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Age is the most important predictor of survival in diffuse large B-cell lymphoma patients achieving event-free survival at 24 months : a Swedish population-based study

Sabaa, Amal Abu (author)
Uppsala universitet,Experimentell och klinisk onkologi,Centrum för klinisk forskning, Gävleborg
Mörth, Charlott (author)
Uppsala universitet,Centrum för klinisk forskning i Sörmland (CKFD),Experimentell och klinisk onkologi
Hasselblom, Sverker (author)
Department of Research, Development and Education, Region Halland, Halmstad, Sweden
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Hedström, Gustaf (author)
Uppsala universitet,Experimentell och klinisk onkologi
Flogegård, Max (author)
Department of Internal Medicine, Falun General Hospital, Falun, Sweden
Stern, Mimmi (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine
Andersson, Per-Ola, 1964 (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine
Glimelius, Ingrid, 1975- (author)
Karolinska Institutet,Uppsala universitet,Experimentell och klinisk onkologi
Enblad, Gunilla (author)
Uppsala universitet,Experimentell och klinisk onkologi
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 (creator_code:org_t)
2021-05-05
2021
English.
In: British Journal of Haematology. - : John Wiley & Sons. - 0007-1048 .- 1365-2141. ; 193:5, s. 906-914
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Routine follow-up for diffuse large B-cell lymphoma have been shortened to 2 years when event-free survival at 24 months (EFS24) emerged as a new milestone. In the present study, we aimed to determine whether the achievement of this milestone affected overall survival (OS). We compared OS to that of an age- and sex-matched population, analysed other factors governing OS, and reviewed the causes of death. Data were collected from the Swedish Cancer Registry and from individual patient's records. We included 1169 adult patients from five counties between the years 2001 and 2014. The median (range) age was 64·6 (18-91) years, 56·6% were men and the median follow-up was 82·3 months. For early stages, the achievement of EFS12 did not improve OS. More than two-thirds of the patients (n = 837, 71·6%) achieved EFS24, of which 190 (22·7%) died during follow-up. Lymphoma (20%), cardiovascular disease (22·4%) and malignancies (16%) contributed to causes of death. Patients aged <60 years had an OS that matched the standard population. In multivariate analysis, only age >60 years significantly affected OS after EFS24 compared with the standard population. We concluded that follow-up beyond EFS24 should be considered for patients aged >60 years.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Hematologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Hematology (hsv//eng)

Keyword

DLBCL
EFS24
OS¨
age
DLBCL
EFS24
age
OS¨
Hematology

Publication and Content Type

ref (subject category)
art (subject category)

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