Endocrine complications after hematopoietic stem cell transplantation during childhood—Results from a close follow‐up in a cohort of 152 patients

Context Haematopoietic stem cell transplantation (HSCT) is a therapeutic option for numerous haematologic diseases and solid tumours. Increasing indications for HSCT and reduction in associated mortality have been raising the number of paediatric HSCT survivors and their long‐term toxicities. Object...

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Veröffentlicht in:Clinical endocrinology (Oxford) 2023-02, Vol.98 (2), p.202-211
Hauptverfasser: Figueiredo, Ana Abrantes, Cavaco, Daniela, Damásio, Inês, Maciel, Joana, Pinheiro, Sara, Donato, Sara, Simões‐Pereira, Joana
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Sprache:eng
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Zusammenfassung:Context Haematopoietic stem cell transplantation (HSCT) is a therapeutic option for numerous haematologic diseases and solid tumours. Increasing indications for HSCT and reduction in associated mortality have been raising the number of paediatric HSCT survivors and their long‐term toxicities. Objective To characterize the endocrine disorders developed after HSCT. Design and Patients Retrospective analysis of 152 patients submitted to HSCT in paediatric age with at least 24 months of follow‐up at our endocrine late‐effects clinics. Results Patients were followed up for 9.9 (interquartile range [IQR]: 12.2) years. The median age at HSCT was 7.5 (IQR: 9) years. At least one endocrine complication was observed in 65.1% of the patients. Primary hypogonadism was detected in 34.2%. Female gender (p  10 years old (p = .01) and chemotherapy before HSCT (p 
ISSN:0300-0664
1365-2265
DOI:10.1111/cen.14826