Similar Survival Following HLA-Identical Sibling Transplantation for Standard Indication in Children with Haematologic Malignancies: A Single Center Comparison of Mobilized Peripheral Blood Stem Cell with Bone Marrow Transplantation

Autor: Stefan Balzer, B Bernbeck, Ulrich Göbel, K. Sinha, Roland Meisel, Stefan Schönberger, Christof M. Kramm, Anja Tröger, P. Wernet, Hans-Jürgen Laws, Jürgen Enczmann, Dagmar Dilloo
Rok vydání: 2005
Předmět:
Zdroj: Klinische Pädiatrie. 217:135-141
ISSN: 1439-3824
0300-8630
DOI: 10.1055/s-2005-836509
Popis: Background: Peripheralblood stem cell (PBSC)g rafts arei ncreasinglyu sed forautologous and allogeneichaemat opoietic stem cell transplantation (alloHSCT)withth e aim toh asten neutrophil and plateletengraftm entand therebyt oreducetransplant-related complicationsdue toi nfections,b leeding and graft failure. Based on the paucity of dataon PBSC transplantation in children w ep erformed aretrospectiv esingle-cente ranalysis comparing the outcome of children receiving mobilized PBSC from humanl e u kocyteantigen (HLA)-identicals ibling donors to bone marro w (BM)transplantr ecipients. Patients and Methods: Between 1996and 2004,16children withh aematologicmalig nanciesand standardi ndication foralloHSCT underwentPBSC transplantation from HLA-identicalsib ling donors.The outcome of thesechildren was compared toahistoricc ontrol groupo f 19 bone marrow(BM)transp lantr ecipients.Time ton eutrophil engraftment,inci denceo facuteand chronicgraft-ver sus-host disease(GvHD) ,relaps erate ,transplant-related mortality, event-free and overall survivalwereanal yzed. Results: Neutrophil engraftmentw asachieved significantlyfas terafterPBSC compared toBM transplantation withamediantime ton eutrophil engraftmentof 11 (range:8‐21) and 19 (16‐44) days fort he PBSC and BMcohort,respectiv ely(p
Databáze: OpenAIRE