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Treatment and outcome of 2904 CML patients from the EUTOS population-based registry

VS. Hoffmann, M. Baccarani, J. Hasford, F. Castagnetti, F. Di Raimondo, LF. Casado, A. Turkina, D. Zackova, G. Ossenkoppele, A. Zaritskey, M. Höglund, B. Simonsson, K. Indrak, Z. Sninska, T. Sacha, R. Clark, A. Bogdanovic, A. Hellmann, L....

. 2017 ; 31 (3) : 593-601. [pub] 20160829

Jazyk angličtina Země Anglie, Velká Británie

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc17031475
E-zdroje Online Plný text

NLK ProQuest Central od 2000-01-01 do Před 1 rokem
Open Access Digital Library od 1997-01-01
Nursing & Allied Health Database (ProQuest) od 2000-01-01 do Před 1 rokem
Health & Medicine (ProQuest) od 2000-01-01 do Před 1 rokem
Public Health Database (ProQuest) od 2000-01-01 do Před 1 rokem

The European Treatment and Outcome Study (EUTOS) population-based registry includes data of all adult patients newly diagnosed with Philadelphia chromosome-positive and/or BCR-ABL1+ chronic myeloid leukemia (CML) in 20 predefined countries and regions of Europe. Registration time ranged from 12 to 60 months between January 2008 and December 2013. Median age was 55 years and median observation time was 29 months. Eighty percent of patients were treated first line with imatinib, and 17% with a second-generation tyrosine kinase inhibitor, mostly according to European LeukemiaNet recommendations. After 12 months, complete cytogenetic remission (CCyR) and major molecular response (MMR) were achieved in 57% and 41% of patients, respectively. Patients with high EUTOS risk scores achieved CCyR and MMR significantly later than patients with low EUTOS risk. Probabilities of overall survival (OS) and progression-free survival for all patients at 12, 24 and 30 months was 97%, 94% and 92%, and 95%, 92% and 90%, respectively. The new EUTOS long-term survival score was validated: the OS of patients differed significantly between the three risk groups. The probability of dying in remission was 1% after 24 months. The current management of patients with tyrosine kinase inhibitors resulted in responses and outcomes in the range reported from clinical trials. These data from a large population-based, patient sample provide a solid benchmark for the evaluation of new treatment policies.

3 Medizinische Klinik University of Heidelberg at Mannheim Mannheim Germany

Abteilung Hämatologie Onkologie Klinik für Innere Medizin 2 Universitätsklinikum Jena Jena Germany

Clinic of Hematology CCS and Faculty of Medicine University of Belgrade Belgrade Serbia

Department Hemato oncology University Hospital Olomouc Olomouc Czech Republic

Department of Haematology VU University Medical Center Amsterdam The Netherlands

Department of Hematology and Transplantation Medical University of Gdansk Gdansk Poland

Department of Hematology University Clinical Centre Ljubljana Slovenia

Department of Hematology University Hospital Bratislava Slovakia

Department of Internal Medicine Division of Hematology University Hospital Center Zagreb Zagreb Croatia

Department of Internal Medicine Hematology and Oncology University Hospital Brno and Masaryk University Brno Czech Republic

Department of Oncology and Hematology Hematology Unit St Orsola University Hospital Bologna Italy

Division of Hematology AOU Policlinico OVE University of Catania Catania Italy

Federal State Funded Institution 'National Research Center for Hematology' of the Ministry of Healthcare of Russian Federation Moscow Russian Federation

Helsinki University Central Hospital and Hematology Research Unit Biomedicum Helsinki Helsinki Finland

INSERM CIC 1402 CHU Poitiers Poitiers France

Institute for Medical Information Sciences Biometry and Epidemiology Ludwig Maximilians Universität IBE University of Munich Munich Germany

Institute of Hematology 'L and A Seragnoli' Department of Experimental Diagnostic and Specialty Medicine University of Bologna Bologna Italy

Katedra i Klinika Hematologii UJCM Kraków Poland

Klinikum Wells Grieskirchen Wells Austria

Munich Cancer Registry Ludwig Maximilians Universitaet Munich Germany

Riga East Clinical University Hospital Riga Latvia

Royal Liverpool University Hospital Liverpool UK

Servicio de Hematología Hospital Virgen de la Salud Toledo Spain

St Petersburg State Medical University St Petersburg Russian Federation

Tartu University Hospital Tartu Estonia

The Karaiskakio Foundation Nicosia Cyprus

University of Bologna Bologna Italy

University of Uppsala Uppsala Sweden

Vilnius University Hospital Santariskiu Klinikos and Vilnius University Vilnius Lithuania

Citace poskytuje Crossref.org

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