Sökning: onr:"swepub:oai:DiVA.org:uu-387284" > GRFS and CRFS in al...
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000 | 09965naa a2200973 4500 | |
001 | oai:DiVA.org:uu-387284 | |
003 | SwePub | |
008 | 190624s2019 | |||||||||||000 ||eng| | |
009 | oai:prod.swepub.kib.ki.se:142651924 | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3872842 URI |
024 | 7 | a https://doi.org/10.1182/bloodadvances.20180301712 DOI |
024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:1426519242 URI |
040 | a (SwePub)uud (SwePub)ki | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Mehta, Rohtesh S.u Univ Texas MD Anderson Canc Ctr, Dept Stem Cell Transplantat, Div Canc Med, Houston, TX 77030 USA4 aut |
245 | 1 0 | a GRFS and CRFS in alternative donor hematopoietic cell transplantation for pediatric patients with acute leukemia |
264 | c 2019-05-03 | |
264 | 1 | b American Society of Hematology,c 2019 |
338 | a print2 rdacarrier | |
520 | a We report graft-versus-host disease (GVHD)-free relapse-free survival (GRFS) (a composite end point of survival without grade III-IV acute GVHD [aGVHD], systemic therapy-requiring chronic GVHD [cGVHD], or relapse) and cGVHD-free relapse-free survival (CRFS) among pediatric patients with acute leukemia (n = 1613) who underwent transplantation with 1 antigen-mismatched (7/8) bone marrow (BM; n = 172) or umbilical cord blood (UCB; n = 1441). Multivariate analysis was performed using Cox proportional hazards models. To account for multiple testing, P < .01 for the donor/graft variable was considered statistically significant. Clinical characteristics were similar between UCB and 7/8 BM recipients, because most had acute lymphoblastic leukemia (62%), 64% received total body irradiation-based conditioning, and 60% received anti-thymocyte globulin or alemtuzumab. Methotrexate-based GVHD prophylaxis was more common with 7/8 BM (79%) than with UCB (15%), in which mycophenolate mofetil was commonly used. The univariate estimates of GRFS and CRFS were 22% (95% confidence interval [CI], 16-29) and 27% (95% CI, 20-34), respectively, with 7/8 BM and 33% (95% CI, 31-36) and 38% (95% CI, 35-40), respectively, with UCB (P < .001). In multivariate analysis, 7/8 BM vs UCB had similar GRFS (hazard ratio [HR], 1.12; 95% CI, 0.87-1.45; P = .39), CRFS (HR, 1.06; 95% CI, 0.82-1.38; P = .66), overall survival (HR, 1.07; 95% CI, 0.80-1.44; P = .66), and relapse (HR, 1.44; 95% CI, 1.03-2.02; P = .03). However, the 7/8 BM group had a significantly higher risk for grade III-IV aGVHD (HR, 1.70; 95% CI, 1.16-2.48; P = .006) compared with the UCB group. UCB and 7/8 BM groups had similar outcomes, as measured by GRFS and CRFS. However, given the higher risk for grade III-IV aGVHD, UCB might be preferred for patients lacking matched donors. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Hematologi0 (SwePub)302022 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Hematology0 (SwePub)302022 hsv//eng |
700 | 1 | a Holtan, Shernan G.u Univ Minnesota, Minneapolis, MN USA4 aut |
700 | 1 | a Wang, Taou Med Coll Wisconsin, Ctr Int Blood & Marrow Transplant Res, Milwaukee, WI 53226 USA;Med Coll Wisconsin, Div Biostat, Inst Hlth & Equ, Milwaukee, WI 53226 USA4 aut |
