Influence of Age and Histology on Outcome in Adult Non-Hodgkin Lymphoma Patients Undergoing Autologous Hematopoietic Cell Transplantation (HCT): A Report from The Center For International Blood & Marrow Transplant Research (CIBMTR)
Abstract To compare the clinical outcomes of older (age ≥55 years) non-Hodgkin lymphoma (NHL) patients with younger NHL patients (
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| Veröffentlicht in: | Biology of blood and marrow transplantation 2008-12, Vol.14 (12), p.1323-1333 |
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| creator | Lazarus, Hillard M Carreras, Jeanette Boudreau, Christian Loberiza, Fausto R Armitage, James O Bolwell, Brian J Freytes, César O Gale, Robert Peter Gibson, John Hale, Gregory A Inwards, David J LeMaistre, Charles F Maharaj, Dipnarine Marks, David I Miller, Alan M Pavlovsky, Santiago Schouten, Harry C van Besien, Koen Vose, Julie M Bitran, Jacob D Khouri, Issa F McCarthy, Philip L Yu, Hongmei Rowlings, Philip Serna, Derek S Horowitz, Mary M Rizzo, J. Douglas |
| description | Abstract To compare the clinical outcomes of older (age ≥55 years) non-Hodgkin lymphoma (NHL) patients with younger NHL patients ( |
| doi_str_mv | 10.1016/j.bbmt.2008.09.008 |
| format | Article |
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Douglas</creator><creatorcontrib>Lazarus, Hillard M ; Carreras, Jeanette ; Boudreau, Christian ; Loberiza, Fausto R ; Armitage, James O ; Bolwell, Brian J ; Freytes, César O ; Gale, Robert Peter ; Gibson, John ; Hale, Gregory A ; Inwards, David J ; LeMaistre, Charles F ; Maharaj, Dipnarine ; Marks, David I ; Miller, Alan M ; Pavlovsky, Santiago ; Schouten, Harry C ; van Besien, Koen ; Vose, Julie M ; Bitran, Jacob D ; Khouri, Issa F ; McCarthy, Philip L ; Yu, Hongmei ; Rowlings, Philip ; Serna, Derek S ; Horowitz, Mary M ; Rizzo, J. Douglas ; Center For International Blood & Marrow Transplant Research (CIBMTR)</creatorcontrib><description>Abstract To compare the clinical outcomes of older (age ≥55 years) non-Hodgkin lymphoma (NHL) patients with younger NHL patients (<55 years) receiving autologous hematopoietic cell transplantation (HCT) while adjusting for patient-, disease-, and treatment-related variables, we compared autologous HCT outcomes in 805 NHL patients aged ≥55 years to 1949 NHL patients <55 years during the years 1990–2000 using data reported to the Center for International Blood and Marrow Transplant Research (CIBMTR). In multivariate analysis, older patients with aggressive histologies were 1.86 times (95% confidence interval [CI] 1.43-2.43, P < .001) more likely than younger patients to experience treatment-related mortality (TRM). Relative death risks were 1.33 times (CI 1.04-1.71, P = .024) and 1.50 times (CI 1.33-16.9, P < .001) higher in older compared to younger patients with follicular grade I/II and aggressive histologies, respectively. Autologous HCT in older NHL patients is feasible, but most disease-related outcomes are statistically inferior to younger patients. Studies addressing supportive care particular to older patients, who are most likely to benefit from this approach, are recommended.</description><identifier>ISSN: 1083-8791</identifier><identifier>EISSN: 1523-6536</identifier><identifier>DOI: 10.1016/j.bbmt.2008.09.008</identifier><identifier>PMID: 19041053</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Age Factors ; Aged ; Autologous HCT ; Disease-Free Survival ; Elderly ; Female ; Hematology, Oncology and Palliative Medicine ; Hematopoietic Stem Cell Transplantation ; Humans ; Lymphoma, Non-Hodgkin - mortality ; Lymphoma, Non-Hodgkin - pathology ; Lymphoma, Non-Hodgkin - therapy ; Male ; Middle Aged ; Non-Hodgkin lymphoma ; Relapse ; Retrospective Studies ; Second complete remission ; Survival Rate ; Transplantation, Autologous</subject><ispartof>Biology of blood and marrow transplantation, 2008-12, Vol.14 (12), p.1323-1333</ispartof><rights>American Society for Blood and Marrow Transplantation</rights><rights>2008 American Society for Blood and Marrow