Source:http://linkedlifedata.com/resource/pubmed/id/10828865
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rdf:type | |
lifeskim:mentions |
umls-concept:C0005767,
umls-concept:C0005961,
umls-concept:C0030705,
umls-concept:C0035020,
umls-concept:C0043227,
umls-concept:C0085669,
umls-concept:C0184511,
umls-concept:C0239307,
umls-concept:C0450127,
umls-concept:C0559189,
umls-concept:C0884358,
umls-concept:C1257890,
umls-concept:C1274040,
umls-concept:C1518904,
umls-concept:C1563350,
umls-concept:C1563351,
umls-concept:C1708943
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pubmed:issue |
10
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pubmed:dateCreated |
2000-8-11
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pubmed:abstractText |
All patients receiving autografts for acute leukaemia in remission between 1 January 1981 and 31 December 1996 and reported to the European Group for Blood and Marrow Transplantation and had a relapse, were included. The patients underwent an allograft (n = 90, group A), were treated with chemotherapy (n = 2584, group B) or received a second autograft (n = 74, group C). The 2-year survival after relapse was 32 +/- 5%, 11 +/- 1% and 42 +/- 6% in groups A, B and C, respectively. In group A, those with an HLA-A, -B and -DR compatible related or unrelated donor had a 2-year survival of 37 +/- 7% compared to 13 +/- 8% for those receiving a graft from an HLA mismatched donor (n = 20). The following factors were associated with better survival in multivariate analyses: an interval from first autograft to relapse >5 months (P < 0.00001), a first autograft performed later than 1991 (P < 0.00001), patient age below 26 years (median, P < 0.002), group B vs HLA mismatches from group A (P = 0.002), group C vs group B (P < 0.005), patients who were not treated with total body irradiation at first autograft (P < 0.02) and patients in first remission at first autograft (P = 0.02). To conclude, the poor outcome in these patients was improved if a second autograft was feasible (P < 0.005), or if an HLA-matched allograft was performed (NS). Bone Marrow Transplantation (2000).
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0268-3369
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
25
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1053-8
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:10828865-Acute Disease,
pubmed-meshheading:10828865-Adolescent,
pubmed-meshheading:10828865-Adult,
pubmed-meshheading:10828865-Aged,
pubmed-meshheading:10828865-Bone Marrow Transplantation,
pubmed-meshheading:10828865-Child,
pubmed-meshheading:10828865-Child, Preschool,
pubmed-meshheading:10828865-Female,
pubmed-meshheading:10828865-Histocompatibility,
pubmed-meshheading:10828865-Humans,
pubmed-meshheading:10828865-Infant,
pubmed-meshheading:10828865-Leukemia,
pubmed-meshheading:10828865-Life Tables,
pubmed-meshheading:10828865-Male,
pubmed-meshheading:10828865-Middle Aged,
pubmed-meshheading:10828865-Proportional Hazards Models,
pubmed-meshheading:10828865-Recurrence,
pubmed-meshheading:10828865-Remission Induction,
pubmed-meshheading:10828865-Retrospective Studies,
pubmed-meshheading:10828865-Salvage Therapy,
pubmed-meshheading:10828865-Survival Analysis,
pubmed-meshheading:10828865-Survival Rate,
pubmed-meshheading:10828865-Sweden,
pubmed-meshheading:10828865-Transplantation, Autologous,
pubmed-meshheading:10828865-Transplantation, Homologous,
pubmed-meshheading:10828865-Transplantation Conditioning,
pubmed-meshheading:10828865-Treatment Outcome,
pubmed-meshheading:10828865-Whole-Body Irradiation
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pubmed:year |
2000
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pubmed:articleTitle |
The dismal outcome in patients with acute leukaemia who relapse after an autograft is improved if a second autograft or a matched allograft is performed. Acute Leukaemia Working Party of the European Group for Blood and Marrow Transplantation (EBMT).
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pubmed:affiliation |
Centre for Allogeneic Stem Cell Transplantation, Huddinge Hospital, Sweden.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't,
Multicenter Study
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