Decrease of lethal infectious complications in the context of causes of death (COD) after hematopoietic cell transplantation: COD-2 and COD-1 study of the Infectious Diseases Working Party EBMT

We previously analyzed trends in incidence and factors associated with lethal complications in ALL/AML/CML patients (causes of deaths; COD-1 study). The objective of this study was the analysis of incidence and specific causes of death after HCT, with focus on infectious deaths in two time periods,...

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Veröffentlicht in:Bone marrow transplantation (Basingstoke) 2023-08, Vol.58 (8), p.881-892
Hauptverfasser: Styczynski, Jan, Tridello, Gloria, Koster, Linda, Knelange, Nina, Wendel, Lotus, van Biezen, Anja, van der Werf, Steffie, Mikulska, Malgorzata, Gil, Lidia, Cordonnier, Catherine, Ljungman, Per, Averbuch, Diana, Cesaro, Simone, Baldomero, Helen, Chabannon, Christian, Corbacioglu, Selim, Dolstra, Harry, Glass, Bertram, Greco, Raffaella, Kröger, Nicolaus, de Latour, Régis Peffault, Mohty, Mohamad, Neven, Benedicte, Peric, Zinaida, Snowden, John A., Sureda, Anna, Yakoub-Agha, Ibrahim, de la Camara, Rafael
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container_end_page 892
container_issue 8
container_start_page 881
container_title Bone marrow transplantation (Basingstoke)
container_volume 58
creator Styczynski, Jan
Tridello, Gloria
Koster, Linda
Knelange, Nina
Wendel, Lotus
van Biezen, Anja
van der Werf, Steffie
Mikulska, Malgorzata
Gil, Lidia
Cordonnier, Catherine
Ljungman, Per
Averbuch, Diana
Cesaro, Simone
Baldomero, Helen
Chabannon, Christian
Corbacioglu, Selim
Dolstra, Harry
Glass, Bertram
Greco, Raffaella
Kröger, Nicolaus
de Latour, Régis Peffault
Mohty, Mohamad
Neven, Benedicte
Peric, Zinaida
Snowden, John A.
Sureda, Anna
Yakoub-Agha, Ibrahim
de la Camara, Rafael
description We previously analyzed trends in incidence and factors associated with lethal complications in ALL/AML/CML patients (causes of deaths; COD-1 study). The objective of this study was the analysis of incidence and specific causes of death after HCT, with focus on infectious deaths in two time periods, 1980–2001 (cohort-1) and 2002–2015 (cohort-2). All patients with HCT for lymphoma, plasma cell disorders, chronic leukemia (except CML), myelodysplastic/myeloproliferative disorders, registered in the EBMT-ProMISe-database were included ( n  = 232,618) (COD-2 study). Results were compared to those in the ALL/AML/CML COD-1 study. Mortality from bacterial, viral, fungal, and parasitic infections decreased in very early, early and intermediate phases. In the late phase, mortality from bacterial infections increased, while mortality from fungal, viral, or unknown infectious etiology did not change. This pattern was similar for allo- and auto-HCT in COD-1 and COD-2 studies, with a distinct and constant lower incidence of all types of infections at all phases, after auto-HCT. In conclusion, infections were the main cause of death before day +100, followed by relapse. Mortality from infectious deaths significantly decreased, except late phase. Post-transplant mortality has significantly decreased in all phases, from all causes after auto-HCT; it has decreased in all phases after allo-HCT except late phase.
