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FältnamnIndikatorerMetadata
00009600naa a2200937 4500
001oai:DiVA.org:uu-507040
003SwePub
008230704s2023 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:152841587
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-5070402 URI
024a https://doi.org/10.1016/j.jaip.2022.10.0512 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1528415872 URI
040 a (SwePub)uud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Lübke, Johannesu Heidelberg Univ, Univ Hosp Mannheim, Dept Hematol & Oncol, Mannheim, Germany.4 aut
2451 0a Prognostic Impact of Organomegaly in Mastocytosis :b An Analysis of the European Competence Network on Mastocytosis
264 1b Elsevier,c 2023
338 a print2 rdacarrier
520 a BACKGROUND: Organomegaly, including splenomegaly, hepatomegaly, and/or lymphadenopathy, are important diagnostic and prognostic features in patients with cutaneous mastocytosis (CM) or systemic mastocytosis (SM).OBJECTIVES: To investigate the prevalence and prognostic impact of 1 or more organomegalies on clinical course and survival in patients with CM/SM.METHODS: Therefore, 3155 patients with CM (n = 1002 [32%]) or SM (n = 2153 [68%]) enrolled within the registry of the European Competence Network on Mastocytosis were analyzed. RESULTS: Overall survival (OS) was adversely affected by the number of organomegalies (OS: #0 vs #1 hazard ratio [HR], 4.9; 95% CI, 3.4-7.1, P < .001; #1 vs #2 HR, 2.1, 95% CI, 1.4-3.1, P < .001; #2 vs #3 HR, 1.7, 95% CI, 1.2-2.5, P = .004). Lymphadenopathy was frequently detected in patients with smoldering SM (SSM, 18 of 60 [30%]) or advanced SM (AdvSM, 137 of 344 [40%]). Its presence confered an inferior outcome in patients with AdvSM compared with patients with AdvSM without lymphadenopathy (median OS, 3.8 vs 2.6 years; HR, 1.6; 95% CI, 1.2-2.2; P = .003). OS was not different between patients having organomegaly with either ISM or SSM (median, 25.5 years vs not reached; P = .435). At time of disease progression, a new occurrence of any organomegaly was observed in 17 of 40 (43%) patients with ISM, 4 of 10 (40%) patients with SSM, and 33 of 86 (38%) patients with AdvSM, respectively.CONCLUSIONS: Organomegalies including lymphadenopathy are often found in SSM and AdvSM. ISM with organomegaly has a similar course and prognosis compared with SSM. The number of organomegalies is adversely associated with OS. A new occurrence of organomegaly in all variants of SM may indicate disease progression.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Hematologi0 (SwePub)302022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Hematology0 (SwePub)302022 hsv//eng
653 a Mastocytosis
653 a Systemic mastocytosis
653 a Organomegaly
653 a Splenomegaly
653 a Hepatomegaly
653 a Lymphadenopathy
700a Schwaab, Julianau Heidelberg Univ, Univ Hosp Mannheim, Dept Hematol & Oncol, Mannheim, Germany.4 aut
