Allogeneic hemopoietic SCT for patients with primary myelofibrosis: a predictive transplant score based on transfusion requirement, spleen size and donor type

Allogeneic hemopoietic SCT for patients with primary myelofibrosis: a predictive transplant score based on transfusion requirement, spleen size and donor type
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DOI:
10.1038/bmt.2009.188
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发表时间:
2010-03-01
影响因子:
4.8
通讯作者:
Barosi, G.
Barosi, G.
中科院分区:
医学3区
文献类型:
--
作者:
Bacigalupo, A.;Soraru, M.;Barosi, G.

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共有46例原发性骨髓纤维化(PMF)患者(中位年龄51岁)在基于噻替派的降低强度预处理方案后接受了同种异体造血SCT(HSCT)。存活患者的中位随访时间为3.8年。在多变量分析中,存活的独立不利因素是RBC输注>20,脾脏大小>22 cm和替代供体-24例患者具有0-1个不利预测因子(低风险),22例患者具有2个或更多个阴性预测因子(高风险)。46例患者的5年生存率为45%。低风险和高风险患者的精算生存率分别为77%和8%(P
A total of 46 patients with primary myelofibrosis (PMF) (median age 51 years), underwent an allogeneic hemopoietic SCT (HSCT) after a thiotepa-based reduced-intensity conditioning regimen. The median follow-up for surviving patients is 3.8 years. In multivariate analysis, independent unfavorable factors for survival were RBC transfusions >20, a spleen size >22 cm and an alternative donor-24 patients had 0-1 unfavorable predictors (low risk) and 22 patients had 2 or more negative predictors (high risk). The overall actuarial 5-year survival of the 46 patients is 45%. The actuarial survival of low-risk and high-risk patients is, respectively, 77 and 8% (P