A survey evaluating hematology physicians’ perspectives on central nervous system prophylaxis.

Autor: Demirci U; Department of Haematology, Trakya University, Medical Faculty, Edirne, Turkey., Yüksel MK; 2Department of Haematology, Ankara University, Medical Faculty, Ankara, Turkey., Kırkızlar HO; Department of Haematology, Trakya University, Medical Faculty, Edirne, Turkey., Ateşoğlu EB; Department of Haematology, Koç University, Medical Faculty, İstanbul, Turkey., Mehtap Ö; Department of Haematology, Kocaeli University, Medical Faculty, Kocaeli, 5Akdeniz University, Medical Faculty, Antalya, Turkey., Salim O, Demir AM; Department of Haematology, Trakya University, Medical Faculty, Edirne, Turkey., Akay OM; Department of Haematology, Koç University, Medical Faculty, İstanbul, Turkey.
Jazyk: angličtina
Zdroj: Blood research [Blood Res] 2023 Jun 30; Vol. 58 (2), pp. 99-104. Date of Electronic Publication: 2023 Jun 08.
DOI: 10.5045/br.2023.2023066
Abstrakt: Background: Central nervous system (CNS) prophylactic options for diffuse large B-cell lymphoma (DLBCL) are administered differently in most centers. Unfortunately, there is still not a consensus on which patients, which regimen, for how many cycles, and when prophylaxis should be administered. Thus, this remains an unmet clinical need.
Methods: We administered a survey study under the Lymphoma Scientific Subcommittee of the Turkish Society of Haematology. The questions were directed to hematologists through the monkey survey system.
Results: The CNS International Prognostic Index score is a factor that clinicians frequently use when deciding on prophylaxis and is considered reliable. Although the perspective on anatomical risk factors is similar to that reported in the literature, breast involvement is still considered a critical risk factor in Turkey. Participants considered double or triple hit and double/triple expressor lymphoma as significant risk factors. Various methods have been used to demonstrate CNS relapses. Intrathecal prophylaxis is the preferred method.
Conclusion: There are diverse methodological and technical ideas. The controversial results reported in the literature on the effectiveness of CNS prophylaxis may explain this finding. Although CNS prophylactic methods for patients with DLBCL are still controversial, the effect of secondary CNS involvement on survival is inevitable. Standard practices followed by national guidelines may be effective in reducing the variety of application methods and creating homogeneous results for efficacy and survival follow-up studies.
Databáze: MEDLINE