Standard of care of patients with Chronic Myeloid Leukemia (CML) treated in community based oncology group practices between 2001-2015 in Rhineland- Palatinate (Germany)
Appl. cancer res
;
37: 1-8, 2017. tab, ilus
Artículo
en Inglés
| LILACS, Inca
| ID: biblio-915148
ABSTRACT
Background:
The aim of this study was to assess retrospectively treatment and outcome of CML-patients in community based oncology practices in Germany and whether European LeukemiaNET (ELN) recommendations were followed.Method:
All Ph+, BCR-ABL1+ CML-patients who were treated between 11/2001 and 12/2015 in nine oncology group practices were analyzed retrospectively.Results:
Two hundred sixty patients with a median age of 60 (1890) were analyzed. 254 (98%) were in chronic phase, 5 (2%) in accelerated and 1 (0.4%) in blast crisis. 248 patients (95%) received some form of TKI-therapy. 1st line TKI was imatinib in 197 patients (79%), 51 (21%) received a second generation TKI. 75% of TKI-therapies were monitored by PCR. Overall survival after 10 years according to Charlson comorbidity index (CCI) was CCI 2 100%; CCI 34 83%; CCI 56 52%; CCI ≥7 39%. More patients died from comorbidities (8%) than from CML (5%). Whether patients died was strongly correlated to CCI at diagnosis CCI 2 3% of patients died, CCI 34 16% of patients died, CCI 56 38% of patients died, CCI ≥ 7 42% of patients died.Conclusion:
CML-patients treated in oncology group practices receive standard of care as recommended by ELN. Overall survival in routine care is comparable to international studies. Molecular monitoring should be improved (AU)
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Índice:
LILACS (Américas)
Asunto principal:
Leucemia Mielógena Crónica BCR-ABL Positiva
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Comorbilidad
/
Estudios Retrospectivos
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Nivel de Atención
/
Práctica de Grupo
Tipo de estudio:
Guía de Práctica Clínica
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Estudio observacional
Límite:
Adulto
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Anciano
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Femenino
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Humanos
/
Masculino
Idioma:
Inglés
Revista:
Appl. cancer res
Asunto de la revista:
Neoplasmas
Año:
2017
Tipo del documento:
Artículo
País de afiliación:
Alemania
Institución/País de afiliación:
Gemeinschaftspraxis für Hämatologie und Onkologie/DE
/
Gemeinschaftspraxis für Hämatologie,/DE
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Institut für Versorgungsforschung in der Onkologie/DE
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Internistische Gemeinschaftspraxis Hämatologie, Onkologie/DE
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Onkologische Schwerpunktpraxis/DE
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Praxis für Hämatologie und Onkologie/DE
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Praxisklinik für Hämatologie und Onkologie/DE
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Schwerpunktpraxis Hämatologie und Internistische Onkologie/DE
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Schwerpunktpraxis für Hämatologie und Onkologie/DE
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