Hematology/ Oncology and Stem Cell Therapy最新文献

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Prevalence of Sleep Aid Medication Use in Patients Receiving a Hematopoietic Cell Transplant on an Inpatient Unit. 在住院病房接受造血细胞移植的患者中辅助睡眠药物的使用情况。
Hematology/ Oncology and Stem Cell Therapy Pub Date : 2023-05-23 DOI: 10.56875/2589-0646.1036
Rachel Cusatis, Antony Ibrahim, Jennifer M Knight, Anita D'Souza, Bronwen E Shaw
{"title":"Prevalence of Sleep Aid Medication Use in Patients Receiving a Hematopoietic Cell Transplant on an Inpatient Unit.","authors":"Rachel Cusatis, Antony Ibrahim, Jennifer M Knight, Anita D'Souza, Bronwen E Shaw","doi":"10.56875/2589-0646.1036","DOIUrl":"10.56875/2589-0646.1036","url":null,"abstract":"<p><strong>Background and objectives: </strong>There is a lack of research regarding the use of sleep aids after hematopoietic stem cell transplantation (HCT). We describe the prevalence of sleep aid administration in the HCT unit and identify associations with patient or clinical characteristics.</p><p><strong>Patients and methods: </strong>In this retrospective analysis of sequential inpatient HCTs from July 1 to December 31, 2016 we describe whether and when patients were prescribed sleep aid medications. Chi-square tests determined significant differences between patient characteristics, sleep aid prescription, and time of prescription.</p><p><strong>Results: </strong>Of the 225 patients identified, 193 (86%) were prescribed sleep aids. Significantly more women received prescriptions for sleep aids (90.4%) than men (81%; P = .047). One hundred patients (44%) received prescriptions exclusively while in the hospital.</p><p><strong>Conclusion: </strong>Findings show a high prevalence of sleep medication use in patients undergoing inpatient HCT, primarily during hospitalization. Future efforts toward standardized recommendations to optimize peri-transplant sleep would help clinicians and patients.</p>","PeriodicalId":39226,"journal":{"name":"Hematology/ Oncology and Stem Cell Therapy","volume":"16 4","pages":"366-369"},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11792084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10048460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Updates on the Treatment of Tenosynovial Giant Cell Tumor. 腱鞘巨细胞瘤的治疗进展。
Hematology/ Oncology and Stem Cell Therapy Pub Date : 2023-05-23 DOI: 10.56875/2589-0646.1032
Abigail S Chan, Vatsala Katiyar, Paul Dy, Vikas Singh
{"title":"Updates on the Treatment of Tenosynovial Giant Cell Tumor.","authors":"Abigail S Chan,&nbsp;Vatsala Katiyar,&nbsp;Paul Dy,&nbsp;Vikas Singh","doi":"10.56875/2589-0646.1032","DOIUrl":"https://doi.org/10.56875/2589-0646.1032","url":null,"abstract":"<p><p>Tenosynovial giant cell tumor (TGCT) is a rare inflammatory disorder affecting the joint synovium, bursae, and tendon sheaths that causes non-specific and often insidious joint discomfort. The application of systemic chemotherapy has been limited due to poor and unsustained disease responses. Surgery with or without adjuvant radiation is the primary treatment modality for TGCT. With its locally destructive nature and increased recurrence, multiple surgical interventions become necessary throughout the course of the disease, leading to disfigurement, decreased quality of life, and increased mortality. However, owing to recent evidence demonstrating the overexpression of colony-stimulating factor 1 (CSF-1) in TGCT, selective tyrosine kinase inhibitors targeting CSF-1 receptors are being developed. Pexidartinib is the first CSF-1 receptor inhibitor approved for the treatment of TGCT. Here, we discuss various available treatment strategies and ongoing investigations and trials targeting diffuse TGCT, which include nilotinib, lacnotuzumab, cabiralizumab, vimseltinib, and emactuzumab.