Centro de Hematologia E Hemoterapia, Universidade Estadual de Campinas, Campinas, SP, Brazil.
Hospital J.M. Ramos Mejía, Sanatorio Las Lomas, Buenos Aires, Argentina.
Curr Hematol Malig Rep. 2021 Oct;16(5):440-447. doi: 10.1007/s11899-021-00654-0. Epub 2021 Oct 15.
Chronic myeloid leukemia (CML) management in developing countries has improved in the last years, but the availability of therapeutic resources, monitoring, reimbursement, and financial issues may be a challenge and interfere with the best practices and results of CML treatment. This review points out the main challenges in CML management in South America.
In this review, we describe the access to tyrosine kinase inhibitors and monitoring in different countries of South America. We also address the ongoing discontinuation trials, the progress, and limitations of hematopoietic stem cell transplantation in the last years. There are still many challenges for achieving the best outcomes for CML patients in South America. The continuous efforts to provide continuous education, access to tyrosine kinase inhibitors, and monitoring, providing reference centers for CML management and hematopoietic stem cell transplantation may improve patients' outcomes.
近年来,发展中国家的慢性髓性白血病(CML)的管理水平已有提高,但治疗资源、监测、报销和财务问题的可及性仍可能是一个挑战,并影响 CML 治疗的最佳实践和结果。本文综述了南美洲 CML 管理方面的主要挑战。
在本综述中,我们描述了南美洲不同国家酪氨酸激酶抑制剂的可及性和监测情况。我们还讨论了正在进行的停药试验、造血干细胞移植在过去几年中的进展和局限性。对于南美洲的 CML 患者来说,要实现最佳治疗效果仍有许多挑战。为了提供持续的教育、酪氨酸激酶抑制剂的可及性和监测、建立 CML 管理和造血干细胞移植的参考中心,不断努力可能会改善患者的预后。