Outcome and treatment of late-onset noninfectious pulmonary complications after allogeneic haematopoietic SCT View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2010-12

AUTHORS

K Ueda, T Watadani, E Maeda, S Ota, K Kataoka, S Seo, K Kumano, A Hangaishi, T Takahashi, Y Imai, K Ohtomo, M Fukayama, Y Nannya, M Kurokawa

ABSTRACT

Late-onset noninfectious pulmonary complications (LONIPCs) are life threatening for allogeneic hematopoietic SCT (allo-HSCT) recipients. However, the impact of LONIPCs on survival has not been properly evaluated and little is known about treatment efficacy. We retrospectively investigated 290 allo-HSCT recipients in our institute and reviewed the clinical aspects of 44 patients who had been diagnosed with LONIPCs. LONIPCs were significantly associated with higher rates of chronic GVHD (P<0001) and nonrelapse mortality (P=0.013), and lower rates of relapse (P=0.009). As a result of these effects, OS was significantly worse in those with LONIPCs (P=0.003). This result differs from a previous report. We then assessed short-term treatment response and final outcome. These results were defined by radiological findings, subjective symptoms, oxygen requirement and survival. Use of inhaled and systemic steroids did not affect either short-term response or final outcomes. However, administration of systemic corticosteroids earlier than at 21 days (median interval of time from onset of symptoms to systemic corticosteroids administration) was associated with a better outcome (P=0.054 for short-term response, and 0.016 for final outcome). Our study indicates that LONIPCs reduce OS, and early intervention with systemic corticosteroids may be effective. More... »

PAGES

1719

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  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1038/bmt.2010.48

    DOI

    http://dx.doi.org/10.1038/bmt.2010.48

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1019769552

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/20208571


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