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Clinical effects of autologous stem cell transplantation as consolidation treatment in 70 multiple myeloma patients: a case-controlled study / 中华医学杂志(英文版)
Chinese Medical Journal ; (24): 2975-2980, 2011.
Article Dans Anglais | WPRIM | ID: wpr-292770
ABSTRACT
<p><b>BACKGROUND</b>Autologous stem cell transplantation (ASCT) is a part of the standard induction therapy of multiple myeloma (MM). This case-controlled clinical trial aimed to further evaluate the therapeutic effects of ASCT as a consolidation therapy for MM and discuss factors influencing the prognosis.</p><p><b>METHODS</b>Clinical data of 70 patients diagnosed as MM who received ASCT as a consolidation therapy in our hospital between October 1998 and August 2010 were analyzed retrospectively (ASCT group). Other 70 MM patients receiving routine chemotherapy without ASCT (non-ASCT group) during the same period were used as controls. Differences in the degree and duration of remission, progression-free survival (PFS) and overall survival (OS) were compared to explore factors that may influence the prognosis.</p><p><b>RESULTS</b>The median follow-up period was 38 months (range 1 - 128 months). The complete response (CR) rate of ASCT group increased from 27.1% (19/70) before ASCT to 51.4% (36/70) after ASCT. The median PFS of ASCT group was significantly higher than non-ASCT group (45 months vs. 25 months, P < 0.001). The median OS of ASCT group was also significantly higher (55 months vs. 30 months, P = 0.016). Single-factor analysis showed that International Staging System (ISS) stage, very good partial response (VGPR) or better outcome were significantly correlated with PFS and OS (P < 0.001). Multi-factor analysis showed that whether or not VGPR or better outcome was achieved were independent factors influencing the disease prognosis.</p><p><b>CONCLUSION</b>Used as a consolidation therapy, ASCT can achieve better responses and higher OS and PFS of MM patients.</p>
Sujets)
Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Pronostic / Thérapeutique / Transplantation autologue / Induction de rémission / Études rétrospectives / Résultat thérapeutique / Transplantation de cellules souches / Myélome multiple Type d'étude: Étude observationnelle / Étude pronostique Limites du sujet: Adulte / Femelle / Humains / Mâle langue: Anglais Texte intégral: Chinese Medical Journal Année: 2011 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Pronostic / Thérapeutique / Transplantation autologue / Induction de rémission / Études rétrospectives / Résultat thérapeutique / Transplantation de cellules souches / Myélome multiple Type d'étude: Étude observationnelle / Étude pronostique Limites du sujet: Adulte / Femelle / Humains / Mâle langue: Anglais Texte intégral: Chinese Medical Journal Année: 2011 Type: Article