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造血干细胞移植后造血干细胞功能不良的挽救:代表法语国家骨髓移植和细胞治疗学会(SFGM-TC)的一项多中心回顾性研究。

Efficacy of haematopoietic stem cell boost as a rescue for poor graft function after haematopoietic stem cell transplantation: A multicentre retrospective study on behalf of the Francophone Society of Bone Marrow Transplantation and Cellular Therapy (SFGM-TC).

机构信息

Department of Pediatric Hematology Oncology, University Hospital of Nancy, Nancy, France.

Department of Pediatric Intensive Care, University Hospital of Nancy, Nancy, France.

出版信息

Br J Haematol. 2023 Jun;201(6):1153-1158. doi: 10.1111/bjh.18744. Epub 2023 Mar 27.

Abstract

Haematopoietic stem cell reinjection may be a curative option for poor graft function after haematopoietic stem cell transplantation; however, literature supporting its use remains limited. We conducted a multicentre retrospective study on behalf of the Francophone Society of Bone Marrow Transplantation and Cellular Therapy, including 55 patients. We demonstrated response rates of nearly 40% and two-year survival of more than 60% in the context of an otherwise deadly complication and we observed that the timing of injection and the degree of cytopenia are strongly associated with outcomes. This study shows the feasibility of the procedure informing on its epidemiology, outcomes and prognostic factors, setting the stage for future guidelines.

摘要

造血干细胞再输注可能是造血干细胞移植后造血功能不良的一种治疗选择;然而,支持其使用的文献仍然有限。我们代表法语骨髓移植和细胞治疗学会进行了一项多中心回顾性研究,共纳入 55 例患者。我们证明,在这种情况下,死亡率极高的严重并发症中,反应率接近 40%,两年生存率超过 60%,并且我们观察到注射时机和血细胞减少程度与结果密切相关。该研究表明了该程序的可行性,为其流行病学、结果和预后因素提供了信息,为未来的指南奠定了基础。

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