A nationwide survey of late effects in survivors of juvenile myelomonocytic leukemia in Japan

A nationwide survey of late effects in survivors of juvenile myelomonocytic leukemia in Japan
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日本幼年粒单核细胞白血病幸存者的晚期影响全国调查

DOI:
10.1002/pbc.30126
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发表时间:
2022
影响因子:
3.2
通讯作者:
Muramatsu Hideki
Muramatsu Hideki
中科院分区:
医学3区
文献类型:
--
作者:
Ozono Shuichi;Sakashita Kazuo;Yoshida Nao;Kakuda Harumi;Watanabe Kenichiro;Maeda Miho;Ishida Yasushi;Manabe Atsushi;Taga Takashi;Muramatsu Hideki

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我们采用问卷调查的方式进行了一项横断面研究,探讨同种异体造血干细胞移植(HSCT)治疗青少年髓细胞白血病(JMML)对幸存者的晚期影响。主治儿科血液学家/肿瘤学家完成问卷。在30名幸存者中,大约83%的人表现出不止一种晚期效应。确定的晚期影响包括内分泌、牙齿、皮肤、眼科、肌肉骨骼、肺、神经认知和心血管功能障碍。在移植后12年或以上的幸存者中,身材矮小、肺部、心血管和肾脏并发症的发生率显著升高。因此,为jml幸存者建立一个多学科的随访系统至关重要。
We conducted a cross‐sectional study using a questionnaire to explore the late effects in survivors of allogenic hematopoietic stem cell transplantation (HSCT) for juvenile myelomonocytic leukemia (JMML). The attending pediatric hematologists/oncologists completed the questionnaires. Of the 30 survivors, approximately 83% showed more than one late effect. The identified late effects included endocrine, dental, skin, ophthalmologic, musculoskeletal, pulmonary, neurocognitive, and cardiovascular dysfunction. The prevalence of short stature, pulmonary, cardiovascular, and nephrological complications was significantly elevated among survivors who were 12 years or more lapsed after HSCT. Therefore, a multidisciplinary follow‐up system for survivors of JMML is crucial.
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