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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1976-10-1
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pubmed:abstractText |
A prospective randomized trial of therapy for severe aplastic anemia was designed to compare early bone marrow transplantation with conventional treatments. All patients with a sibling matched at the major histocompatibility region were transplanted. Transplantation was performed with 17-100 (median 33) days of original diagnosis. Conventional treatments included transfusion support with or without androgens. Twenty-four of 36 patients intered on the transplant arm are alive after 4-20 (median 9) mo with full marrow reconstitution. Only two are limited by chronic graft-versus-host disease. In contrast only 12 of 31 conventionally treated patients are alive. Six of these survivors have improved, five incompletely. The 19 nontransplant deaths have occurred within 1-11 (median 3) mo of diagnosis. Compared to nontransplant regimens, early transplantation more effectively restores normal marrow function and decreases the acute mortality of severe marrow aplasia (p = 0.006). Pending longer follow-up, early marrow transplantation appears to be the most effective available treatment for severe aplastic anemia.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0006-4971
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
48
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
63-70
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pubmed:dateRevised |
2009-10-27
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pubmed:meshHeading |
pubmed-meshheading:779871-Androgens,
pubmed-meshheading:779871-Anemia, Aplastic,
pubmed-meshheading:779871-Animals,
pubmed-meshheading:779871-Blood Transfusion,
pubmed-meshheading:779871-Bone Marrow Cells,
pubmed-meshheading:779871-Bone Marrow Transplantation,
pubmed-meshheading:779871-Humans,
pubmed-meshheading:779871-Male,
pubmed-meshheading:779871-Time Factors,
pubmed-meshheading:779871-Transplantation, Homologous
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pubmed:year |
1976
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pubmed:articleTitle |
Severe aplastic anemia: a prospective study of the effect of early marrow transplantation on acute mortality.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, U.S. Gov't, P.H.S.,
Randomized Controlled Trial
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