Source:http://linkedlifedata.com/resource/pubmed/id/21323890
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2011-3-11
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pubmed:abstractText |
We analysed the results of haematopoietic cell transplantation (HCT) in 30 patients aged 60-78 (median 65) years, with primary myelofibrosis or myelofibrosis evolving from antecedent polycythaemia vera or essential thrombocythaemia. Donors were human leucocyte antigen (HLA)-identical siblings (N = 15) or unrelated individuals (N = 15). Various conditioning regimens were used, ranging from very low intensity (fludarabine plus 2 Gy total body irradiation) to high dose (busulfan plus cyclophosphamide). Stem cell sources were granulocyte colony-stimulating factor mobilized peripheral blood progenitor cells in 29 patients and marrow in one patient. Sustained engraftment was documented in 27 of 30 patients. Day -100 mortality was 13%. With a median follow-up of 22 (range 0·5 - 69) months, 3-year overall survival and progression-free survival were 45% and 40%, respectively. Currently, 13 patients are surviving. Seven patients died with disease progression at 0·5 -22 months, and 10 patients died from other causes at 1·5 -37.5 months after HCT. While the selection of older patients for transplantation was probably biased, the present results are encouraging. Motivated older patients with myelofibrosis without substantial comorbid conditions should be offered the option of allogeneic HCT.
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pubmed:grant |
http://linkedlifedata.com/resource/pubmed/grant/P01 CA018029,
http://linkedlifedata.com/resource/pubmed/grant/P01 CA078902,
http://linkedlifedata.com/resource/pubmed/grant/P01 CA108671,
http://linkedlifedata.com/resource/pubmed/grant/P01 HL036444,
http://linkedlifedata.com/resource/pubmed/grant/P30 CA015704,
http://linkedlifedata.com/resource/pubmed/grant/P30 CA125123,
http://linkedlifedata.com/resource/pubmed/grant/T32 DK007115
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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 |
Apr
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pubmed:issn |
1365-2141
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pubmed:author |
pubmed-author:CarrumGeorgeG,
pubmed-author:ChamplinRichard ERE,
pubmed-author:GooleyTheodore ATA,
pubmed-author:HeslopHelen EHE,
pubmed-author:Joachim DeegHH,
pubmed-author:PopatUdayU,
pubmed-author:PrchalJosef TJT,
pubmed-author:SamuelsonScottS,
pubmed-author:SandmaierBrenda MBM,
pubmed-author:StorbRainerR
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pubmed:copyrightInfo |
© 2011 Blackwell Publishing Ltd.
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pubmed:issnType |
Electronic
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pubmed:volume |
153
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
76-82
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pubmed:meshHeading |
pubmed-meshheading:21323890-Age Factors,
pubmed-meshheading:21323890-Aged,
pubmed-meshheading:21323890-Epidemiologic Methods,
pubmed-meshheading:21323890-Graft Survival,
pubmed-meshheading:21323890-Graft vs Host Disease,
pubmed-meshheading:21323890-Hematopoietic Stem Cell Transplantation,
pubmed-meshheading:21323890-Humans,
pubmed-meshheading:21323890-Middle Aged,
pubmed-meshheading:21323890-Primary Myelofibrosis,
pubmed-meshheading:21323890-Recurrence,
pubmed-meshheading:21323890-Transplantation Conditioning,
pubmed-meshheading:21323890-Treatment Outcome
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pubmed:year |
2011
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pubmed:articleTitle |
Allogeneic haematopoietic cell transplantation for myelofibrosis in 30 patients 60-78 years of age.
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pubmed:affiliation |
University of Utah, Department of Medicine, Salt Lake City, UT, USA.
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pubmed:publicationType |
Journal Article,
Evaluation Studies,
Research Support, N.I.H., Extramural
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