Source:http://linkedlifedata.com/resource/pubmed/id/19438504
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2009-7-14
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pubmed:abstractText |
Most patients with Hodgkin lymphoma (HL) are cured with first and second-line treatment; however, the outcome is unknown for those who fail high dose chemoradiotherapy with autologous stem cell transplant (HDT-ASCT). This report is an analysis of patients with relapsed and primary refractory HL who were treated with HDT-ASCT and failed due to progression of disease (POD). Two hundred and two patients received HDT-ASCT at Memorial Sloan Kettering Cancer Center for relapsed or refractory HL between December 1994 and 2005 and 71 failed due to POD. The median survival following HDT-ASCT failure was 25 months. Only 16 (23%) of the 71 patients are currently alive, nine of whom are in remission. Multivariate analysis revealed two factors associated with poor outcome: relapse within 6 months of HDT-ASCT and primary refractory disease. The only factor associated with improved survival was the ability to receive a second transplant, in particular, reduced intensity allogeneic transplant (RIT). Novel therapies are needed for patients who fail HDT-ASCT, particularly those with primary refractory disease and those who relapse within 6 months of HDT-ASCT. Future studies should focus on prospectively evaluating RIT following HDT-ASCT failure in patients with remission duration from HDT-ASCT of >6 months.
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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 |
Jul
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pubmed:issn |
1365-2141
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
146
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
158-63
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pubmed:meshHeading |
pubmed-meshheading:19438504-Adolescent,
pubmed-meshheading:19438504-Adult,
pubmed-meshheading:19438504-Aged,
pubmed-meshheading:19438504-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:19438504-Combined Modality Therapy,
pubmed-meshheading:19438504-Disease Progression,
pubmed-meshheading:19438504-Female,
pubmed-meshheading:19438504-Hodgkin Disease,
pubmed-meshheading:19438504-Humans,
pubmed-meshheading:19438504-Male,
pubmed-meshheading:19438504-Middle Aged,
pubmed-meshheading:19438504-Recurrence,
pubmed-meshheading:19438504-Stem Cell Transplantation,
pubmed-meshheading:19438504-Survival Analysis,
pubmed-meshheading:19438504-Transplantation, Autologous,
pubmed-meshheading:19438504-Treatment Outcome,
pubmed-meshheading:19438504-Young Adult
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pubmed:year |
2009
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pubmed:articleTitle |
Outcomes for patients who fail high dose chemoradiotherapy and autologous stem cell rescue for relapsed and primary refractory Hodgkin lymphoma.
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pubmed:affiliation |
Medical Oncology/Hematology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, Box 8, New York, NY 10065, USA. moskowia@mskcc.org
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pubmed:publicationType |
Journal Article
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