Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
2005-6-6
pubmed:abstractText
Bronchiolitis obliterans (BO) is one of the most devastating complications after allogeneic stem cell transplantation (HSCT). However, its true pathogenesis is still to be elucidated. We conducted this study to find whether tissue damage due to high-dose chemo-radiotherapy is related to its pathogenesis. In all, 144 patients who received allogeneic HSCT between May 1999 and October 2001, and survived more than 80 days after transplant, were analyzed. Clinical course, pulmonary function tests, imaging studies including CT scan, and pathology results were reviewed. The overall incidence of BO was 9.7% (14/144). The cumulative incidence of BO at 2 years after transplant was 17% with myeloablative conditioning, and 2.3% with reduced intensity conditioning (P=0.024). Multivariate analysis showed that myeloablative conditioning was the only factor which affected the incidence of BO. Development of BO did not significantly affect the overall survival of patients. However, if they developed BO earlier than 200 days post transplant, the prognosis was significantly worse than if they developed it later than 200 days post transplant (P=0.003) or if they did not develop BO (P=0.002). Our results imply that tissue damage secondary to intensive chemo-radiotherapy may contribute to the pathogenesis of BO.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0268-3369
pubmed:author
pubmed:issnType
Print
pubmed:volume
35
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1195-200
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:15852024-Adolescent, pubmed-meshheading:15852024-Adult, pubmed-meshheading:15852024-Aged, pubmed-meshheading:15852024-Bronchiolitis Obliterans, pubmed-meshheading:15852024-Chemotherapy, Adjuvant, pubmed-meshheading:15852024-Child, pubmed-meshheading:15852024-Child, Preschool, pubmed-meshheading:15852024-Female, pubmed-meshheading:15852024-Hematopoietic Stem Cell Transplantation, pubmed-meshheading:15852024-Humans, pubmed-meshheading:15852024-Incidence, pubmed-meshheading:15852024-Infant, pubmed-meshheading:15852024-Male, pubmed-meshheading:15852024-Middle Aged, pubmed-meshheading:15852024-Multivariate Analysis, pubmed-meshheading:15852024-Myeloablative Agonists, pubmed-meshheading:15852024-Radiotherapy, Adjuvant, pubmed-meshheading:15852024-Retrospective Studies, pubmed-meshheading:15852024-Risk Factors, pubmed-meshheading:15852024-Survival Rate, pubmed-meshheading:15852024-Transplantation, Homologous, pubmed-meshheading:15852024-Transplantation Conditioning
pubmed:year
2005
pubmed:articleTitle
Lower incidence of Bronchiolitis obliterans in allogeneic hematopoietic stem cell transplantation with reduced-intensity conditioning compared with myeloablative conditioning.
pubmed:affiliation
Stem Cell Transplant Unit, National Cancer Center Hospital, Tokyo, Japan. yoshihara@imed3.med.osaka-u.ac.jp
pubmed:publicationType
Journal Article, Comparative Study, Research Support, Non-U.S. Gov't