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Diagnosis and severity criteria for sinusoidal obstruction syndrome/veno-occlusive disease in pediatric patients: a new classification from the European society for blood and marrow transplantation

S. Corbacioglu, E. Carreras, M. Ansari, A. Balduzzi, S. Cesaro, JH. Dalle, F. Dignan, B. Gibson, T. Guengoer, B. Gruhn, A. Lankester, F. Locatelli, A. Pagliuca, C. Peters, PG. Richardson, AS. Schulz, P. Sedlacek, J. Stein, KW. Sykora, J....

. 2018 ; 53 (2) : 138-145. [pub] 20170731

Language English Country England, Great Britain

Document type Journal Article, Research Support, Non-U.S. Gov't

E-resources Online Full text

NLK Free Medical Journals from 1997 to 1 year ago
Freely Accessible Science Journals from 1997 to 1 year ago
ProQuest Central from 2000-01-01 to 1 year ago
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Health & Medicine (ProQuest) from 2000-01-01 to 1 year ago

The advances in hematopoietic cell transplantation (HCT) over the last decade have led to a transplant-related mortality below 15%. Hepatic sinusoidal obstruction syndrome/veno-occlusive disease (SOS/VOD) is a life-threatening complication of HCT that belongs to a group of diseases increasingly identified as transplant-related, systemic endothelial diseases. In most cases, SOS/VOD resolves within weeks; however, severe SOS/VOD results in multi-organ dysfunction/failure with a mortality rate >80%. A timely diagnosis of SOS/VOD is of critical importance, given the availability of therapeutic options with favorable tolerability. Current diagnostic criteria are used for adults and children. However, over the last decade it has become clear that SOS/VOD is significantly different between the age groups in terms of incidence, genetic predisposition, clinical presentation, prevention, treatment and outcome. Improved understanding of SOS/VOD and the availability of effective treatment questions the use of the Baltimore and Seattle criteria for diagnosing SOS/VOD in children. The aim of this position paper is to propose new diagnostic and severity criteria for SOS/VOD in children on behalf of the European Society for Blood and Marrow Transplantation.

Children's Hospital University of Helsinki Helsinki Finland

Department of Clinical Haematology Manchester Royal Infirmary Manchester UK

Department of Haematology King's College Hospital London UK

Department of Hematology and Immunology Hospital Robert Debre Paris 7 Paris Diderot University Paris France

Department of Pediatric Hematology and Oncology University of Pavia IRCCS Ospedale Pediatrico Bambino Gesù Rome Italy

Department of Pediatric Hematology Oncology and Hematopoietic Stem Cell Transplantation University of Medical Sciences Poznan Poland

Department of Pediatric Hematology Oncology and Stem Cell Transplantation University of Regensburg Regensburg Germany

Department of Pediatric Oncohematology Giambattista Rossi University Hospital Verona Italy

Department of Pediatrics Leiden University Medical Center Leiden The Netherlands

Department of Pediatrics St Anna Kinderspital Vienna Austria

Department of Pediatrics University Children's Hospital Ulm Germany

Department of Pediatrics University Hospital Motol Prague Czech Republic

Department of Pediatrics University Hospital of Jena Jena Germany

Division for Stem Cell Transplantation and Immunology Department for Children and Adolescents University Hospital Goethe University Frankfurt Main Germany

Division of Blood and Marrow Transplantation University Children's Hospital Zurich Switzerland

Division of Hematologic Malignancy Department of Medical Oncology Dana Farber Cancer Institute Boston MA USA

Hemato Oncology Unit Department of Pediatrics University Hospital of Geneva Geneva Switzerland

Hematology Department Josep Carreras Foundation and Leukemia Research Institute Hospital Clínic Barcelona Spain

Hôpital Saint Antoine APHP Université Pierre and Marie Curie INSERM UMRS 938 Paris France

Pediatric Clinic University of Milano Bicocca San Gerardo Hospital Milan Italy

Pediatric Hematology Oncology Children's Hospital Medical School Hannover Germany

Pediatric Stem Cell Transplantation Unit Bahçeşehir University School of Medicine Istanbul Turkey

Royal Hospital for Sick Children Glasgow UK

Royal Manchester Children's Hospital Manchester UK

Schneider Children's Medical Center of Israel and Sackler Faculty of Medicine University of Tel Aviv Tel Aviv Israel

Section of Hematology and Coagulation Sahlgrenska University Hospital Gothenburg Sweden

Skåne University Hospital Lund Sweden

University Hospital and Polytechnic La Fe Valencia Spain

References provided by Crossref.org

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