Max J Rieger, Andreas J Flammer, Sabine Gerull, Thomas Pabst, Holger W Auner, Kaveh Samii, Felicitas Hitz, Ulrich Mey, Veronika Ballova, Raphael Battegay, Giorgia Melli, Dominik Benz, Yakup Yakupoglu, Christoph Gräni, Regina Schläger, Sarah Hugelshofer, Annina Studer, Luca Oechslin, Adam Bakula, Thomas M Suter, Julia Leo-Stickelberger, Manuela Averiamo, Thomas Fehr, Hans H Jung, Natallia Laptseva, Robert Manka, Axel Rüfer, Adrian Schmidt, Harald Seeger, Beat Müllhaupt, Simon F Stämpfli, Carmen De Ramon Ortiz, Marie Théaudin, Bernhard Gerber, Rahel Schwotzer
{"title":"瑞士淀粉样变性网络对轻链淀粉样变性治疗的最新建议。","authors":"Max J Rieger, Andreas J Flammer, Sabine Gerull, Thomas Pabst, Holger W Auner, Kaveh Samii, Felicitas Hitz, Ulrich Mey, Veronika Ballova, Raphael Battegay, Giorgia Melli, Dominik Benz, Yakup Yakupoglu, Christoph Gräni, Regina Schläger, Sarah Hugelshofer, Annina Studer, Luca Oechslin, Adam Bakula, Thomas M Suter, Julia Leo-Stickelberger, Manuela Averiamo, Thomas Fehr, Hans H Jung, Natallia Laptseva, Robert Manka, Axel Rüfer, Adrian Schmidt, Harald Seeger, Beat Müllhaupt, Simon F Stämpfli, Carmen De Ramon Ortiz, Marie Théaudin, Bernhard Gerber, Rahel Schwotzer","doi":"10.57187/s.4219","DOIUrl":null,"url":null,"abstract":"<p><p>Since the publication of the first Swiss recommendations on systemic light-chain amyloidosis in 2020, treatment strategies have evolved. As a result of the third joint meeting of the Swiss Amyloidosis Network, a multidisciplinary and multicentre Swiss clinical consortium, in 2024, recommendations for the treatment of light-chain amyloidosis were updated. They discuss the role of the new standard first-line protocol Daratumumab, Cyclophosphamide, Bortezomib, Dexamethasone (Dara-CyBorD), the timing and indication of high-dose treatment and potential second-line strategies as well as emerging treatment options, with a special focus on multidisciplinary supportive care measures. The update represents a synopsis of current evidence and expert consensus and intends to provide general treatment guidance tailored to the Swiss healthcare system. Nonetheless, treatment decisions should always be personalised and involve a multidisciplinary approach. This update replaces the previous \"therapeutic recommendations\" while the previous \"diagnostic recommendations\" remain valid.</p>","PeriodicalId":22111,"journal":{"name":"Swiss medical weekly","volume":"155 ","pages":"4219"},"PeriodicalIF":1.9000,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Updated recommendations for the treatment of light-chain amyloidosis from the Swiss Amyloidosis Network.\",\"authors\":\"Max J Rieger, Andreas J Flammer, Sabine Gerull, Thomas Pabst, Holger W Auner, Kaveh Samii, Felicitas Hitz, Ulrich Mey, Veronika Ballova, Raphael Battegay, Giorgia Melli, Dominik Benz, Yakup Yakupoglu, Christoph Gräni, Regina Schläger, Sarah Hugelshofer, Annina Studer, Luca Oechslin, Adam Bakula, Thomas M Suter, Julia Leo-Stickelberger, Manuela Averiamo, Thomas Fehr, Hans H Jung, Natallia Laptseva, Robert Manka, Axel Rüfer, Adrian Schmidt, Harald Seeger, Beat Müllhaupt, Simon F Stämpfli, Carmen De Ramon Ortiz, Marie Théaudin, Bernhard Gerber, Rahel Schwotzer\",\"doi\":\"10.57187/s.4219\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Since the publication of the first Swiss recommendations on systemic light-chain amyloidosis in 2020, treatment strategies have evolved. 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Updated recommendations for the treatment of light-chain amyloidosis from the Swiss Amyloidosis Network.
Since the publication of the first Swiss recommendations on systemic light-chain amyloidosis in 2020, treatment strategies have evolved. As a result of the third joint meeting of the Swiss Amyloidosis Network, a multidisciplinary and multicentre Swiss clinical consortium, in 2024, recommendations for the treatment of light-chain amyloidosis were updated. They discuss the role of the new standard first-line protocol Daratumumab, Cyclophosphamide, Bortezomib, Dexamethasone (Dara-CyBorD), the timing and indication of high-dose treatment and potential second-line strategies as well as emerging treatment options, with a special focus on multidisciplinary supportive care measures. The update represents a synopsis of current evidence and expert consensus and intends to provide general treatment guidance tailored to the Swiss healthcare system. Nonetheless, treatment decisions should always be personalised and involve a multidisciplinary approach. This update replaces the previous "therapeutic recommendations" while the previous "diagnostic recommendations" remain valid.
期刊介绍:
The Swiss Medical Weekly accepts for consideration original and review articles from all fields of medicine. The quality of SMW publications is guaranteed by a consistent policy of rigorous single-blind peer review. All editorial decisions are made by research-active academics.