Transplantation</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c453t-7a21ef4215790e9aaa6608e909e93cd6898b6e160b081fddad8d4c54b51fe9e03</citedby><cites>FETCH-LOGICAL-c453t-7a21ef4215790e9aaa6608e909e93cd6898b6e160b081fddad8d4c54b51fe9e03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1083879108003984$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19041053$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lazarus, Hillard M</creatorcontrib><creatorcontrib>Carreras, Jeanette</creatorcontrib><creatorcontrib>Boudreau, Christian</creatorcontrib><creatorcontrib>Loberiza, Fausto R</creatorcontrib><creatorcontrib>Armitage, James O</creatorcontrib><creatorcontrib>Bolwell, Brian J</creatorcontrib><creatorcontrib>Freytes, César O</creatorcontrib><creatorcontrib>Gale, Robert Peter</creatorcontrib><creatorcontrib>Gibson, John</creatorcontrib><creatorcontrib>Hale, Gregory A</creatorcontrib><creatorcontrib>Inwards, David J</creatorcontrib><creatorcontrib>LeMaistre, Charles F</creatorcontrib><creatorcontrib>Maharaj, Dipnarine</creatorcontrib><creatorcontrib>Marks, David I</creatorcontrib><creatorcontrib>Miller, Alan M</creatorcontrib><creatorcontrib>Pavlovsky, Santiago</creatorcontrib><creatorcontrib>Schouten, Harry C</creatorcontrib><creatorcontrib>van Besien, Koen</creatorcontrib><creatorcontrib>Vose, Julie M</creatorcontrib><creatorcontrib>Bitran, Jacob D</creatorcontrib><creatorcontrib>Khouri, Issa F</creatorcontrib><creatorcontrib>McCarthy, Philip L</creatorcontrib><creatorcontrib>Yu, Hongmei</creatorcontrib><creatorcontrib>Rowlings, Philip</creatorcontrib><creatorcontrib>Serna, Derek S</creatorcontrib><creatorcontrib>Horowitz, Mary M</creatorcontrib><creatorcontrib>Rizzo, J. Douglas</creatorcontrib><creatorcontrib>Center For International Blood & Marrow Transplant Research (CIBMTR)</creatorcontrib><title>Influence of Age and Histology on Outcome in Adult Non-Hodgkin Lymphoma Patients Undergoing Autologous Hematopoietic Cell Transplantation (HCT): A Report from The Center For International Blood & Marrow Transplant Research (CIBMTR)</title><title>Biology of blood and marrow transplantation</title><addtitle>Biol Blood Marrow Transplant</addtitle><description>Abstract To compare the clinical outcomes of older (age ≥55 years) non-Hodgkin lymphoma (NHL) patients with younger NHL patients (<55 years) receiving autologous hematopoietic cell transplantation (HCT) while adjusting for patient-, disease-, and treatment-related variables, we compared autologous HCT outcomes in 805 NHL patients aged ≥55 years to 1949 NHL patients <55 years during the years 1990–2000 using data reported to the Center for International Blood and Marrow Transplant Research (CIBMTR). In multivariate analysis, older patients with aggressive histologies were 1.86 times (95% confidence interval [CI] 1.43-2.43, P < .001) more likely than younger patients to experience treatment-related mortality (TRM). Relative death risks were 1.33 times (CI 1.04-1.71, P = .024) and 1.50 times (CI 1.33-16.9, P < .001) higher in older compared to younger patients with follicular grade I/II and aggressive histologies, respectively. Autologous HCT in older NHL patients is feasible, but most disease-related outcomes are statistically inferior to younger patients. Studies addressing supportive care particular to older patients, who are most likely to benefit from this approach, are recommended.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Autologous HCT</subject><subject>Disease-Free Survival</subject><subject>Elderly</subject><subject>Female</subject><subject>Hematology, Oncology and Palliative Medicine</subject><subject>Hematopoietic Stem Cell Transplantation</subject><subject>Humans</subject><subject>Lymphoma, Non-Hodgkin - mortality</subject><subject>Lymphoma, Non-Hodgkin - pathology</subject><subject>Lymphoma, Non-Hodgkin - therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Non-Hodgkin lymphoma</subject><subject>Relapse</subject><subject>Retrospective Studies</subject><subject>Second complete remission</subject><subject>Survival