Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
2006-4-5
pubmed:abstractText
Haemopoietic stem cell therapy is an increasingly adopted procedure in the treatment of patients with malignant lymphoma. In this retrospective analysis, we evaluated 262 patients, 57 (22%) with Hodgkin's and 205 (78%) with non-Hodgkin's lymphomas (NHL), and 665 harvesting procedures in order to assess the impact of poor mobilization on survival and to determine the factors that may be predictive of CD34(+) poor mobilization. The mobilization chemotherapy regimens consisted of high-dose cyclophosphamide in 92 patients (35.1%) and a high-dose cytarabine-containing regimen (DHAP in 87 patients -(33.2%), MAD in 83 (31.7%)). The incidence of poor mobilizers (<2 x 10(6) CD34(+) cells/kg) was 17.9% overall, with a 10% of very poor mobilizers (< or = 1 x 10(6)/kg). Refractory disease status and chemotherapeutic load (>3 regimens) before mobilization played a negative role and were associated with poor mobilization. Survival analysis of all harvested patients showed an overall survival at 3 years of 71% in good mobilizers vs 33% in poor mobilizers (P=0.002). The event-free survival at 3 years was 23% in poor mobilizers and 58% in good mobilizers (P=0.04). We conclude that in NHL patients, poor mobilization status is predictive of survival.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0268-3369
pubmed:author
pubmed:issnType
Print
pubmed:volume
37
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
719-24
pubmed:meshHeading
pubmed-meshheading:16518434-Adult, pubmed-meshheading:16518434-Antigens, CD34, pubmed-meshheading:16518434-Antineoplastic Agents, pubmed-meshheading:16518434-Disease-Free Survival, pubmed-meshheading:16518434-Female, pubmed-meshheading:16518434-Flow Cytometry, pubmed-meshheading:16518434-Hematopoietic Stem Cell Mobilization, pubmed-meshheading:16518434-Hematopoietic Stem Cell Transplantation, pubmed-meshheading:16518434-Humans, pubmed-meshheading:16518434-Lymphoma, pubmed-meshheading:16518434-Male, pubmed-meshheading:16518434-Middle Aged, pubmed-meshheading:16518434-Models, Statistical, pubmed-meshheading:16518434-Multivariate Analysis, pubmed-meshheading:16518434-Peripheral Blood Stem Cell Transplantation, pubmed-meshheading:16518434-Prognosis, pubmed-meshheading:16518434-Retrospective Studies, pubmed-meshheading:16518434-Stem Cells, pubmed-meshheading:16518434-Time Factors, pubmed-meshheading:16518434-Treatment Outcome
pubmed:year
2006
pubmed:articleTitle
Poor mobilization is an independent prognostic factor in patients with malignant lymphomas treated by peripheral blood stem cell transplantation.
pubmed:affiliation
Hematology Department, University of Bari, Bari, Italy.
pubmed:publicationType
Journal Article