700a Christen, Deborahu Univ Hosp RWTH Aachen, Dept Oncol Haematol Haemostaseol & Stem Cell Tran, Aachen, Germany.4 aut
700a Elberink, Hanneke Oudeu Univ Groningen, Univ Med Ctr Groningen, Dept Allergol, Groningen, Netherlands.4 aut
700a Span, Bartu Univ Groningen, Univ Med Ctr Groningen, Dept Hematol, Groningen, Netherlands.4 aut
700a Niedoszytko, Mareku Med Univ Gdansk, Dept Allergol, Gdansk, Poland.4 aut
700a Gorska, Aleksandrau Med Univ Gdansk, Dept Allergol, Gdansk, Poland.4 aut
700a Lange, Magdalenau Med Univ Gdansk, Dept Dermatol, Gdansk, Poland.4 aut
700a Gleixner, Karoline V.u Med Univ Vienna, Dept Int Med 1, Div Hematol & Hemostaseol, Vienna, Austria.;Med Univ Vienna, Ludwig Boltzmann Inst Hematol & Oncol, Vienna, Austria.4 aut
700a Hadzijusufovic, Emiru Med Univ Vienna, Dept Int Med 1, Div Hematol & Hemostaseol, Vienna, Austria.;Med Univ Vienna, Ludwig Boltzmann Inst Hematol & Oncol, Vienna, Austria.;Univ Vet Med, Univ Clin Small Anim, Dept Univ Clin Compan Anim & Horses, Internal Med Small Anim, Vienna, Austria.4 aut
700a Solomianyi, Oleksiiu Johannes Kepler Univ Linz, Univ Clin Hematol & Oncol, Kepler Univ Hosp, Linz, Austria.4 aut
700a Angelova-Fischer, Irenau Johannes Kepler Univ Linz, Kepler Univ Hosp, Allergy Ctr, Dept Dermatol & Venereol, Linz, Austria.4 aut
700a Zanotti, Robertau Verona Univ Hosp, Dept Med, Sect Hematol, Verona, Italy.4 aut
700a Bonifacio, Massimilianou Verona Univ Hosp, Dept Med, Sect Hematol, Verona, Italy.4 aut
700a Bonadonna, Patriziau Verona Univ Hosp, Allergy Unit, Verona, Italy.4 aut
700a Shoumariyeh, Khalidu Univ Freiburg, Fac Med, Med Ctr, Dept Hematol & Oncol, Freiburg, Germany.;German Canc Consortium DKTK Partner Site Freiburg, Freiburg, Germany.4 aut
700a von Bubnoff, Nikolasu Univ Freiburg, Fac Med, Med Ctr, Dept Hematol & Oncol, Freiburg, Germany.;German Canc Consortium DKTK Partner Site Freiburg, Freiburg, Germany.;Univ Schleswig Holstein, Med Ctr, Dept Hematol & Oncol, Campus Lubeck, Lubeck, Germany.4 aut
700a Mueller, Sabineu Univ Freiburg, Fac Med, Med Ctr, Dept Dermatol, Freiburg, Germany.4 aut
700a Perkins, Ceceliau Stanford Univ, Sch Med, Dept Med, Div Hematol, Stanford, CA 94305 USA.4 aut
700a Elena, Chiarau Univ Pavia, Dept Mol Med, Pavia, Italy.;Univ Pavia, Dept Hematol Oncol, Pavia, Italy.;Fdn IRCCS Policlin San Matteo, Pavia, Italy.4 aut
700a Malcovati, Lucau Univ Pavia, Dept Mol Med, Pavia, Italy.;Univ Pavia, Dept Hematol Oncol, Pavia, Italy.;Fdn IRCCS Policlin San Matteo, Pavia, Italy.4 aut
700a Hägglund, Hansu Uppsala universitet,Hematologi,Uppsala Univ, Dept Med Sci, Div Hematol, Uppsala, Sweden.4 aut0 (Swepub:uu)hanha689
700a Mattsson, Mattiasu Uppsala universitet,Hematologi4 aut0 (Swepub:uu)matma431
700a Parente, Robertau Univ Salerno, Div Allergy & Clin Immunol, Salerno, Italy.4 aut
700a Varkonyi, Juditu Semmelwe Univ, Dept Hematol, Budapest, Hungary.4 aut
700a Fortina, Anna Belloniu Univ Padua, Dept Med, Pediat Dermatol Unit, Padua, Italy.4 aut