</p>","PeriodicalId":39226,"journal":{"name":"Hematology/ Oncology and Stem Cell Therapy","volume":"16 4","pages":"307-315"},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10048452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Carfilzomib-induced Thrombotic Microangiopathy: A Case Based Review. 卡非佐米诱发的血栓性微血管病:基于病例的回顾。
Hematology/ Oncology and Stem Cell Therapy Pub Date : 2023-05-23 DOI: 10.1016/j.hemonc.2020.07.001
Nishant Jindal, Aditya Jandial, Arihant Jain, Deepesh Lad, Gaurav Prakash, Alka Khadwal, Ritambhra Nada, Jasmine Sethi, Jasmina Ahluwalia, Pankaj Malhotra
{"title":"Carfilzomib-induced Thrombotic Microangiopathy: A Case Based Review.","authors":"Nishant Jindal,&nbsp;Aditya Jandial,&nbsp;Arihant Jain,&nbsp;Deepesh Lad,&nbsp;Gaurav Prakash,&nbsp;Alka Khadwal,&nbsp;Ritambhra Nada,&nbsp;Jasmine Sethi,&nbsp;Jasmina Ahluwalia,&nbsp;Pankaj Malhotra","doi":"10.1016/j.hemonc.2020.07.001","DOIUrl":"https://doi.org/10.1016/j.hemonc.2020.07.001","url":null,"abstract":"<p><p>Carfilzomib is an irreversible proteasome inhibitor currently approved for the treatment of relapsed multiple myeloma. It has been implicated as a cause of thrombotic microangiopathy (TMA) in several case reports. The incidence, risk factors, and treatment of carfilzomib-related TMA remain unclear. Here we describe the clinical presentation and outcome of a 58-year-old man with biopsy-proven TMA that occurred following treatment with carfilzomib-based therapy. We also reviewed the published literature with regard to the incidence, risk factors, treatment options, and outcome of carfilzomib-related TMA.</p>","PeriodicalId":39226,"journal":{"name":"Hematology/ Oncology and Stem Cell Therapy","volume":"16 4","pages":"426-431"},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hemonc.2020.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9745610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
Unique aspects of Graft-versus-host-disease management in the Eastern Mediterranean region: Report from the Eastern Mediterranean blood and marrow transplantation group: Special report. 东地中海地区移植物抗宿主病管理的独特方面:来自东地中海血液和骨髓移植组的报告:特别报告。
Hematology/ Oncology and Stem Cell Therapy Pub Date : 2023-05-23 DOI: 10.1016/j.hemonc.2020.04.003
Shahrukh Hashmi, Marwan Shaheen, Salman Adil, Parvez Ahmed, Syed Ahmed, Nour Ben Abdeljelil, Amal Alabdulwahab, Amal Albeihany, Saad Aldaama, Murtadha Al-Khabori, Salam Alkindi, Fahad Almohareb, Ahmed Alsaeed, Amal Alseraihy, Salem Alshemari, Mouhab Ayas, Naeem Chaudhri, Waleed Da'na, David Dennison, Asma ElQuessar, Alaa Elhaddad, Ahmad Ibrahim, Hasan Hashem, Wasil Jastaniah, Hani Mawardi, Amr Nassar, Tariq Satti, Lamia Torjemane, Khalid Tabbara, Hassan El Solh, Bassim Albeirouti, Mahmoud Aljurf