Rate</subject><subject>Transplantation, Autologous</subject><issn>1083-8791</issn><issn>1523-6536</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9Uk1vEzEUXCEQLYU_wAG9U9UeEuz9yhpVSGlESaSUopKeLa_9NnG6awfbC8ov5m_gbSKBOHCaJ2tmrHnzkuQtJWNKaPl-O67rLoxTQqoxYeMIz5JTWqTZqCyy8nmcSZWNqgmjJ8kr77eEkElesZfJCWUkp6TITpNfC9O0PRqJYBuYrhGEUTDXPtjWrvdgDdz1QdoOQRuYqr4N8MWa0dyq9WN8We673cZ2Ar6KoNEEDw9GoVtbbdYw7Z9cbO9hjp0Idmc1Bi1hhm0LKyeM37XChCiN_1zMZ6vLDzCFe9xZF6BxtoPVBiPbBHRwYx0shsk88UUL1621Cs7hVjhnf_5lGC08Cic3cDFbXN-u7i9fJy8a0Xp8c8Sz5OHm02o2Hy3vPi9m0-VI5kUWRhORUmzylBYTRpAJIcqSVMgIQ5ZJVVasqkukJalJRRulhKpULou8LmiDDEl2lpwffHfOfu_RB95pL2NcYTDugZesyvOSZpGYHojSWe8dNnzndCfcnlPCh3r5lg_18qFeThiPEEXvju593aH6Izn2GQlXBwLGjD80Ou6lHtpV2qEMXFn9f_-P_8hlq42Won3EPfqt7ePyW88p9ykn_NtwYMN9kYqQLCbLfgMyHc5l</recordid><startdate>20081201</startdate><enddate>20081201</enddate><creator>Lazarus, Hillard M</creator><creator>Carreras, Jeanette</creator><creator>Boudreau, Christian</creator><creator>Loberiza, Fausto R</creator><creator>Armitage, James O</creator><creator>Bolwell, Brian J</creator><creator>Freytes, César O</creator><creator>Gale, Robert Peter</creator><creator>Gibson, John</creator><creator>Hale, Gregory A</creator><creator>Inwards, David J</creator><creator>LeMaistre, Charles F</creator><creator>Maharaj, Dipnarine</creator><creator>Marks, David I</creator><creator>Miller, Alan M</creator><creator>Pavlovsky, Santiago</creator><creator>Schouten, Harry C</creator><creator>van Besien, Koen</creator><creator>Vose, Julie M</creator><creator>Bitran, Jacob D</creator><creator>Khouri, Issa F</creator><creator>McCarthy, Philip L</creator><creator>Yu, Hongmei</creator><creator>Rowlings, Philip</creator><creator>Serna, Derek S</creator><creator>Horowitz, Mary M</creator><creator>Rizzo, J. 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Douglas</creatorcontrib><creatorcontrib>Center For International Blood & Marrow Transplant Research (CIBMTR)</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Biology of blood and marrow transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lazarus, Hillard M</au><au>Carreras, Jeanette</au><au>Boudreau, Christian</au><au>Loberiza, Fausto R</au><au>Armitage, James O</au><au>Bolwell, Brian J</au><au>Freytes, César O</au><au>Gale, Robert Peter</au><au>Gibson, John</au><au>Hale, Gregory A</au><au>Inwards, David J</au><au>LeMaistre, Charles F</au><au>Maharaj, Dipnarine</au><au>Marks, David I</au><au>Miller, Alan M</au><au>Pavlovsky, Santiago</au><au>Schouten, Harry C</au><au>van Besien, Koen</au><au>Vose, Julie M</au><au>Bitran, Jacob D</au><au>Khouri, Issa F</au><au>McCarthy, Philip L</au><au>Yu, Hongmei</au><au>Rowlings, Philip</au><au>Serna, Derek S</au><au>Horowitz, Mary M</au><au>Rizzo, J. 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In multivariate analysis, older patients with aggressive histologies were 1.86 times (95% confidence interval [CI] 1.43-2.43, P < .001) more likely than younger patients to experience treatment-related mortality (TRM). Relative death risks were 1.33 times (CI 1.04-1.71, P = .024) and 1.50 times (CI 1.33-16.9, P < .001) higher in older compared to younger patients with follicular grade I/II and aggressive histologies, respectively. Autologous HCT in older NHL patients is feasible, but most disease-related outcomes are statistically inferior to younger patients. Studies addressing supportive care particular to older patients, who are most likely to benefit from this approach, are recommended.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>19041053</pmid><doi>10.1016/j.bbmt.2008.09.008</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1083-8791 |
| ispartof | Biology of blood and marrow transplantation, 2008-12, Vol.14 (12), p.1323-1333 |
| issn | 1083-8791 1523-6536 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_69844613 |
| source | MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adult Age Factors Aged Autologous HCT Disease-Free Survival Elderly Female Hematology, Oncology and Palliative Medicine Hematopoietic Stem Cell Transplantation Humans Lymphoma, Non-Hodgkin - mortality Lymphoma, Non-Hodgkin - pathology Lymphoma, Non-Hodgkin - therapy Male Middle Aged Non-Hodgkin lymphoma Relapse Retrospective Studies Second complete remission Survival Rate Transplantation, Autologous |
| title | Influence of Age and Histology on Outcome in Adult Non-Hodgkin Lymphoma Patients Undergoing Autologous Hematopoietic Cell Transplantation (HCT): A Report from The Center For International Blood & Marrow Transplant Research (CIBMTR) |
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