Incidence and predictors of delayed chronic kidney disease in long‐term survivors of hematopoietic cell transplantation

BACKGROUND. The authors investigated the risk of delayed chronic kidney disease (CKD) in 1190 adult hematopoietic cell transplantation (HCT) survivors who underwent HCT for hematologic malignancies or aplastic anemia between 1976 and 1997 and survived for at least 1 year. METHODS. CKD was defined as...

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Veröffentlicht in:Cancer 2008-10, Vol.113 (7), p.1580-1587
Hauptverfasser: Choi, Michael, Sun, Can‐Lan, Kurian, Seira, Carter, Andrea, Francisco, Liton, Forman, Stephen J, Bhatia, Smita
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container_end_page 1587
container_issue 7
container_start_page 1580
container_title Cancer
container_volume 113
creator Choi, Michael
Sun, Can‐Lan
Kurian, Seira
Carter, Andrea
Francisco, Liton
Forman, Stephen J
Bhatia, Smita
description BACKGROUND. The authors investigated the risk of delayed chronic kidney disease (CKD) in 1190 adult hematopoietic cell transplantation (HCT) survivors who underwent HCT for hematologic malignancies or aplastic anemia between 1976 and 1997 and survived for at least 1 year. METHODS. CKD was defined as a sustained elevation of serum creatinine that indicated a glomerular filtration rate of
doi_str_mv 10.1002/cncr.23773
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The authors investigated the risk of delayed chronic kidney disease (CKD) in 1190 adult hematopoietic cell transplantation (HCT) survivors who underwent HCT for hematologic malignancies or aplastic anemia between 1976 and 1997 and survived for at least 1 year. METHODS. CKD was defined as a sustained elevation of serum creatinine that indicated a glomerular filtration rate of &lt;60 mL per minute per 1.73 m2 for ≥3 months. The median age at HCT was 35 years (range, 18.1‐68.6 years), and the median length of follow‐up was 7.1 years after HCT (range, 1‐24.3 years). RESULTS. Sixty patients with CKD were identified, resulting in a cumulative incidence of 4.4% at 5 years (autologous HCT, 3.8%; matched‐sibling HCT, 4.5%; unrelated donor HCT, 10%; P = .09 compared with autologous HCT). Older age at HCT (relative risk [RR] per 5‐year increment, 1.33; 95% confidence interval [CI], 1.2‐1.5), exposure to cyclosporine without tacrolimus (RR, 1.90; 95% CI, 1.1‐3.4) or with tacrolimus (RR, 4.59; 95% CI, 1.8‐11.5), and a primary diagnosis of multiple myeloma (RR, 2.51; 95% CI, 1.1‐5.6) were associated with an increased risk of delayed CKD. CONCLUSIONS. In this study, the authors identified a subpopulation of patients who underwent HCT and remained at increased risk for CKD. The current findings set the stage for appropriate long‐term follow‐up of vulnerable patients. Cancer 2008. © 2008 American Cancer Society. In this study, the authors identified a subpopulation of patients who underwent hematopoietic cell transplantation and were at increased risk for chronic kidney disease. These findings set the stage for appropriate long‐term follow‐up of vulnerable patients.</description><identifier>ISSN: 0008-543X</identifier><identifier>EISSN: 1097-0142</identifier><identifier>DOI: 10.1002/cncr.23773</identifier><identifier>PMID: 18704986</identifier><identifier>CODEN: CANCAR</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adolescent ; Adult ; Aged ; Anemia, Aplastic - therapy ; Biological and medical sciences ; calcineurin inhibitors ; Chronic Disease ; Cohort Studies ; cyclosporine A ; Female ; graft‐versus‐host disease ; Hematologic Neoplasms - therapy ; hematopoietic cell transplantation ; Hematopoietic Stem Cell Transplantation - adverse effects ; Humans ; Incidence ; Kidney Diseases - epidemiology ; Kidney Diseases - etiology ; Kidneys ; Male ; Medical sciences ; Middle Aged ; Nephrology. Urinary tract diseases ; nephrotoxicity ; primary multiple myeloma ; Retrospective Studies ; Risk ; Survivors ; tacrolimus ; Transplantation, Autologous ; Transplantation, Homologous ; Tumors ; Urinary system involvement in other diseases. Miscellaneous</subject><ispartof>Cancer, 2008-10, Vol.113 (7), p.1580-1587</ispartof><rights>Copyright © 2008 American Cancer Society</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5143-6bb5fbabd7d094a1aa0ab3268e55f008111806489c45cd2402c4cc874df548393</citedby><cites>FETCH-LOGICAL-c5143-6bb5fbabd7d094a1aa0ab3268e55f008111806489c45cd2402c4cc874df548393</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fcncr.23773$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fcncr.23773$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,1427,27903,27904,45553,45554,46387,46811</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=20904801$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18704986$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Choi, Michael</creatorcontrib><creatorcontrib>Sun, Can‐Lan</creatorcontrib><creatorcontrib>Kurian, Seira</creatorcontrib><creatorcontrib>Carter, Andrea</creatorcontrib><creatorcontrib>Francisco, Liton</creatorcontrib><creatorcontrib>Forman, Stephen