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| DOI | 10.1080/16078454.2024.2434274 | ||||
| Año | 2024 | ||||
| Tipo | artículo de investigación |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
Background: Allogeneic hematopoietic stem cell transplantation (HSCT) is a curative treatment for several hematological diseases. Prospective and retrospective studies have associated myeloablative conditioning regimens with increased non-relapse mortality and less intense regimens with disease relapse, leading to similar overall survival rates.Objectives: Analyze the experience with the different RIC schemes in patients transplanted for AML/MDS in our program.Methods: We retrospectively analyzed our program's reduced-intensity conditioning regimens (RIC) between 2012 and 2022 in patients with acute myeloid leukemia (AML) and myelodysplastic syndromes (MDS).Results: During this period, 450 allogeneic stem cell transplantations were performed, of which 52 patients were treated with RIC for AML, mostly in men. The 3-year overall survival/progression-free survival rates were 52/53%, 51/57%, and 57/55% in the fludarabine-reduced intensity with total-body irradiation, Melphalan, and Busulfan, respectively (p = 0.89). The composite incidences of aGVHD III-IV, cGVHD, and admission to the critical patient unit were 21%, 25%, and 30%, respectively, without statistically significant differences according to the type of conditioning, but with a trend of greater ICU admission in patients who used melphalan-based conditioning.Conclusion: Our study found no differences in overall survival, progression-free survival, and complications between the most commonly used reduced-intensity conditioning regimens.
| Ord. | Autor | Género | Institución - País |
|---|---|---|---|
| 1 | Salinas, Jose | - |
Pontificia Universidad Católica de Chile - Chile
Red de Salud UC CHRISTUS - Chile |
| 2 | Flores, Yorman | - |
Pontificia Universidad Católica de Chile - Chile
Red de Salud UC CHRISTUS - Chile |
| 3 | Rojas, Patricio | Hombre |
Pontificia Universidad Católica de Chile - Chile
Red de Salud UC CHRISTUS - Chile |
| 4 | Gutierrez, Catherine | - |
Pontificia Universidad Católica de Chile - Chile
Red de Salud UC CHRISTUS - Chile |
| 5 | Vidal, Marcela | - |
Pontificia Universidad Católica de Chile - Chile
Red de Salud UC CHRISTUS - Chile |
| 6 | Jara, Veronica | - |
Pontificia Universidad Católica de Chile - Chile
Red de Salud UC CHRISTUS - Chile |
| 7 | CAMPBELL-WAGEMANN, JAMES MICHAEL | Hombre |
Pontificia Universidad Católica de Chile - Chile
Red de Salud UC CHRISTUS - Chile |
| 8 | Garcia, Maria Jose | - |
Pontificia Universidad Católica de Chile - Chile
Red de Salud UC CHRISTUS - Chile |
| 9 | Sandoval, Vicente | Hombre |
Pontificia Universidad Católica de Chile - Chile
Red de Salud UC CHRISTUS - Chile |
| 10 | Vergara, Maximiliano | - |
Pontificia Universidad Católica de Chile - Chile
Red de Salud UC CHRISTUS - Chile |
| 11 | OCQUETEAU-TACCHINI, MAURICIO ESTEBAN | Hombre |
Pontificia Universidad Católica de Chile - Chile
Red de Salud UC CHRISTUS - Chile |
| 12 | Palacios, Felipe | - |
Pontificia Universidad Católica de Chile - Chile
Red de Salud UC CHRISTUS - Chile |
| 13 | SARMIENTO MALDONADO, MAURICIO | Hombre |
Pontificia Universidad Católica de Chile - Chile
Red de Salud UC CHRISTUS - Chile |