700 | 1 | a Hemmer, Michael T.u Med Coll Wisconsin, Ctr Int Blood & Marrow Transplant Res, Milwaukee, WI 53226 USA4 aut |
700 | 1 | a Spellman, Stephen R.u Ctr Int Blood & Marrow Transplant Res, Be Match Natl Marrow Donor Program, Minneapolis, MN USA4 aut |
700 | 1 | a Arora, Muktau Univ Minnesota, Dept Med, Med Ctr, Div Hematol Oncol & Transplantat, Box 736 UMHC, Minneapolis, MN 55455 USA4 aut |
700 | 1 | a Couriel, Daniel R.u Utah Blood & Marrow Transplant Program, Salt Lake City, UT USA4 aut |
700 | 1 | a Alousi, Amin M.u Univ Texas MD Anderson Canc Ctr, Dept Stem Cell Transplantat, Div Canc Med, Houston, TX 77030 USA4 aut |
700 | 1 | a Pidala, Josephu H Lee Moffitt Canc Ctr & Res Inst, Dept Blood & Marrow Transplantat, Tampa, FL USA4 aut |
700 | 1 | a Abdel-Azim, Hishamu Univ Southern Calif, Keck Sch Med, Childrens Hosp Los Angeles, Transplantat, Los Angeles, CA USA4 aut |
700 | 1 | a Ahmed, Ibrahimu Childrens Mercy Hosp & Clin, Dept Hematol Oncol & Bone Marrow Transplantat, Kansas City, MO USA4 aut |
700 | 1 | a Aljurf, Mahmoudu King Faisal Specialist Hosp & Res Ctr, Dept Oncol, Riyadh, Saudi Arabia4 aut |
700 | 1 | a Askar, Medhatu Baylor Univ, Med Ctr, Dallas, TX USA4 aut |
700 | 1 | a Auletta, Jeffery J.u Nationwide Childrens Hosp, Div Hematol Oncol Bone Marrow Transplantat, Columbus, OH USA;Nationwide Childrens Hosp, Div Infect Dis, Blood & Marrow Transplant Program, Columbus, OH USA;Nationwide Childrens Hosp, Host Def Program, Columbus, OH USA4 aut |
700 | 1 | a Bhatt, Vijayau Nebraska Med Ctr, Omaha, NE USA4 aut |
700 | 1 | a Bredeson, Christopheru Ottawa Hosp, Blood & Marrow Transplant Program, Ottawa, ON, Canada;Ottawa Hosp, Res Inst, Ottawa, ON, Canada4 aut |
700 | 1 | a Chhabra, Saurabhu Med Coll Wisconsin, Dept Med, Div Hematol Oncol, Milwaukee, WI 53226 USA4 aut |
700 | 1 | a Gadalla, Shahinazu NCI, Div Canc Epidemiol & Genet, Clin Genet Branch, NIH, Rockville, MD USA4 aut |
700 | 1 | a Gajewski, Jamesu Oregon Hlth & Sci Univ, Portland, OR 97201 USA4 aut |
700 | 1 | a Gale, Robert Peteru Imperial Coll London, Hematol Res Ctr, Dept Med, Div Expt Med, London, England4 aut |
700 | 1 | a Gergis, Usamau New York Presbyterian Hosp, Dept Med Oncol, Hematol Malignancies & Bone Marrow Transplant, Weill Cornell Med Ctr, New York, NY USA4 aut |
700 | 1 | a Hematti, Peimanu Univ Wisconsin Hosp & Clin, Div Hematol Oncol Bone Marrow Transplantat, Dept Med, Madison, WI 53792 USA4 aut |
700 | 1 | a Hildebrandt, Gerhard C.u Univ Kentucky, Markey Canc Ctr, Lexington, KY USA4 aut |
700 | 1 | a Inamoto, Yoshihirou Natl Canc Ctr, Div Hematopoiet Stem Cell Transplantat, Tokyo, Japan4 aut |
700 | 1 | a Kitko, Carrieu Vanderbilt Univ, Med Ctr, Dept Med, Div Hematol Oncol, Nashville, TN USA4 aut |
700 | 1 | a Khandelwal, Poojau Cincinnati Childrens Hosp Med Ctr, Dept Pediat, Cincinnati, OH 45229 USA4 aut |
700 | 1 | a MacMillan, Margaret L.u Univ Minnesota, Blood & Marrow Transplant Program, Minneapolis, MN USA4 aut |
700 | 1 | a Majhail, Navneetu Cleveland Clin, Blood & Marrow Transplant Program, Taussig Canc Inst, Cleveland, OH 44106 USA4 aut |
700 | 1 | a Marks, David, Iu Univ Hosp Bristol NHS Trust, Adult Bone Marrow Transplant, Bristol, Avon, England4 aut |
700 | 1 | a Mehta, Parindau Cincinnati Childrens Hosp Med Ctr, Dept Pediat, Cincinnati, OH 45229 USA4 aut |
