Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
7
pubmed:dateCreated
2007-9-19
pubmed:abstractText
The purpose of this study was to analyze the prognostic significance of early lymphocyte recovery after autologous SCT (ASCT) in the setting of routine post transplant administration of GM-CSF in patients with non-Hodgkin's lymphoma (NHL). This is a single institution retrospective comparative outcome analysis in a cohort of 268 relapsed chemosensitive NHL patients divided into two groups (early and late lymphocyte recovery) based on absolute lymphocyte counts (ALC) obtained on post transplant day +15 (ALC > or = 500, n=151 (56%) and ALC < 500, n=117 (44%)). Patient's characteristics were well-balanced between the two groups with regard to age, sex, preparative regimen, prior therapy, time from diagnosis to transplant and number of CD34+ cells infused. Post transplant complications were comparable in the two groups. Late lymphocyte recovery (ALC < 500 on day +15) was independently associated with a delay in platelet recovery (29 vs 21 days, P=0.0003) in patients who have not received pre-transplant rituximab. With a median follow-up of 22 months, no associations between early lymphocyte recovery and improvement of disease-free and overall survival were observed for either low- or intermediate-grade NHL. In conclusion, in this large single-centered retrospective analysis, where patients received routine post transplant GM-CSF, early lymphocyte recovery was not associated with favorable outcomes.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0268-3369
pubmed:author
pubmed:issnType
Print
pubmed:volume
40
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
671-5
pubmed:meshHeading
pubmed-meshheading:17680023-Adult, pubmed-meshheading:17680023-Aged, pubmed-meshheading:17680023-Antigens, CD, pubmed-meshheading:17680023-Antigens, CD34, pubmed-meshheading:17680023-Female, pubmed-meshheading:17680023-Granulocyte-Macrophage Colony-Stimulating Factor, pubmed-meshheading:17680023-Humans, pubmed-meshheading:17680023-Lymphocyte Count, pubmed-meshheading:17680023-Lymphocytes, pubmed-meshheading:17680023-Lymphoma, Non-Hodgkin, pubmed-meshheading:17680023-Male, pubmed-meshheading:17680023-Middle Aged, pubmed-meshheading:17680023-Neoplasm Staging, pubmed-meshheading:17680023-Neutropenia, pubmed-meshheading:17680023-Platelet Transfusion, pubmed-meshheading:17680023-Prognosis, pubmed-meshheading:17680023-Retrospective Studies, pubmed-meshheading:17680023-Stem Cell Transplantation, pubmed-meshheading:17680023-Transplantation, Autologous, pubmed-meshheading:17680023-Treatment Outcome
pubmed:year
2007
pubmed:articleTitle
Prognostic significance of early lymphocyte recovery after post-autografting administration of GM-CSF in non-Hodgkin's lymphoma.
pubmed:affiliation
Division of Oncology, Department of Medicine, Section of Bone Marrow Transplantation and Leukemia, Siteman Cancer Center, Washington University School of Medicine, St Louis, MO, USA.
pubmed:publicationType
Journal Article, Comparative Study