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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1996-6-25
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pubmed:abstractText |
A total of 168 patients with de novo AML were retreated with chemotherapy at relapse following first CR; 66 patients (39%) achieved a second complete remission (CR). The probability of achieving a second CR was highly dependent on the duration of the first remission. Patients who received no or conventional postremission chemotherapy after second CR had a median remission duration of 7.5 months, and the probability of remaining in remission at 3 years was 24%. Patients with a first CR of more than 12 months had a median second remission duration of 18 months. The probability of a second CCR was 35% at 3 years and 24% at 5 years, whereas none of the patients with a first CR of less than 12 months was in remission at 3 years. Only a poor correlation (p = 0.31) was found when the durations of the first and second CR were compared in patients with a second relapse. Patients with long-lasting remissions and long-term survivors after second CR are characterized by a first CR duration of > 12 months and favorable or normal cytogenetics. The type of salvage treatment seems to be less important for achievement of long-term remission, but it is probably important to administer consolidation chemotherapy after second CR. Other so-far ill-defined factors may be responsible for the suppression of the leukemic clone in patients with long-lasting remissions following chemotherapy for relapse after second CR.
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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
|
pubmed:issn |
0939-5555
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pubmed:author |
pubmed-author:GeisslerKK,
pubmed-author:GisslingerHH,
pubmed-author:HaasO AOA,
pubmed-author:JägerUU,
pubmed-author:KnöblPP,
pubmed-author:KyrleP APA,
pubmed-author:LaczikaKK,
pubmed-author:LechnerKK,
pubmed-author:MitterbauerMM,
pubmed-author:PabingerII,
pubmed-author:SchneiderBB,
pubmed-author:ThalhammerFF
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pubmed:issnType |
Print
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pubmed:volume |
72
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
216-22
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:8624375-Adolescent,
pubmed-meshheading:8624375-Adult,
pubmed-meshheading:8624375-Aged,
pubmed-meshheading:8624375-Aged, 80 and over,
pubmed-meshheading:8624375-Antineoplastic Combined Chemotherapy Protocols,
pubmed-meshheading:8624375-Humans,
pubmed-meshheading:8624375-Leukemia, Myeloid, Acute,
pubmed-meshheading:8624375-Middle Aged,
pubmed-meshheading:8624375-Recurrence,
pubmed-meshheading:8624375-Retrospective Studies,
pubmed-meshheading:8624375-Survival Analysis,
pubmed-meshheading:8624375-Treatment Outcome
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pubmed:year |
1996
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pubmed:articleTitle |
Duration of second complete remission in patients with acute myeloid leukemia treated with chemotherapy: a retrospective single-center study.
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pubmed:affiliation |
Department of Medicine I, University of Vienna, Austria.
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pubmed:publicationType |
Journal Article
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