Outcomes and costs of autologous stem cell mobilization with chemotherapy plus G-CSF vs G-CSF alone

Chemotherapy plus G-CSF (C+G) and G-CSF alone are two of the most common methods used to mobilize CD34 + cells for autologous hematopoietic SCT (AHSCT). In order to compare and determine the real-world outcomes and costs of these strategies, we performed a retrospective study of 226 consecutive pati...

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Veröffentlicht in:Bone marrow transplantation (Basingstoke) 2013-11, Vol.48 (11), p.1444-1449
Hauptverfasser: Sung, A D, Grima, D T, Bernard, L M, Brown, S, Carrum, G, Holmberg, L, Horwitz, M E, Liesveld, J L, Kanda, J, McClune, B, Shaughnessy, P, Tricot, G J, Chao, N J
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Sprache:eng
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Zusammenfassung:Chemotherapy plus G-CSF (C+G) and G-CSF alone are two of the most common methods used to mobilize CD34 + cells for autologous hematopoietic SCT (AHSCT). In order to compare and determine the real-world outcomes and costs of these strategies, we performed a retrospective study of 226 consecutive patients at 11 medical centers (64 lymphoma, 162 multiple myeloma), of whom 55% of lymphoma patients and 66% of myeloma patients received C+G. Patients with C+G yielded more CD34 + cells/day than those with G-CSF alone (lymphoma: average 5.51 × 10 6  cells/kg on day 1 vs 2.92 × 10 6  cells/kg, P =0.0231; myeloma: 4.16 × 10 6 vs 3.69 × 10 6  cells/kg, P
ISSN:0268-3369
1476-5365
DOI:10.1038/bmt.2013.80