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Burkitt Lymphoma In...
Burkitt Lymphoma International Prognostic Index
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- Olszewski, Adam J. (författare)
- Brown University
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- Jakobsen, Lasse H. (författare)
- Aalborg University Hospital
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- Collins, Graham P. (författare)
- Oxford University Hospitals NHS Foundation Trust
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- Cwynarski, Kate (författare)
- University College London Hospital
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- Bachanova, Veronika (författare)
- University of Minnesota
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- Blum, Kristie A. (författare)
- Emory University
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- Boughan, Kirsten M. (författare)
- University Hospitals Case Medical Center
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- Bower, Mark (författare)
- Chelsea and Westminster Hospital
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- Dalla Pria, Alessia (författare)
- Chelsea and Westminster Hospital
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- Danilov, Alexey (författare)
- City of Hope National Medical Center
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- David, Kevin A. (författare)
- Rutgers Cancer Institute of New Jersey
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- Diefenbach, Catherine (författare)
- NYU Langone
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- Ellin, Fredrik (författare)
- Lund University,Lunds universitet,Lymfom - Klinisk forskning,Forskargrupper vid Lunds universitet,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Lymphoma - Clinical Research,Lund University Research Groups,LUCC: Lund University Cancer Centre,Other Strong Research Environments
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- Epperla, Narendranath (författare)
- Ohio State University
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- Farooq, Umar (författare)
- University of Iowa
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- Feldman, Tatyana A. (författare)
- Hackensack University Medical Center,Hackensack Meridian Health School of Medicine
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- Gerrie, Alina S. (författare)
- University of British Columbia
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- Jagadeesh, Deepa (författare)
- Cleveland Clinic Taussig Cancer Center
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- Kamdar, Manali (författare)
- University of Colorado
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- Karmali, Reem (författare)
- Northwestern University
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- Kassam, Shireen (författare)
- King's College Hospital
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- Kenkre, Vaishalee P. (författare)
- University of Wisconsin Carbone Cancer Center
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- Khan, Nadia (författare)
- Fox Chase Cancer Center
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- Kim, Seo Hyun (författare)
- Rush University Medical Center Chicago
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- Klein, Andreas K. (författare)
- Tufts Medical Center
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- Lossos, Izidore S. (författare)
- University of Miami
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- Lunning, Matthew A. (författare)
- University of Nebraska Medical Center
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- Martin, Peter (författare)
- New York Presbyterian Hospital/Columbia University Medical Center
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- Martinez-Calle, Nicolas (författare)
- Nottingham University Hospitals NHS Trust
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- Montoto, Silvia (författare)
- Barts Health NHS Trust
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- Naik, Seema (författare)
- Penn State Hershey Cancer Institute
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- Palmisiano, Neil (författare)
- Thomas Jefferson University
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- Peace, David (författare)
- University of Illinois at Chicago
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- Phillips, Elizabeth H. (författare)
- University of Manchester
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- Phillips, Tycel J. (författare)
- University of Michigan Rogel Cancer Center
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- Portell, Craig A. (författare)
- University of Virginia
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- Reddy, Nishitha (författare)
- Vanderbilt University Medical Center
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- Santarsieri, Anna (författare)
- Cambridge University Hospitals NHS Foundation Trust
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- Sarraf Yazdy, Maryam (författare)
- MedStar Georgetown University Hospital
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- Smeland, Knut B. (författare)
- Oslo university hospital
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- Smith, Scott E. (författare)
- Loyola University Medical Center
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- Smith, Stephen D. (författare)
- Fred Hutchinson Cancer Research Center
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- Sundaram, Suchitra (författare)
- Roswell Park Cancer Institute
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- Zayac, Adam S. (författare)
- Brown University
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- Zhang, Xiao Yin (författare)
- Oxford University Hospitals NHS Foundation Trust
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- Zhu, Catherine (författare)
- University College London Hospital
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- Cheah, Chan Y. (författare)
- Sir Charles Gairdner Hospital
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- El-Galaly, Tarec C. (författare)
- Aalborg University Hospital
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- Evens, Andrew M. (författare)
- Rutgers Cancer Institute of New Jersey
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(creator_code:org_t)
- 2021
- 2021
- Engelska 10 s.