J</creatorcontrib><creatorcontrib>Bhatia, Smita</creatorcontrib><title>Incidence and predictors of delayed chronic kidney disease in long‐term survivors of hematopoietic cell transplantation</title><title>Cancer</title><addtitle>Cancer</addtitle><description>BACKGROUND. The authors investigated the risk of delayed chronic kidney disease (CKD) in 1190 adult hematopoietic cell transplantation (HCT) survivors who underwent HCT for hematologic malignancies or aplastic anemia between 1976 and 1997 and survived for at least 1 year. METHODS. CKD was defined as a sustained elevation of serum creatinine that indicated a glomerular filtration rate of &lt;60 mL per minute per 1.73 m2 for ≥3 months. The median age at HCT was 35 years (range, 18.1‐68.6 years), and the median length of follow‐up was 7.1 years after HCT (range, 1‐24.3 years). RESULTS. Sixty patients with CKD were identified, resulting in a cumulative incidence of 4.4% at 5 years (autologous HCT, 3.8%; matched‐sibling HCT, 4.5%; unrelated donor HCT, 10%; P = .09 compared with autologous HCT). Older age at HCT (relative risk [RR] per 5‐year increment, 1.33; 95% confidence interval [CI], 1.2‐1.5), exposure to cyclosporine without tacrolimus (RR, 1.90; 95% CI, 1.1‐3.4) or with tacrolimus (RR, 4.59; 95% CI, 1.8‐11.5), and a primary diagnosis of multiple myeloma (RR, 2.51; 95% CI, 1.1‐5.6) were associated with an increased risk of delayed CKD. CONCLUSIONS. In this study, the authors identified a subpopulation of patients who underwent HCT and remained at increased risk for CKD. The current findings set the stage for appropriate long‐term follow‐up of vulnerable patients. Cancer 2008. © 2008 American Cancer Society. In this study, the authors identified a subpopulation of patients who underwent hematopoietic cell transplantation and were at increased risk for chronic kidney disease. These findings set the stage for appropriate long‐term follow‐up of vulnerable patients.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Anemia, Aplastic - therapy</subject><subject>Biological and medical sciences</subject><subject>calcineurin inhibitors</subject><subject>Chronic Disease</subject><subject>Cohort Studies</subject><subject>cyclosporine A</subject><subject>Female</subject><subject>graft‐versus‐host disease</subject><subject>Hematologic Neoplasms - therapy</subject><subject>hematopoietic cell transplantation</subject><subject>Hematopoietic Stem Cell Transplantation - adverse effects</subject><subject>Humans</subject><subject>Incidence</subject><subject>Kidney Diseases - epidemiology</subject><subject>Kidney Diseases - etiology</subject><subject>Kidneys</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>nephrotoxicity</subject><subject>primary multiple myeloma</subject><subject>Retrospective Studies</subject><subject>Risk</subject><subject>Survivors</subject><subject>tacrolimus</subject><subject>Transplantation, Autologous</subject><subject>Transplantation, Homologous</subject><subject>Tumors</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><issn>0008-543X</issn><issn>1097-0142</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc-KFDEQxoMo7rh68QEkFz0IvSbppDt9EWTwz8KiIAreQjqp3ommkzbpGembj-Az-iRmnGbVi6dQ5FffV1UfQg8puaCEsGcmmHTB6ratb6ENJV1bEcrZbbQhhMhK8PrTGbqX8-dStkzUd9EZlS3hnWw2aLkMxlkIBrAOFk8JrDNzTBnHAVvwegGLzS7F4Az-4myABVuXQWfALmAfw_XP7z9mSCPO-3Rwh7V1B6Oe4xQdzKXRgPd4Tjrkyesw69nFcB_dGbTP8GB9z9HHVy8_bN9UV-9eX25fXFVGUF5XTd-Lode9bS3puKZaE93XrJEgxFD2o5RK0nDZGS6MZZwww42RLbeD4LLu6nP0_KQ77fsRrIFQBvFqSm7UaVFRO_XvT3A7dR0PiomWEsmKwJNVIMWve8izGl0-bqQDxH1WTSc6Spks4NMTaFLMOcFwY0KJOialjkmp30kV-NHfY_1B12gK8HgFdDbaD-V6xuUbjpGOcElo4eiJ--Y8LP-xVNu32_cn819HPrAs</recordid><startdate>20081001</startdate><enddate>20081001</enddate><creator>Choi, Michael</creator><creator>Sun, Can‐Lan</creator><creator>Kurian, Seira</creator><creator>Carter, Andrea</creator><creator>Francisco, Liton</creator><creator>Forman, Stephen J</creator><creator>Bhatia, Smita</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20081001</creationdate><title>Incidence and predictors of delayed chronic kidney disease in long‐term survivors of hematopoietic cell transplantation</title><author>Choi, Michael ; Sun, Can‐Lan ; Kurian, Seira ; Carter, Andrea ; Francisco, Liton ; Forman, Stephen J ; Bhatia, Smita</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5143-6bb5fbabd7d094a1aa0ab3268e55f008111806489c45cd2402c4cc874df548393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Anemia, Aplastic - therapy</topic><topic>Biological and medical sciences</topic><topic>calcineurin inhibitors</topic><topic>Chronic Disease</topic><topic>Cohort Studies</topic><topic>cyclosporine A</topic><topic>Female</topic><topic>graft‐versus‐host disease</topic><topic>Hematologic Neoplasms - therapy</topic><topic>hematopoietic cell transplantation</topic><topic>Hematopoietic Stem Cell Transplantation - adverse effects</topic><topic>Humans</topic><topic>Incidence</topic><topic>Kidney Diseases - epidemiology</topic><topic>Kidney Diseases - etiology</topic><topic>Kidneys</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>nephrotoxicity</topic><topic>primary multiple myeloma</topic><topic>Retrospective Studies</topic><topic>Risk</topic><topic>Survivors</topic><topic>tacrolimus</topic><topic>Transplantation, Autologous</topic><topic>Transplantation, Homologous</topic><topic>Tumors</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Choi, Michael</creatorcontrib><creatorcontrib>Sun, Can‐Lan</creatorcontrib><creatorcontrib>Kurian, Seira</creatorcontrib><creatorcontrib>Carter, Andrea</creatorcontrib><creatorcontrib>Francisco, Liton</creatorcontrib><creatorcontrib>Forman, Stephen J</creatorcontrib><creatorcontrib>Bhatia, Smita</creatorcontrib><collection>Pascal-Francis</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Choi, Michael</au><au>Sun, Can‐Lan</au><au>Kurian, Seira</au><au>Carter, Andrea</au><au>Francisco, Liton</au><au>Forman, Stephen J</au><au>Bhatia, Smita</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence and predictors of delayed chronic kidney disease in long‐term survivors of hematopoietic cell transplantation</atitle><jtitle>Cancer</jtitle><addtitle>Cancer</addtitle><date>2008-10-01</date><risdate>2008</risdate><volume>113</volume><issue>7</issue><spage>1580</spage><epage>1587</epage><pages>1580-1587</pages><issn>0008-543X</issn><eissn>1097-0142</eissn><coden>CANCAR</coden><abstract>BACKGROUND. The authors investigated the risk of delayed chronic kidney disease (CKD) in 1190 adult hematopoietic cell transplantation (HCT) survivors who underwent HCT for hematologic malignancies or aplastic anemia between 1976 and 1997 and survived for at least 1 year. METHODS. CKD was defined as a sustained elevation of serum creatinine that indicated a glomerular filtration rate of &lt;60 mL per minute per 1.73 m2 for ≥3 months. The median age at HCT was 35 years (range, 18.1‐68.6 years), and the median length of follow‐up was 7.1 years after HCT (range, 1‐24.3 years). RESULTS. Sixty patients with CKD were identified, resulting in a cumulative incidence of 4.4% at 5 years (autologous HCT, 3.8%; matched‐sibling HCT, 4.5%; unrelated donor HCT, 10%; P = .09 compared with autologous HCT). Older age at HCT (relative risk [RR] per 5‐year increment, 1.33; 95% confidence interval [CI], 1.2‐1.5), exposure to cyclosporine without tacrolimus (RR, 1.90; 95% CI, 1.1‐3.4) or with tacrolimus (RR, 4.59; 95% CI, 1.8‐11.5), and a primary diagnosis of multiple myeloma (RR, 2.51; 95% CI, 1.1‐5.6) were associated with an increased risk of delayed CKD. CONCLUSIONS. In this study, the authors identified a subpopulation of patients who underwent HCT and remained at increased risk for CKD. The current findings set the stage for appropriate long‐term follow‐up of vulnerable patients. Cancer 2008. © 2008 American Cancer Society. In this study, the authors identified a subpopulation of patients who underwent hematopoietic cell transplantation and were at increased risk for chronic kidney disease. These findings set the stage for appropriate long‐term follow‐up of vulnerable patients.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>18704986</pmid><doi>10.1002/cncr.23773</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Wiley Free Content; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adolescent
Adult
Aged
Anemia, Aplastic - therapy
Biological and medical sciences
calcineurin inhibitors
Chronic Disease
Cohort Studies
cyclosporine A
Female
graft‐versus‐host disease
Hematologic Neoplasms - therapy
hematopoietic cell transplantation
Hematopoietic Stem Cell Transplantation - adverse effects
Humans
Incidence
Kidney Diseases - epidemiology
Kidney Diseases - etiology
Kidneys
Male
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
nephrotoxicity
primary multiple myeloma
Retrospective Studies
Risk
Survivors
tacrolimus
Transplantation, Autologous
Transplantation, Homologous
Tumors
Urinary system involvement in other diseases. Miscellaneous
title Incidence and predictors of delayed chronic kidney disease in long‐term survivors of hematopoietic cell transplantation
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