{"title":"Unique aspects of Graft-versus-host-disease management in the Eastern Mediterranean region: Report from the Eastern Mediterranean blood and marrow transplantation group: Special report.","authors":"Shahrukh Hashmi,&nbsp;Marwan Shaheen,&nbsp;Salman Adil,&nbsp;Parvez Ahmed,&nbsp;Syed Ahmed,&nbsp;Nour Ben Abdeljelil,&nbsp;Amal Alabdulwahab,&nbsp;Amal Albeihany,&nbsp;Saad Aldaama,&nbsp;Murtadha Al-Khabori,&nbsp;Salam Alkindi,&nbsp;Fahad Almohareb,&nbsp;Ahmed Alsaeed,&nbsp;Amal Alseraihy,&nbsp;Salem Alshemari,&nbsp;Mouhab Ayas,&nbsp;Naeem Chaudhri,&nbsp;Waleed Da'na,&nbsp;David Dennison,&nbsp;Asma ElQuessar,&nbsp;Alaa Elhaddad,&nbsp;Ahmad Ibrahim,&nbsp;Hasan Hashem,&nbsp;Wasil Jastaniah,&nbsp;Hani Mawardi,&nbsp;Amr Nassar,&nbsp;Tariq Satti,&nbsp;Lamia Torjemane,&nbsp;Khalid Tabbara,&nbsp;Hassan El Solh,&nbsp;Bassim Albeirouti,&nbsp;Mahmoud Aljurf","doi":"10.1016/j.hemonc.2020.04.003","DOIUrl":"https://doi.org/10.1016/j.hemonc.2020.04.003","url":null,"abstract":"","PeriodicalId":39226,"journal":{"name":"Hematology/ Oncology and Stem Cell Therapy","volume":"16 4","pages":"303-306"},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hemonc.2020.04.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9745614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Post-Autologous Hematopoietic Cell Transplant Care in the "Home Sweet Home" Setting: A Treatment Paradigm Shift. 自体造血细胞移植后护理在“甜蜜之家”设置:治疗模式的转变。
Hematology/ Oncology and Stem Cell Therapy Pub Date : 2023-05-23 DOI: 10.56875/2589-0646.1088
Mohamed A Kharfan-Dabaja, Vivek Roy, Hemant Murthy, Deborah Fischer, Razan Mohty, Ashley Greathouse, Alethea Brown, Kathryn Moreno, Emily Godsey, Jennifer M Higginbotham, Ashley Bartholomew, Alexis Jackson, Ricardo A Torres-Guzman, Antonio J Forte, Sikander Ailawadhi, Roxana Dronca, Michael Maniaci
{"title":"Post-Autologous Hematopoietic Cell Transplant Care in the \"Home Sweet Home\" Setting: A Treatment Paradigm Shift.","authors":"Mohamed A Kharfan-Dabaja,&nbsp;Vivek Roy,&nbsp;Hemant Murthy,&nbsp;Deborah Fischer,&nbsp;Razan Mohty,&nbsp;Ashley Greathouse,&nbsp;Alethea Brown,&nbsp;Kathryn Moreno,&nbsp;Emily Godsey,&nbsp;Jennifer M Higginbotham,&nbsp;Ashley Bartholomew,&nbsp;Alexis Jackson,&nbsp;Ricardo A Torres-Guzman,&nbsp;Antonio J Forte,&nbsp;Sikander Ailawadhi,&nbsp;Roxana Dronca,&nbsp;Michael Maniaci","doi":"10.56875/2589-0646.1088","DOIUrl":"https://doi.org/10.56875/2589-0646.1088","url":null,"abstract":"<p><strong>Background: </strong>Multiple myeloma (MM) is the second most common hematologic malignancy, with 34,470 estimated new cases in 2022. High-dose therapy followed by autologous hematopoietic cell transplantation (auto-HCT) remains a standard treatment for MM even in the era of novel therapies. This is usually performed in hospital-based settings, either in the inpatient or outpatient units. Advanced Care at Home (ACH) represents a virtual hybrid hospital-at-home program that combines a virtual provider-staffed command center with a vendor-mediated supply chain capable of delivering high-acuity care in the comfort of the patients' own homes. In our program, we used the existing ACH platform to deliver post-HCT care for recipients of auto-HCT.</p><p><strong>Patients and methods: </strong>Four patients (female = 2, 50%) with MM, with a median age of 60 (range, 40-74) years, were admitted to the inpatient Blood and Marrow Transplant (BMT) unit. The conditioning regimen consisted of melphalan 200 mg/m<sup>2</sup>, administered on day -2. All patients received stem cell infusion (day 0) in the inpatient setting, with a median dose of 3.64 (range, 2.92-8.22) × 10<sup>6</sup>/kg CD34 cells.</p><p><strong>Results: </strong>Patients were discharged to their homes after completing the infusion on day 0 or day +1 at the latest. Post-infusion care was provided by the ACH team in coordination with the BMT team. The median time intervals to absolute neutrophil count and platelet engraftment were 12 (range, 11-13) and 11 (range, 9-16) days, respectively. All patients were successfully discharged from the ACH program at a median of day +14 (range, day +14 to day +15).