Allogeneic hemopoietic SCT for patients with primary myelofibrosis: a predictive transplant score based on transfusion requirement, spleen size and donor ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2009-08-31

AUTHORS

A Bacigalupo, M Soraru, A Dominietto, S Pozzi, S Geroldi, M T Van Lint, A Ibatici, A M Raiola, F Frassoni, F De Stefano, S Verdiani, L Casarino, G Barosi

ABSTRACT

A total of 46 patients with primary myelofibrosis (PMF) (median age 51 years), underwent an allogeneic hemopoietic SCT (HSCT) after a thiotepa-based reduced-intensity conditioning regimen. The median follow-up for surviving patients is 3.8 years. In multivariate analysis, independent unfavorable factors for survival were RBC transfusions >20, a spleen size >22 cm and an alternative donor—24 patients had 0–1 unfavorable predictors (low risk) and 22 patients had 2 or more negative predictors (high risk). The overall actuarial 5-year survival of the 46 patients is 45%. The actuarial survival of low-risk and high-risk patients is, respectively, 77 and 8% (P<0.0001); this is because of a higher TRM for high-risk patients (RR, 6.0, P=0.006) and a higher relapse-related death (RR, 7.69; P=0.001). In multivariate Cox analysis, the score maintained its predictive value (P=0.0003), even after correcting for donor–patient age and gender, Dupriez score, IPSS (International Prognostic Scoring System) score pre-transplant and splenectomy. In conclusion, PMF patients undergoing an allogeneic HSCT may be scored according to the spleen size, transfusion history and donor type; this scoring system may be useful to discuss transplant strategies. More... »

PAGES

458-463

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/bmt.2009.188

DOI

http://dx.doi.org/10.1038/bmt.2009.188

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1047801795

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19718055


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