700a Caroppo, Francescau Univ Padua, Dept Med, Pediat Dermatol Unit, Padua, Italy.4 aut
700a Zink, Alexanderu Karolinska Institutet,Techn Univ Munchen, Fac Med, Dept Dermatol & Allergy Biederstein, Munich, Germany.4 aut
700a Brockow, Knutu Techn Univ Munchen, Fac Med, Dept Dermatol & Allergy Biederstein, Munich, Germany.4 aut
700a Breynaert, Christineu Katholieke Univ Leuven, Dept Microbiol Immunol & Transplantat, Allergy & Clin Immunol Res Grp, Leuven, Belgium.;Univ Hosp Leuven, MASTeL, Leuven, Belgium.4 aut
700a Bullens, Dominiqueu Katholieke Univ Leuven, Dept Microbiol Immunol & Transplantat, Allergy & Clin Immunol Res Grp, Leuven, Belgium.;Univ Hosp Leuven, MASTeL, Leuven, Belgium.4 aut
700a Yavuz, Akif Selimu Istanbul Univ, Istanbul Med Sch, Div Hematol, Istanbul, Turkiye.4 aut
700a Doubek, Michaelu Univ Hosp & Fac Med, Brno, Czech Republic.4 aut
700a Sabato, Vitou Univ Antwerp, Fac Med & Hlth Sci, Dept Immunol Allergol Rheumatol, Antwerp, Belgium.;Antwerp Univ Hosp, Antwerp, Belgium.4 aut
700a Schug, Tanjau Univ Hosp Graz, Dept Dermatol & Venereol, Graz, Austria.4 aut
700a Niederwieser, Dietgeru Univ Hosp Leipzig, Leipzig, Germany.4 aut
700a Hartmann, Karinu Univ Basel, Dept Dermatol, Div Allergy, Basel, Switzerland.;Uni Hosp Basel, Dept Biomed, Basel, Switzerland.;Univ Basel, Basel, Switzerland.4 aut
700a Triggiani, Massimou Univ Salerno, Div Allergy & Clin Immunol, Salerno, Italy.4 aut
700a Gotlib, Jasonu Stanford Univ, Sch Med, Dept Med, Div Hematol, Stanford, CA 94305 USA.4 aut
700a Hermine, Olivieru Univ Paris 05, Hop Necker, AP HP, Imagine Inst,French Reference Ctr Mastocytosis CE, Paris, France.4 aut
700a Arock, Michelu Hop La Pitie Salpetriere, Lab Hematol, Paris, France.4 aut
700a Kluin-Nelemans, Hanneke C.u Univ Groningen, Univ Med Ctr Groningen, Dept Hematol, Groningen, Netherlands.4 aut
700a Panse, Jensu Univ Hosp RWTH Aachen, Dept Oncol Haematol Haemostaseol & Stem Cell Tran, Aachen, Germany.;Aachen Bonn Cologne Dusseldorf CIO ABCD, Ctr Integrated Oncol, Aachen, Germany.4 aut
700a Sperr, Wolfgang R.u Med Univ Vienna, Dept Int Med 1, Div Hematol & Hemostaseol, Vienna, Austria.;Med Univ Vienna, Ludwig Boltzmann Inst Hematol & Oncol, Vienna, Austria.4 aut
700a Valent, Peter4 aut
700a Reiter, Andreasu Heidelberg Univ, Univ Hosp Mannheim, Dept Hematol & Oncol, Mannheim, Germany.4 aut
700a Jawhar, Mohamadu Heidelberg Univ, Univ Hosp Mannheim, Dept Hematol & Oncol, Mannheim, Germany.4 aut
710a Heidelberg Univ, Univ Hosp Mannheim, Dept Hematol & Oncol, Mannheim, Germany.b Univ Hosp RWTH Aachen, Dept Oncol Haematol Haemostaseol & Stem Cell Tran, Aachen, Germany.4 org
773t Journal of Allergy and Clinical Immunologyd : Elsevierg 11:2, s. 581-590q 11:2<581-590x 2213-2198x 2213-2201
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-507040
8564 8u https://doi.org/10.1016/j.jaip.2022.10.051
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:152841587

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