</p><p><strong>Conclusions: </strong>Our results highlight the feasibility of delivering post-HCT care for auto-HCT recipients in the home setting and confirm the generalizability of this approach.</p>","PeriodicalId":39226,"journal":{"name":"Hematology/ Oncology and Stem Cell Therapy","volume":"16 4","pages":"407-411"},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9745615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Venetoclax-based Treatment as Frontline Therapy for Chronic Lymphocytic Leukemia. 以venetoclax为基础的治疗慢性淋巴细胞白血病的一线疗法。
Hematology/ Oncology and Stem Cell Therapy Pub Date : 2023-05-23 DOI: 10.56875/2589-0646.1039
Guru Subramanian Guru Murthy, Ehab Atallah
{"title":"Venetoclax-based Treatment as Frontline Therapy for Chronic Lymphocytic Leukemia.","authors":"Guru Subramanian Guru Murthy,&nbsp;Ehab Atallah","doi":"10.56875/2589-0646.1039","DOIUrl":"https://doi.org/10.56875/2589-0646.1039","url":null,"abstract":"<p><p>The availability of novel targeted agents has revolutionized the management of chronic lymphocytic leukemia (CLL). Both B-cell lymphoma 2 (BCL2) and Bruton tyrosine kinase (BTK) inhibitors are highly effective agents for CLL treatment. Several clinical trials have demonstrated the efficacy and safety of these agents in the management of newly diagnosed and relapsed/refractory CLL. This has led to two broad approaches in the frontline management of CLL, namely venetoclax-based time-limited therapy versus BTK inhibitor-based continuous therapy. In this review, we discussed why we consider venetoclax-based therapy as a suitable frontline option for patients with CLL.</p>","PeriodicalId":39226,"journal":{"name":"Hematology/ Oncology and Stem Cell Therapy","volume":"16 4","pages":"346-350"},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10048459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence, Patterns, and Predictors of Venous Thromboembolic Events in Patients Undergoing Salvage Chemotherapy and Autologous Stem Cell Transplantation for Relapsed Lymphomas. 接受补救性化疗和自体干细胞移植治疗复发性淋巴瘤患者静脉血栓栓塞事件的患病率、模式和预测因素。
Hematology/ Oncology and Stem Cell Therapy Pub Date : 2023-05-23 DOI: 10.56875/2589-0646.1043
Mohammad Ma'koseh, Mohammad Alrwashdeh, Nayef Abdel-Razeq, Rozan Alfar, Sarah Edaily, Rayan Bater, Mais Zmaily, Mohammad Almomani, Hikmat Abdel-Razeq
{"title":"Prevalence, Patterns, and Predictors of Venous Thromboembolic Events in Patients Undergoing Salvage Chemotherapy and Autologous Stem Cell Transplantation for Relapsed Lymphomas.","authors":"Mohammad Ma'koseh,&nbsp;Mohammad Alrwashdeh,&nbsp;Nayef Abdel-Razeq,&nbsp;Rozan Alfar,&nbsp;Sarah Edaily,&nbsp;Rayan Bater,&nbsp;Mais Zmaily,&nbsp;Mohammad Almomani,&nbsp;Hikmat Abdel-Razeq","doi":"10.56875/2589-0646.1043","DOIUrl":"https://doi.org/10.56875/2589-0646.1043","url":null,"abstract":"<p><strong>Background and objectives: </strong>Almost 25% of patients with lymphoma may have relapse or develop refractory disease, and a majority of such patients undergo salvage chemotherapy and autologous stem cell transplantation (ASCT). Data on venous thromboembolism (VTE) in this setting are scarce. This study aimed to investigate the prevalence and factors that may increase the risk of VTE in such patients.