700 | 1 | a Nishihori, Taigau H Lee Moffitt Canc Ctr & Res Inst, Dept Blood & Marrow Transplantat, Tampa, FL USA4 aut |
700 | 1 | a Olsson, Richardu Karolinska Institutet,Uppsala universitet,Centrum för klinisk forskning i Sörmland (CKFD),Karolinska Inst, Dept Lab Med, Div Therapeut Immunol, Stockholm, Sweden4 aut0 (Swepub:uu)riols677 |
700 | 1 | a Pawarode, Attapholu Univ Michigan, Sch Med, Dept Internal Med, Blood & Marrow Transplantat Program,Div Hematol O, Ann Arbor, MI USA4 aut |
700 | 1 | a Diaz, Miguel Angelu Hosp Infantil Univ Nino Jesus, Dept Hematol Oncol, Madrid, Spain4 aut |
700 | 1 | a Prestidge, Timu Starship Childrens Hosp, Blood & Canc Ctr, Auckland, New Zealand4 aut |
700 | 1 | a Qayed, Munau Emory Univ, Sch Med, Dept Pediat, Atlanta, GA USA4 aut |
700 | 1 | a Rangarajan, Hemalathau Nationwide Childrens Hosp, Columbus, OH USA4 aut |
700 | 1 | a Ringden, Olleu Karolinska Institutet4 aut |
700 | 1 | a Saad, Aymanu Univ Alabama Birmingham, Dept Med, Div Hematol Oncol, Birmingham, AL 35294 USA4 aut |
700 | 1 | a Savani, Bipin N.u Vanderbilt Univ, Med Ctr, Dept Med, Div Hematol Oncol, Nashville, TN USA4 aut |
700 | 1 | a Seo, Sachikou Natl Canc Res Ctr East, Dept Hematol & Oncol, Chiba, Japan4 aut |
700 | 1 | a Shah, Amiu Lucille Packard Childrens Hosp, Stanford Sch Med, Div Stem Cell Transplantat & Regenerat Med, Palo Alto, CA 94304 USA4 aut |
700 | 1 | a Shah, Niketau Yale New Haven Med Ctr, 20 York St, New Haven, CT 06504 USA4 aut |
700 | 1 | a Schultz, Kirk R.u Univ British Columbia, British Columbias Childrens Hosp, Dept Pediat Hematol Oncol & Bone Marrow Transplan, Vancouver, BC, Canada4 aut |
700 | 1 | a Solh, Melhemu Northside Hosp, Blood & Marrow Transplant Grp Georgia, Atlanta, GA USA4 aut |
700 | 1 | a Spitzer, Thomasu Massachusetts Gen Hosp, Boston, MA 02114 USA4 aut |
700 | 1 | a Szer, Jeffreyu Royal Melbourne Hosp, Dept Clin Haematol & Bone Marrow Transplantat, Parkville, Vic, Australia4 aut |
700 | 1 | a Teshima, Takanoriu Kyushu Univ Hosp, Sapporo, Hokkaido, Japan4 aut |
700 | 1 | a Verdonck, Leo F.u Isala Clin, Dept Hematol Oncol, Zwolle, Netherlands4 aut |
700 | 1 | a Williams, Kirsten M.u Childrens Natl Hlth Syst, Childrens Res Inst, Washington, DC USA4 aut |
700 | 1 | a Wirk, Baldeepu Seattle Canc Care Alliance, Div Bone Marrow Transplant, Seattle, WA USA4 aut |
700 | 1 | a Wagner, Johnu Thomas Jefferson Univ, Dept Med Oncol, Philadelphia, PA 19107 USA4 aut |
700 | 1 | a Yared, Jean A.u Univ Maryland, Dept Med, Blood & Marrow Transplantat Program, Div Hematol Oncol, Baltimore, MD 21201 USA4 aut |
700 | 1 | a Weisdorf, Daniel J.u Univ Minnesota, Minneapolis, MN USA4 aut |
710 | 2 | a Univ Texas MD Anderson Canc Ctr, Dept Stem Cell Transplantat, Div Canc Med, Houston, TX 77030 USAb Univ Minnesota, Minneapolis, MN USA4 org |
773 | 0 | t Blood Advancesd : American Society of Hematologyg 3:9, s. 1441-1449q 3:9<1441-1449x 2473-9529x 2473-9537 |
856 | 4 | u https://ashpublications.org/bloodadvances/article-pdf/3/9/1441/1631697/advances030171.pdf |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-387284 |
856 | 4 8 | u https://doi.org/10.1182/bloodadvances.2018030171 |
856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:142651924 |
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