Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
10
pubmed:dateCreated
2010-9-6
pubmed:abstractText
The incidence of excessive adiposity is increasing worldwide, and is associated with numerous adverse health outcomes. We compared outcomes by body mass index (BMI) for adult patients with acute myelogenous leukemia (AML) who underwent autologous (auto, n = 373), related donor (RD, n = 2041), or unrelated donor (URD, n = 1801) allogeneic myeloablative hematopoietic cell transplantation (HCT) using bone marrow or peripheral blood stem cells reported to the Center for International Blood and Marrow Transplant Research (CIBMTR) from 1995 to 2004. Four weight groups by BMI (kg/m(2)) were defined: underweight <18 kg/m(2); normal 18-25 kg/m(2); overweight >25-30 kg/m(2); and obese >30 kg/m(2). Multivariable analysis referenced to the normal weight group showed an increased risk of death for underweight patients in the RD group (relative risk [RR], 1.92; 95% confidence interval [CI], 1.28-2.89; P = .002), but not in the URD group. There were no other differences in outcomes among the other weight groups within the other HCT groups. Overweight and obese patients enjoyed a modest decrease in relapse incidence, although this did not translate into a survival benefit. Small numbers of patients limit the ability to better characterize the adverse outcomes seen in the underweight RD but not the underweight URD allogeneic HCT patients. Obesity alone should not be considered a barrier to HCT.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
1523-6536
pubmed:author
pubmed:copyrightInfo
Copyright © 2010 American Society for Blood and Marrow Transplantation. Published by Elsevier Inc. All rights reserved.
pubmed:issnType
Electronic
pubmed:volume
16
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1442-50
pubmed:dateRevised
2011-10-3
pubmed:meshHeading
pubmed-meshheading:20412867-Acute Disease, pubmed-meshheading:20412867-Adolescent, pubmed-meshheading:20412867-Adult, pubmed-meshheading:20412867-Aged, pubmed-meshheading:20412867-Bone Marrow Transplantation, pubmed-meshheading:20412867-Comorbidity, pubmed-meshheading:20412867-Disease-Free Survival, pubmed-meshheading:20412867-Female, pubmed-meshheading:20412867-Graft vs Host Disease, pubmed-meshheading:20412867-Hematopoietic Stem Cell Transplantation, pubmed-meshheading:20412867-Humans, pubmed-meshheading:20412867-Kaplan-Meier Estimate, pubmed-meshheading:20412867-Leukemia, Myeloid, pubmed-meshheading:20412867-Male, pubmed-meshheading:20412867-Middle Aged, pubmed-meshheading:20412867-Myeloablative Agonists, pubmed-meshheading:20412867-Obesity, pubmed-meshheading:20412867-Overweight, pubmed-meshheading:20412867-Prognosis, pubmed-meshheading:20412867-Retrospective Studies, pubmed-meshheading:20412867-Thinness, pubmed-meshheading:20412867-Transplantation, Homologous, pubmed-meshheading:20412867-Transplantation Conditioning, pubmed-meshheading:20412867-Treatment Outcome, pubmed-meshheading:20412867-Young Adult
pubmed:year
2010
pubmed:articleTitle
Obesity does not preclude safe and effective myeloablative hematopoietic cell transplantation (HCT) for acute myelogenous leukemia (AML) in adults.
pubmed:affiliation
National Marrow Donor Program, Minneapolis, Minnesota 55413, USA. wnavarro@nmdp.org
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, Non-P.H.S., Research Support, Non-U.S. Gov't, Multicenter Study, Research Support, N.I.H., Extramural