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1.	Pasquini, Marcelo C., et al. (author) Hematopoietic Cell Transplantation Outcomes in Monosomal Karyotype Myeloid Malignancies 2016 In: Biology of blood and marrow transplantation. - : Elsevier BV. - 1083-8791 .- 1523-6536. ; 22:2, s. 248-257 Journal article (peer-reviewed)abstract The presence of monosomal karyotype (MK+) in acute myeloid leukemia (AML) is associated with dismal outcomes. We evaluated the impact of MK+ in AML (MK+AML, n = 240) and in myelodysplastic syndrome (MDS) (MK+MDS, n = 221) on hematopoietic cell transplantation outcomes compared with other cytogenetically defined groups (AML, n = 3360; MDS, n = 1373) as reported to the Center for International Blood and Marrow Transplant Research from 1998 to 2011. MK+AML was associated with higher disease relapse (hazard ratio, 1.98; P < .01), similar transplantation-related mortality (TRM) (hazard ratio, 1.01; P = .90), and worse survival (hazard ratio, 1.67; P < .01) compared with those outcomes for other cytogenetically defined AML. Among patients with MDS, MK+ MDS was associated with higher disease relapse (hazard ratio, 2.39; P < .01), higher TRM (hazard ratio, 1.80; P < .01), and worse survival (HR, 2.02; P < .01). Subset analyses comparing chromosome 7 abnormalities (del7/7q) with or without MK+ demonstrated higher mortality for MK+ disease in for both AML (hazard ratio, 1.72; P < .01) and MDS (hazard ratio, 1.79; P < .01). The strong negative impact of MK+ in myeloid malignancies was observed in all age groups and using either myeloablative or reduced-intensity conditioning regimens. Alternative approaches to mitigate disease relapse in this population are needed.

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Type of publication: journal article (1)

Type of content: peer-reviewed (1)

Author/Editor: Martino, Rodrigo (1); Ringden, Olle (1); Cerny, Jan (1); Zhang, Mei-Jie (1); Lazarus, Hillard M (1); Pasquini, Marcelo C (1); show more...; Klumpp, Thomas R (1); Savani, Bipin N (1); Gale, Robert Peter (1); Aljurf, Mahmoud D (1); Norkin, Maxim (1); Olsson, Richard F (1); Saber, Wael (1); Weisdorf, Daniel J (1); Armand, Philippe (1); Freytes, Cesar O. (1); Kamble, Rammurti T. (1); Marks, David I. (1); Wirk, Baldeep (1); Pulsipher, Michael A ... (1); Hale, Gregory A (1); George, Biju (1); Copelan, Edward A (1); Nishihori, Taiga (1); Ganguly, Siddhartha (1); Cairo, Mitchell S. (1); Schouten, Harry C. (1); Cahn, Jean-Yves (1); Pawarode, Attaphol (1); Reshef, Ran (1); Gupta, Vikas (1); Litzow, Mark R. (1); Ramanathan, Muthalag ... (1); Deol, Abhinav (1); Saad, Ayman A. (1); Uy, Geoffrey L. (1); Liesveld, Jane L. (1); Tallman, Martin S. (1); Akpek, Goerguen (1); Oran, Betul (1); Medeiros, Bruno C. (1); Hui, Zhen-Huan (1); Luger, Selina M. (1); Wood, William A., Jr ... (1); Perez, Waleska S. (1); Batiwalla, Minoo (1); show less...

University: Uppsala University (1); Karolinska Institutet (1)

Language: English (1)

Research subject (UKÄ/SCB): Medical and Health Sciences (1)

Year: 2016 (1)

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