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Risk factors predicting the survival of pediatric patients with relapsed/refractory non-Hodgkin lymphoma who underwent hematopoietic stem cell transplantation: a retrospective study from the Turkish pediatric bone marrow transplantation registry
We examined outcomes of 62 pediatric patients with relapsed or refractory non-Hodgkin lymphoma (rr-NHL) who underwent hematopoietic stem cell transplantation (HSCT). The overall survival (OS) and event-free survival (EFS) rates were 65% and 48%, respectively. Survival rates for patients with chemose...
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Published in: | Leukemia & lymphoma 2018-01, Vol.59 (1), p.85-96 |
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creator | Hazar, Volkan Kesik, Vural Karasu, Gülsün Tezcan Öztürk, Gülyüz Küpesiz, Alphan Kılıç, Suar Çakı Ataş, Erman Uygun, Vedat Eker, Nurşah Erbey, Fatih Bengoa, Şebnem Yılmaz Emir, Suna Anak, Sema Öniz, Haldun Daloğlu, Hayriye Aksoylar, Serap Koçak, Ülker Karakükçü, Musa Elli, Murat Kurucu, Nilgün Yeşilipek, Akif |
description | We examined outcomes of 62 pediatric patients with relapsed or refractory non-Hodgkin lymphoma (rr-NHL) who underwent hematopoietic stem cell transplantation (HSCT). The overall survival (OS) and event-free survival (EFS) rates were 65% and 48%, respectively. Survival rates for patients with chemosensitive disease at the time of HSCT were significantly higher than those of patients with chemoresistant disease (69% vs. 37%, p = .019 for OS; 54% vs. 12%, p |
doi_str_mv | 10.1080/10428194.2017.1330472 |
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The overall survival (OS) and event-free survival (EFS) rates were 65% and 48%, respectively. Survival rates for patients with chemosensitive disease at the time of HSCT were significantly higher than those of patients with chemoresistant disease (69% vs. 37%, p = .019 for OS; 54% vs. 12%, p < .001 for EFS; respectively). A chemoresistant disease at transplantation was the only factor that predicted a limited OS (hazard ratio = 10.00) and EFS (hazard ratio = 16.39) rates. Intensive chemotherapy followed by HSCT could be an effective strategy for treating children with rr-NHL and may offer improved survival for a significant group of pediatric patients, particularly those with chemosensitive disease at transplantation.</description><identifier>ISSN: 1042-8194</identifier><identifier>EISSN: 1029-2403</identifier><identifier>DOI: 10.1080/10428194.2017.1330472</identifier><identifier>PMID: 28571522</identifier><language>eng</language><publisher>United States: Taylor & Francis</publisher><subject>Adolescent ; Child ; Child, Preschool ; children and adolescents ; Drug Resistance, Neoplasm ; Female ; Hematopoietic Stem Cell Transplantation ; Humans ; Lymphoma, Non-Hodgkin - epidemiology ; Lymphoma, Non-Hodgkin - mortality ; Lymphoma, Non-Hodgkin - pathology ; Lymphoma, Non-Hodgkin - therapy ; Male ; Neoplasm Staging ; Prognosis ; Recurrence ; Registries ; Relapsed or refractory non-Hodgkin lymphoma ; Retrospective Studies ; Risk Factors ; Transplantation, Homologous ; Treatment Outcome ; Turkey - epidemiology</subject><ispartof>Leukemia & lymphoma, 2018-01, Vol.59 (1), p.85-96</ispartof><rights>2017 Informa UK Limited, trading as Taylor & Francis Group 