The incidence and risk factors of hepatic veno-occlusive disease after hematopoietic stem cell transplantation in Taiwan View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-03

AUTHORS

Chien-Chang Lee, Hsiu-Hao Chang, Meng-Yao Lu, Yung-Li Yang, Shu-Wei Chou, Dong-Tsamn Lin, Shiann-Tarng Jou, Ming Yao, Chi-Cheng Li, Su-Peng Yeh, Mei-Hui Chen, Jyh-Pyng Gau, Sin-Syue Li, Po-Nan Wang, Yi-Chang Liu, Tso-Fu Wang, Tran-Der Tan, Ming-Yang Lee, Ming-Sun Yu, Chuan-Cheng Wang, Shih-Chiang Lin, Yeu-Chin Chen, Yung-Cheng Su, Ko-Ying Su, Kai-Hsin Lin

ABSTRACT

Hepatic veno-occlusive disease (VOD) is a potentially fatal complication of hematopoietic stem cell transplantation (HSCT). We conducted this study to investigate the incidence and risk factors of hepatic VOD for patients receiving HSCT in Taiwan. We retrospectively analyzed the data from a nationwide registry for patients receiving HSCT, which was collected by the Taiwan Society of Blood and Marrow Transplantation. The data collection period was from 2009 to 2014. A total 2345 patients were reviewed and 39 patients among them were diagnosed as having hepatic VOD. The cumulative incidence of hepatic VOD in the whole cohort of 2345 patients was 1.66%. In multivariate analysis, disease diagnosis of myelodysplastic syndrome, chronic HCV infection, condition regimens of bulsulfan intravenously administered, and antithymocyte immunoglobulin were independent factors to predict higher risk of hepatic VOD. The overall mortality rate for patients with hepatic VOD was 79%. Patients with hepatic VOD had significant worse survival outcomes when compared with those without hepatic VOD (P = 0.00063). In conclusion, although the incidence is low, hepatic VOD remains a serious complication after HSCT in Taiwan. The findings of this study could be the basis for developing prophylactic or early treatment strategies for hepatic VOD. More... »

PAGES

1-8

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00277-019-03604-2

DOI

http://dx.doi.org/10.1007/s00277-019-03604-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1111577165

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30666432


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