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Ingår i: Journal of clinical oncology : official journal of the American Society of Clinical Oncology. - 0732-183X. ; 39:10, s. 1129-1138
- Relaterad länk:
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http://dx.doi.org/10...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- PURPOSE: Burkitt lymphoma (BL) has unique biology and clinical course but lacks a standardized prognostic model. We developed and validated a novel prognostic index specific for BL to aid risk stratification, interpretation of clinical trials, and targeted development of novel treatment approaches. METHODS: We derived the BL International Prognostic Index (BL-IPI) from a real-world data set of adult patients with BL treated with immunochemotherapy in the United States between 2009 and 2018, identifying candidate variables that showed the strongest prognostic association with progression-free survival (PFS). The index was validated in an external data set of patients treated in Europe, Canada, and Australia between 2004 and 2019. RESULTS: In the derivation cohort of 633 patients with BL, age ≥ 40 years, performance status ≥ 2, serum lactate dehydrogenase > 3× upper limit of normal, and CNS involvement were selected as equally weighted factors with an independent prognostic value. The resulting BL-IPI identified groups with low (zero risk factors, 18% of patients), intermediate (one factor, 36% of patients), and high risk (≥ 2 factors, 46% of patients) with 3-year PFS estimates of 92%, 72%, and 53%, respectively, and 3-year overall survival estimates of 96%, 76%, and 59%, respectively. The index discriminated outcomes regardless of HIV status, stage, or first-line chemotherapy regimen. Patient characteristics, relative size of the BL-IPI groupings, and outcome discrimination were consistent in the validation cohort of 457 patients, with 3-year PFS estimates of 96%, 82%, and 63% for low-, intermediate-, and high-risk BL-IPI, respectively. CONCLUSION: The BL-IPI provides robust discrimination of survival in adult BL, suitable for use as prognostication and stratification in trials. The high-risk group has suboptimal outcomes with standard therapy and should be considered for innovative treatment approaches.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Hematologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Hematology (hsv//eng)
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Olszewski, Adam ...
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Jakobsen, Lasse ...
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Collins, Graham ...
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Cwynarski, Kate
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Bachanova, Veron ...
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Blum, Kristie A.
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visa fler...
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Boughan, Kirsten ...
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Bower, Mark
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Dalla Pria, Ales ...
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Danilov, Alexey
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David, Kevin A.
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Diefenbach, Cath ...
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Ellin, Fredrik
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Epperla, Narendr ...
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Farooq, Umar
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Feldman, Tatyana ...
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Gerrie, Alina S.
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Jagadeesh, Deepa
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Kamdar, Manali
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Karmali, Reem
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Kassam, Shireen
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Kenkre, Vaishale ...
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Khan, Nadia
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Kim, Seo Hyun
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Klein, Andreas K ...
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Lossos, Izidore ...
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Lunning, Matthew ...
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Martin, Peter
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Martinez-Calle, ...
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Montoto, Silvia
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Naik, Seema
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Palmisiano, Neil
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Peace, David
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Phillips, Elizab ...
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Phillips, Tycel ...
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Portell, Craig A ...
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Reddy, Nishitha
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Santarsieri, Ann ...
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Sarraf Yazdy, Ma ...
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Smeland, Knut B.
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Smith, Scott E.
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Smith, Stephen D ...
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Sundaram, Suchit ...
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Zayac, Adam S.
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Zhang, Xiao Yin
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Zhu, Catherine
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Cheah, Chan Y.
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El-Galaly, Tarec ...
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Evens, Andrew M.
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Hematologi
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Journal of clini ...
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Lunds universitet