行了荟萃分析,这些研究考察了ICT与MDS患者生存率之间的关系,假设接受ICT治疗的患者比没有接受ICT治疗的患者的中位生存期更长。
Elevated iron has been linked to increased morbidity and mortality in the general population (Mainous et al, 2004). In addition, iron overload can occur as an iatrogenic consequence of red blood cell (RBC) transfusions. Transfusional iron overload is not an uncommon consequence in patients who are chronically transfused to treat severe anaemia (de Ville de Goyet et al, 2013), as can occur in patients with myelodysplastic syndrome (MDS). Transfusion-dependent patients have increased mortality (de Ville de Goyet et al, 2013). Iron chelation therapy (ICT) is a strategy to address transfusional iron overload in MDS and utilizes drugs that remove iron as the drug is excreted.Several observational studies have examined the relationship between ICT in MDS and survival. We performed a meta-analysis of observational studies that have examined associations between ICT and survival in MDS patients, hypothesizing that patients who received ICT would have a longer median survival than patients who did not.
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DOI: --
发表时间: 1981
影响因子: 5.2
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