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Solid organ transplantation after hematopoietic stem cell transplantation in childhood: A multicentric retrospective survey
M. Faraci, A. Bertaina, A. Dalissier, M. Ifversen, A. Schulz, A. Gennery, B. Burkhardt, I. Badell Serra, C. Diaz-de-Heredia, E. Lanino, AC. Lankester, B. Gruhn, S. Matthes-Martin, JS. Kühl, S. Varotto, C. Paillard, A. Guilmatre, A. Sastre, M....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, multicentrická studie
NLK
Free Medical Journals
od 2001 do 2022
Wiley Free Content
od 2001 do 2022
ROAD: Directory of Open Access Scholarly Resources
od 2001
PubMed
30586230
DOI
10.1111/ajt.15240
Knihovny.cz E-zdroje
- MeSH
- alografty MeSH
- autologní štěp MeSH
- dítě MeSH
- kohortové studie MeSH
- kojenec MeSH
- lidé MeSH
- míra přežití MeSH
- mladiství MeSH
- nemoc štěpu proti hostiteli etiologie chirurgie MeSH
- předškolní dítě MeSH
- proporcionální rizikové modely MeSH
- průzkumy a dotazníky MeSH
- retrospektivní studie MeSH
- transplantace hematopoetických kmenových buněk škodlivé účinky MeSH
- transplantace jater MeSH
- transplantace ledvin MeSH
- transplantace orgánů * škodlivé účinky mortalita MeSH
- transplantace plic MeSH
- transplantace srdce MeSH
- výsledek terapie MeSH
- Check Tag
- dítě MeSH
- kojenec MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- Geografické názvy
- Evropa MeSH
We report data obtained from a retrospective multicenter pediatric survey on behalf of the European Society for Blood and Marrow Transplantation (EBMT). Information on solid organ transplantation (SOT) performed in pediatric recipients of either autologous or allogeneic hematopoietic stem cell transplantation (HSCT) between 1984 and 2016 was collected in 20 pediatric EBMT Centers (25.6%). Overall, we evaluated data on 44 SOTs following HSCT including 20 liver (LTx), 12 lung (LuTx), 6 heart (HTx), and 6 kidney (KTx) transplantations. The indication for SOT was organ failure related to intractable graft-vs-host disease in 16 children (36.3%), acute or chronic HSCT-related toxicity in 18 (40.9%), and organ dysfunction related to the underlying disease in 10 (22.8%). The median follow-up was 10.9 years (95% confidence interval: 1.7-29.5). The overall survival rate at 1 and 5 years after SOT was 85.7% and 80.4%, respectively: it was 74% and 63.2% after LTx, 83.2% after HTx, and 100% equally after LuTx and KTx. This multicenter survey confirms that SOT represents a promising option in children with severe organ failure occurring after HSCT. Additional studies are needed to further establish the effectiveness of SOT after HSCT and to better understand the mechanism underlying this encouraging success.
Department of Pediatric Oncology and Hematology Hospital Universitario Vall d'Hebron Barcelona Spain
Department of Pediatrics Jena University Hospital Jena Germany
Department of Pediatrics University Medical Center Ulm Germany
Department Pediatric Hematology Oncology Hemostaseology Universitätsklinikum Leipzig Leipzig Germany
European Society for Blood and Marrow Transplantation Pediatric Disease Working Party Paris France
Hematopoietic Stem Cell Transplantation Unit Hematology Oncology Istituto G Gaslini Genova Italy
Instute Portugues Oncologia Lisboa Lisboa Portugal
Pediatric Hematology and Oncology University Hospital Münster Muenster Germany
Pediatric Hematopoietic Transplant Unit Sant Pau Hospital Barcelona Spain
Service of Pediatric Hematology Oncology Hôpital Armand Trousseau Paris France
St Anna Children's Hospital Medical University of Vienna Vienna Austria
Unidad de Hematología y Oncología Pediátrica Hospital Universitario La Paz Madrid Spain
Citace poskytuje Crossref.org
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- $a We report data obtained from a retrospective multicenter pediatric survey on behalf of the European Society for Blood and Marrow Transplantation (EBMT). Information on solid organ transplantation (SOT) performed in pediatric recipients of either autologous or allogeneic hematopoietic stem cell transplantation (HSCT) between 1984 and 2016 was collected in 20 pediatric EBMT Centers (25.6%). Overall, we evaluated data on 44 SOTs following HSCT including 20 liver (LTx), 12 lung (LuTx), 6 heart (HTx), and 6 kidney (KTx) transplantations. The indication for SOT was organ failure related to intractable graft-vs-host disease in 16 children (36.3%), acute or chronic HSCT-related toxicity in 18 (40.9%), and organ dysfunction related to the underlying disease in 10 (22.8%). The median follow-up was 10.9 years (95% confidence interval: 1.7-29.5). The overall survival rate at 1 and 5 years after SOT was 85.7% and 80.4%, respectively: it was 74% and 63.2% after LTx, 83.2% after HTx, and 100% equally after LuTx and KTx. This multicenter survey confirms that SOT represents a promising option in children with severe organ failure occurring after HSCT. Additional studies are needed to further establish the effectiveness of SOT after HSCT and to better understand the mechanism underlying this encouraging success.
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