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c366t-843fc22b75accdf378e66375e80d1237c4d7a2bd1707445dd4b5399608a01cdb3</citedby><cites>FETCH-LOGICAL-c366t-843fc22b75accdf378e66375e80d1237c4d7a2bd1707445dd4b5399608a01cdb3</cites><orcidid>0000-0002-1407-2334</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28571522$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hazar, Volkan</creatorcontrib><creatorcontrib>Kesik, Vural</creatorcontrib><creatorcontrib>Karasu, Gülsün Tezcan</creatorcontrib><creatorcontrib>Öztürk, Gülyüz</creatorcontrib><creatorcontrib>Küpesiz, Alphan</creatorcontrib><creatorcontrib>Kılıç, Suar Çakı</creatorcontrib><creatorcontrib>Ataş, Erman</creatorcontrib><creatorcontrib>Uygun, Vedat</creatorcontrib><creatorcontrib>Eker, Nurşah</creatorcontrib><creatorcontrib>Erbey, Fatih</creatorcontrib><creatorcontrib>Bengoa, Şebnem Yılmaz</creatorcontrib><creatorcontrib>Emir, Suna</creatorcontrib><creatorcontrib>Anak, Sema</creatorcontrib><creatorcontrib>Öniz, Haldun</creatorcontrib><creatorcontrib>Daloğlu, Hayriye</creatorcontrib><creatorcontrib>Aksoylar, Serap</creatorcontrib><creatorcontrib>Koçak, Ülker</creatorcontrib><creatorcontrib>Karakükçü, Musa</creatorcontrib><creatorcontrib>Elli, Murat</creatorcontrib><creatorcontrib>Kurucu, Nilgün</creatorcontrib><creatorcontrib>Yeşilipek, Akif</creatorcontrib><title>Risk factors predicting the survival of pediatric patients with relapsed/refractory non-Hodgkin lymphoma who underwent hematopoietic stem cell transplantation: a retrospective study from the Turkish pediatric bone marrow transplantation registry</title><title>Leukemia & lymphoma</title><addtitle>Leuk Lymphoma</addtitle><description>We examined outcomes of 62 pediatric patients with relapsed or refractory non-Hodgkin lymphoma (rr-NHL) who underwent hematopoietic stem cell transplantation (HSCT). The overall survival (OS) and event-free survival (EFS) rates were 65% and 48%, respectively. Survival rates for patients with chemosensitive disease at the time of HSCT were significantly higher than those of patients with chemoresistant disease (69% vs. 37%, p = .019 for OS; 54% vs. 12%, p < .001 for EFS; respectively). A chemoresistant disease at transplantation was the only factor that predicted a limited OS (hazard ratio = 10.00) and EFS (hazard ratio = 16.39) rates. Intensive chemotherapy followed by HSCT could be an effective strategy for treating children with rr-NHL and may offer improved survival for a significant group of pediatric patients, particularly those with chemosensitive disease at transplantation.</description><subject>Adolescent</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>children and adolescents</subject><subject>Drug Resistance, Neoplasm</subject><subject>Female</subject><subject>Hematopoietic Stem Cell Transplantation</subject><subject>Humans</subject><subject>Lymphoma, Non-Hodgkin - epidemiology</subject><subject>Lymphoma, Non-Hodgkin - mortality</subject><subject>Lymphoma, Non-Hodgkin - pathology</subject><subject>Lymphoma, Non-Hodgkin - therapy</subject><subject>Male</subject><subject>Neoplasm Staging</subject><subject>Prognosis</subject><subject>Recurrence</subject><subject>Registries</subject><subject>Relapsed or refractory non-Hodgkin lymphoma</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Transplantation, Homologous</subject><subject>Treatment Outcome</subject><subject>Turkey - epidemiology</subject><issn>1042-8194</issn><issn>1029-2403</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9UUuP1CAAbozGXVd_goajl87yamk9aTbqmmxiYtYzoUCnOC0g0Gn6w71Ld2aN8eAJEr4nX1G8RnCHYAOvEaS4QS3dYYjYDhECKcNPiksEcVtiCsnT7U5xuYEuihcx_oAQVm2NnxcXuKkYqjC-LH59M_EAeiGTCxH4oJWRydg9SIMGcQ5HcxQjcD3w-UWkYCTwIhltUwSLSQMIehQ-anUddB8eZFZgnS1vndofjAXjOvnBTQIsgwOzVTosmQwGPYnkvDM6ZcmY9ASkHkeQgrDRj8Km7OLsOyCyQwouep1zHXOmNKsV9MFNDxHv53AwcfgrXuesBpMIwS3_qmWpvYkprC-LZ70Yo351Pq-K758-3t_clndfP3-5-XBXSlLXqWwo6SXGHauElKonrNF1TVilG6gQJkxSxQTuFGKQUVopRbuKtG0NGwGRVB25Kt6edH1wP2cdE59M3HoKq90cOWphxSjEsM7Q6gSVuWzMn8l9MLnGyhHk2-L8cXG-Lc7Pi2fem7PF3E1a_WE9TpwB708AY3sXJrG4MCqexDq6kBez0kRO_u_xG5vnw_w</recordid><startdate>20180102</startdate><enddate>20180102</enddate><creator>Hazar, Volkan</creator><creator>Kesik, Vural</creator><creator>Karasu, Gülsün Tezcan</creator><creator>Öztürk, Gülyüz</creator><creator>Küpesiz, Alphan</creator><creator>Kılıç, Suar Çakı</creator><creator>Ataş, Erman</creator><creator>Uygun, Vedat</creator><creator>Eker, Nurşah</creator><creator>Erbey, Fatih</creator><creator>Bengoa, Şebnem Yılmaz</creator><creator>Emir, Suna</creator><creator>Anak, Sema</creator><creator>Öniz, Haldun</creator><creator>Daloğlu, Hayriye</creator><creator>Aksoylar, Serap</creator><creator>Koçak, Ülker</creator><creator>Karakükçü, Musa</creator><creator>Elli, Murat</creator><creator>Kurucu, Nilgün</creator><creator>Yeşilipek, Akif</creator><general>Taylor & Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1407-2334</orcidid></search><sort><creationdate>20180102</creationdate><title>Risk factors predicting the survival of pediatric patients with relapsed/refractory non-Hodgkin lymphoma who underwent hematopoietic stem cell transplantation: a retrospective study from the Turkish pediatric bone marrow transplantation registry</title><author>Hazar, Volkan ; Kesik, Vural ; Karasu, Gülsün Tezcan ; Öztürk, Gülyüz ; Küpesiz, Alphan ; Kılıç, Suar Çakı ; Ataş, Erman ; Uygun, Vedat ; Eker, Nurşah ; Erbey, Fatih ; Bengoa, Şebnem Yılmaz ; Emir, Suna ; Anak, Sema ; Öniz, Haldun ; Daloğlu, Hayriye ; Aksoylar, Serap ; Koçak, Ülker ; Karakükçü, Musa ; Elli, Murat ; Kurucu, Nilgün ; Yeşilipek, Akif</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c366t-843fc22b75accdf378e66375e80d1237c4d7a2bd1707445dd4b5399608a01cdb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>children and adolescents</topic><topic>Drug Resistance, Neoplasm</topic><topic>Female</topic><topic>Hematopoietic Stem Cell Transplantation</topic><topic>Humans</topic><topic>Lymphoma, Non-Hodgkin - epidemiology</topic><topic>Lymphoma, Non-Hodgkin - mortality</topic><topic>Lymphoma, Non-Hodgkin - pathology</topic><topic>Lymphoma, Non-Hodgkin - therapy</topic><topic>Male</topic><topic>Neoplasm Staging</topic><topic>Prognosis</topic><topic>Recurrence</topic><topic>Registries</topic><topic>Relapsed or refractory non-Hodgkin lymphoma</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Transplantation, Homologous</topic><topic>Treatment Outcome</topic><topic>Turkey - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hazar, Volkan</creatorcontrib><creatorcontrib>Kesik, Vural</creatorcontrib><creatorcontrib>Karasu, Gülsün Tezcan</creatorcontrib><creatorcontrib>Öztürk, Gülyüz</creatorcontrib><creatorcontrib>Küpesiz, Alphan</creatorcontrib><creatorcontrib>Kılıç, Suar Çakı</creatorcontrib><creatorcontrib>Ataş, Erman</creatorcontrib><creatorcontrib>Uygun, Vedat</creatorcontrib><creatorcontrib>Eker, Nurşah</creatorcontrib><creatorcontrib>Erbey, Fatih</creatorcontrib><creatorcontrib>Bengoa, Şebnem