</p><p><strong>Patients and methods: </strong>Adult patients who were diagnosed with lymphoma and received salvage chemotherapy and ASCT were included in the study, and the subgroup with radiologically confirmed VTE were identified. Correlations between different clinical and laboratory variables and VTE were evaluated.</p><p><strong>Results: </strong>A total of 216 patients (median age, 31 [range, 19-60] years) were enrolled in the study. Most patients (n = 140, 64.8%) had Hodgkin's lymphoma, while 54 (25.0%) had diffuse large B-cell lymphoma. A total of 36 (16.7%) patients had VTE, mostly as upper extremity deep vein thrombosis (n = 28, 77.8%); 18 (50%) of the cases were related to central venous catheter insertion. Thrombosis rates were higher among patients with high lactate dehydrogenase (LDH) level (29.2% vs. 5.9%, p < 0.001), those with mediastinal involvement (25.9% vs. 11.5%, p = 0.025). and those with longer hospital stay (22.3% vs.9.5%, p = 0.036). In the multivariate analysis, high LDH level (odds ratio (OR), 6.53; p < 0.001), mediastinal involvement (OR, 2.70; p = 0.005) and hospital stay ≥24 days (OR, 2.71; p = 0.007) were all associated with significantly higher VTE rates.</p><p><strong>Conclusion: </strong>Patients with relapsed lymphoma undergoing salvage chemotherapy and ASCT are at higher risk for VTE, especially in those with high LDH level, mediastinal involvement, and prolonged hospital stay. If no contraindications exist, thromboprophylaxis might be considered in these settings.</p>","PeriodicalId":39226,"journal":{"name":"Hematology/ Oncology and Stem Cell Therapy","volume":"16 4","pages":"323-329"},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10048458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cross Fire: BTK Inhibitors Alone or in Combination are the Best Frontline Therapy for CLL. 交叉火力:BTK抑制剂单独或联合是CLL的最佳一线治疗。
Hematology/ Oncology and Stem Cell Therapy Pub Date : 2023-05-23 DOI: 10.56875/2589-0646.1040
Theo Sottero, Farrukh T Awan
{"title":"Cross Fire: BTK Inhibitors Alone or in Combination are the Best Frontline Therapy for CLL.","authors":"Theo Sottero,&nbsp;Farrukh T Awan","doi":"10.56875/2589-0646.1040","DOIUrl":"https://doi.org/10.56875/2589-0646.1040","url":null,"abstract":"<p><p>BTK (Bruton's tyrosine kinase) inhibitors are highly effective front-line therapy for CLL (chronic lymphocytic leukemia) due to high response rates and prolonged progression-free survival, even in patients with high-risk disease features. They are also generally well tolerated, with the newer BTK inhibitors demonstrating better tolerability than ibrutinib while maintaining efficacy. Adverse effects such as bleeding or infections are usually manageable with supportive care or dose adjustments. Orally administered BTK inhibitors do not require intensive or inpatient monitoring and improve quality-of-life outcomes. Moreover, the established activity of venetoclax in the setting of BTK inhibitor failure is also reassuring as a salvage option. Nevertheless, the advantage of venetoclax as a time-limited treatment option is substantial, despite its inferior progression-free survival, since these patients can get another challenge with a reasonable chance of success. BTK inhibitors after venetoclax may be effective, but long-term data is limited. Given these reasons, BTK inhibitors remain the preferred treatment option as initial therapy for patients with CLL, especially those with del17p or TP53 mutations.</p>","PeriodicalId":39226,"journal":{"name":"Hematology/ Oncology and Stem Cell Therapy","volume":"16 4","pages":"342-345"},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10048454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application of EBMT, MASCC, and qSOFA Scores to Predict Complicated Febrile Neutropenia and Mortality in Autologous Stem Cell Transplant Recipients. 应用EBMT、MASCC和qSOFA评分预测自体干细胞移植受者并发发热性中性粒细胞减少症和死亡率。
