The outcome of autologous stem cell transplantation in patients with plasma cell disorders and dialysis-dependent renal failure

Patients with multiple myeloma and end-stage renal failure on dialysis are frequently not considered eligible for high-dose therapy (HDT) due to higher transplant-related mortality (TRM). Our aim was to evaluate the toxicity and survival of dialysis-dependent patients after HDT with melphalan (100 m...

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Hauptverfasser: Raab, Marc-Steffen (VerfasserIn) , Breitkreutz, Iris (VerfasserIn) , Hundemer, Michael (VerfasserIn) , Benner, Axel (VerfasserIn) , Klaus, Jens (VerfasserIn) , Hegenbart, Ute (VerfasserIn) , Möhler, Thomas (VerfasserIn) , Ho, Anthony Dick (VerfasserIn) , Zeier, Martin (VerfasserIn) , Goldschmidt, Hartmut (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: [November, 2006]
In: Haematologica, the hematology journal
Year: 2006, Jahrgang: 91, Heft: 11, Pages: 1555-1558
ISSN:1592-8721
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://haematologica.org/article/view/4218
Verlag, lizenzpflichtig, Volltext: https://doi.org/10.3324/%x
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Verfasserangaben:Marc S. Raab, Iris Breitkreutz, Michael Hundemer, Axel Benner, Jens Klaus, Ute Hegenbart, Thomas Moehler, Anthony D. Ho, Martin Zeier, Hartmut Goldschmidt
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Zusammenfassung:Patients with multiple myeloma and end-stage renal failure on dialysis are frequently not considered eligible for high-dose therapy (HDT) due to higher transplant-related mortality (TRM). Our aim was to evaluate the toxicity and survival of dialysis-dependent patients after HDT with melphalan (100 mg/m(2)) compared to those of patients without renal insufficiency (melphalan 200 mg/m(2)) in a matched pairs analysis of 34 patients. No significant differences were observed between hematologic toxicity, TRM or disease response. Dialysis patients showed comparable event-free and overall survival. They required significantly extended intravenous antibiotic treatment and longer hospitalization. Thus, melphalan 100 mg/m2 is less toxic, yet equally efficient and improves the prognosis of this group of patients.
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Beschreibung:Online Resource
ISSN:1592-8721