Yılmaz</creatorcontrib><creatorcontrib>Emir, Suna</creatorcontrib><creatorcontrib>Anak, Sema</creatorcontrib><creatorcontrib>Öniz, Haldun</creatorcontrib><creatorcontrib>Daloğlu, Hayriye</creatorcontrib><creatorcontrib>Aksoylar, Serap</creatorcontrib><creatorcontrib>Koçak, Ülker</creatorcontrib><creatorcontrib>Karakükçü, Musa</creatorcontrib><creatorcontrib>Elli, Murat</creatorcontrib><creatorcontrib>Kurucu, Nilgün</creatorcontrib><creatorcontrib>Yeşilipek, Akif</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Leukemia & lymphoma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hazar, Volkan</au><au>Kesik, Vural</au><au>Karasu, Gülsün Tezcan</au><au>Öztürk, Gülyüz</au><au>Küpesiz, Alphan</au><au>Kılıç, Suar Çakı</au><au>Ataş, Erman</au><au>Uygun, Vedat</au><au>Eker, Nurşah</au><au>Erbey, Fatih</au><au>Bengoa, Şebnem Yılmaz</au><au>Emir, Suna</au><au>Anak, Sema</au><au>Öniz, Haldun</au><au>Daloğlu, Hayriye</au><au>Aksoylar, Serap</au><au>Koçak, Ülker</au><au>Karakükçü, Musa</au><au>Elli, Murat</au><au>Kurucu, Nilgün</au><au>Yeşilipek, Akif</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors predicting the survival of pediatric patients with relapsed/refractory non-Hodgkin lymphoma who underwent hematopoietic stem cell transplantation: a retrospective study from the Turkish pediatric bone marrow transplantation registry</atitle><jtitle>Leukemia & lymphoma</jtitle><addtitle>Leuk Lymphoma</addtitle><date>2018-01-02</date><risdate>2018</risdate><volume>59</volume><issue>1</issue><spage>85</spage><epage>96</epage><pages>85-96</pages><issn>1042-8194</issn><eissn>1029-2403</eissn><abstract>We examined outcomes of 62 pediatric patients with relapsed or refractory non-Hodgkin lymphoma (rr-NHL) who underwent hematopoietic stem cell transplantation (HSCT). The overall survival (OS) and event-free survival (EFS) rates were 65% and 48%, respectively. Survival rates for patients with chemosensitive disease at the time of HSCT were significantly higher than those of patients with chemoresistant disease (69% vs. 37%, p = .019 for OS; 54% vs. 12%, p < .001 for EFS; respectively). A chemoresistant disease at transplantation was the only factor that predicted a limited OS (hazard ratio = 10.00) and EFS (hazard ratio = 16.39) rates. Intensive chemotherapy followed by HSCT could be an effective strategy for treating children with rr-NHL and may offer improved survival for a significant group of pediatric patients, particularly those with chemosensitive disease at transplantation.</abstract><cop>United States</cop><pub>Taylor & Francis</pub><pmid>28571522</pmid><doi>10.1080/10428194.2017.1330472</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-1407-2334</orcidid></addata></record> |
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subjects | Adolescent Child Child, Preschool children and adolescents Drug Resistance, Neoplasm Female Hematopoietic Stem Cell Transplantation Humans Lymphoma, Non-Hodgkin - epidemiology Lymphoma, Non-Hodgkin - mortality Lymphoma, Non-Hodgkin - pathology Lymphoma, Non-Hodgkin - therapy Male Neoplasm Staging Prognosis Recurrence Registries Relapsed or refractory non-Hodgkin lymphoma Retrospective Studies Risk Factors Transplantation, Homologous Treatment Outcome Turkey - epidemiology |
title | Risk factors predicting the survival of pediatric patients with relapsed/refractory non-Hodgkin lymphoma who underwent hematopoietic stem cell transplantation: a retrospective study from the Turkish pediatric bone marrow transplantation registry |
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