Hematology/ Oncology and Stem Cell Therapy Pub Date : 2023-05-23 DOI: 10.56875/2589-0646.1034
Tiago A Barros, Rony Schaffel, Geraldo S de Azevedo Neto, Bianca de Lucena Gaio, Arthur T Batista, Marcia R Valentim, Angelo Maiolino, Marcia Garnica
{"title":"Application of EBMT, MASCC, and qSOFA Scores to Predict Complicated Febrile Neutropenia and Mortality in Autologous Stem Cell Transplant Recipients.","authors":"Tiago A Barros,&nbsp;Rony Schaffel,&nbsp;Geraldo S de Azevedo Neto,&nbsp;Bianca de Lucena Gaio,&nbsp;Arthur T Batista,&nbsp;Marcia R Valentim,&nbsp;Angelo Maiolino,&nbsp;Marcia Garnica","doi":"10.56875/2589-0646.1034","DOIUrl":"https://doi.org/10.56875/2589-0646.1034","url":null,"abstract":"<p><strong>Background and objectives: </strong>Three different scores were addressed as predictors of outcomes in autologous stem cell transplant (Auto SCT): one was calculated by pretransplant characteristics (European Society for Blood and Marrow Transplantation [EBMT] risk score), and two were calculated at the onset of febrile neutropenia (Multinational Association for Supportive Care in Cancer [MASCC] and Quick Sequential Organ Failure Assessment [qSOFA]). We considered bloodstream infection (BSI), carbapenem prescription, admission to the intensive care unit (ICU), and mortality as outcomes.</p><p><strong>Patients: </strong>A total of 309 patients with a median age of 54 years were enrolled.</p><p><strong>Results: </strong>Patients with EBMT score ≥4 (EBMT 4+) had higher ICU rates (14% vs. 4%; p < 0.01) and more carbapenem prescriptions (61% vs. 38%; p < 0.001) than those with EBMT score <4. MASCC <21 points (MASCC HR) was associated with carbapenem prescription (59% vs. 44%; p = 0.013), ICU (19% vs. 3%; p < 0.01), and death (4% vs. 0; p = 0.014). Patients with at least two points by qSOFA (qSOFA 2+) had more frequent BSI (55% vs. 22%; p = 0.03), ICU admissions (73% vs. 7; p < 0.01), and death (18% vs. 0.7, p = 0.02). EBMT 4+ and MASCC HR achieved the best sensitivities for ICU. For death, the best sensitivity was obtained with MASCC.</p><p><strong>Conclusion: </strong>In conclusion, risk scores for Auto SCT showed an association with outcomes and had different performances when combined or used alone. Therefore, risk scores for Auto SCT are useful in supportive care and clinical surveillance in stem cell transplant recipients.</p>","PeriodicalId":39226,"journal":{"name":"Hematology/ Oncology and Stem Cell Therapy","volume":"16 4","pages":"370-378"},"PeriodicalIF":0.0,"publicationDate":"2023-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10127948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Peritoneal and Pleural Drains in Pediatric Hematopoietic Cell Transplant Recipients with Veno-Occlusive Disease are Safe and Do Not Adversely Impact Clinical Outcomes. 患有静脉闭塞性疾病的儿童造血细胞移植受者的腹膜和胸膜引流是安全的,不会对临床结果产生不利影响。
Hematology/ Oncology and Stem Cell Therapy Pub Date : 2023-05-23 DOI: 10.56875/2589-0646.1066
Hemalatha G Rangarajan, Vinita B Pai, Joseph R Stanek, Cassandra Rush, Jeffrey Naples, Misti Drope, Veronika Polishchuk, Rolla Abu-Arja, Rajinder Ps Bajwa
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