doi_str_mv 10.1038/s41409-023-01998-2
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In conclusion, infections were the main cause of death before day +100, followed by relapse. Mortality from infectious deaths significantly decreased, except late phase. 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The objective of this study was the analysis of incidence and specific causes of death after HCT, with focus on infectious deaths in two time periods, 1980–2001 (cohort-1) and 2002–2015 (cohort-2). All patients with HCT for lymphoma, plasma cell disorders, chronic leukemia (except CML), myelodysplastic/myeloproliferative disorders, registered in the EBMT-ProMISe-database were included ( n  = 232,618) (COD-2 study). Results were compared to those in the ALL/AML/CML COD-1 study. Mortality from bacterial, viral, fungal, and parasitic infections decreased in very early, early and intermediate phases. In the late phase, mortality from bacterial infections increased, while mortality from fungal, viral, or unknown infectious etiology did not change. This pattern was similar for allo- and auto-HCT in COD-1 and COD-2 studies, with a distinct and constant lower incidence of all types of infections at all phases, after auto-HCT. In conclusion, infections were the main cause of death before day +100, followed by relapse. Mortality from infectious deaths significantly decreased, except late phase. Post-transplant mortality has significantly decreased in all phases, from all causes after auto-HCT; it has decreased in all phases after allo-HCT except late phase.</description><subject>692/308/174</subject><subject>692/700/478/174</subject><subject>Acute myeloid leukemia</subject><subject>Bacterial diseases</subject><subject>Bacterial infections</subject><subject>Cell Biology</subject><subject>Cell death</subject><subject>Complications</subject><subject>Death</subject><subject>Disorders</subject><subject>Fatalities</subject><subject>Fungi</subject><subject>Hematology</subject><subject>Hematopoietic stem cells</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Internal Medicine</subject><subject>Leukemia</subject><subject>Life Sciences</subject><subject>Lymphoma</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Mortality</subject><subject>Myeloproliferative diseases</subject><subject>Parasitic diseases</subject><subject>Phases</subject><subject>Public Health</subject><subject>Stem cell transplantation</subject><subject>Stem Cells</subject><subject>Transplantation</subject><subject>Transplants &amp; 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Public Health</topic><topic>Mortality</topic><topic>Myeloproliferative diseases</topic><topic>Parasitic diseases</topic><topic>Phases</topic><topic>Public Health</topic><topic>Stem cell transplantation</topic><topic>Stem Cells</topic><topic>Transplantation</topic><topic>Transplants &amp; implants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Styczynski, Jan</creatorcontrib><creatorcontrib>Tridello, Gloria</creatorcontrib><creatorcontrib>Koster, Linda</creatorcontrib><creatorcontrib>Knelange, Nina</creatorcontrib><creatorcontrib>Wendel, Lotus</creatorcontrib><creatorcontrib>van Biezen, Anja</creatorcontrib><creatorcontrib>van der Werf, Steffie</creatorcontrib><creatorcontrib>Mikulska, Malgorzata</creatorcontrib><creatorcontrib>Gil, Lidia</creatorcontrib><creatorcontrib>Cordonnier, Catherine</creatorcontrib><creatorcontrib>Ljungman, Per</creatorcontrib><creatorcontrib>Averbuch, Diana</creatorcontrib><creatorcontrib>Cesaro, Simone</creatorcontrib><creatorcontrib>Baldomero, Helen</creatorcontrib><creatorcontrib>Chabannon, Christian</creatorcontrib><creatorcontrib>Corbacioglu, Selim</creatorcontrib><creatorcontrib>Dolstra, Harry</creatorcontrib><creatorcontrib>Glass, Bertram</creatorcontrib><creatorcontrib>Greco, Raffaella</creatorcontrib><creatorcontrib>Kröger, Nicolaus</creatorcontrib><creatorcontrib>de Latour, Régis Peffault</creatorcontrib><creatorcontrib>Mohty, Mohamad</creatorcontrib><creatorcontrib>Neven, Benedicte</creatorcontrib><creatorcontrib>Peric, Zinaida</creatorcontrib><creatorcontrib>Snowden, John A.</creatorcontrib><creatorcontrib>Sureda, Anna</creatorcontrib><creatorcontrib>Yakoub-Agha, Ibrahim</creatorcontrib><creatorcontrib>de la Camara, Rafael</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium &amp; 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Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><jtitle>Bone marrow transplantation (Basingstoke)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Styczynski, Jan</au><au>Tridello, Gloria</au><au>Koster, Linda</au><au>Knelange, Nina</au><au>Wendel, Lotus</au><au>van Biezen, Anja</au><au>van der Werf, Steffie</au><au>Mikulska, Malgorzata</au><au>Gil, Lidia</au><au>Cordonnier, Catherine</au><au>Ljungman, Per</au><au>Averbuch, Diana</au><au>Cesaro, Simone</au><au>Baldomero, Helen</au><au>Chabannon, Christian</au><au>Corbacioglu, Selim</au><au>Dolstra, Harry</au><au>Glass, Bertram</au><au>Greco, Raffaella</au><au>Kröger, Nicolaus</au><au>de Latour, Régis Peffault</au><au>Mohty, Mohamad</au><au>Neven, Benedicte</au><au>Peric, Zinaida</au><au>Snowden, John A.</au><au>Sureda, Anna</au><au>Yakoub-Agha, Ibrahim</au><au>de la Camara, Rafael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Decrease of lethal infectious complications in the context of causes of death (COD) after hematopoietic cell transplantation: COD-2 and COD-1 study of the Infectious Diseases Working Party EBMT</atitle><jtitle>Bone marrow transplantation (Basingstoke)</jtitle><stitle>Bone Marrow Transplant</stitle><addtitle>Bone Marrow Transplant</addtitle><date>2023-08-01</date><risdate>2023</risdate><volume>58</volume><issue>8</issue><spage>881</spage><epage>892</epage><pages>881-892</pages><issn>0268-3369</issn><eissn>1476-5365</eissn><abstract>We previously analyzed trends in incidence and factors associated with lethal complications in ALL/AML/CML patients (causes of deaths; COD-1 study). The objective of this study was the analysis of incidence and specific causes of death after HCT, with focus on infectious deaths in two time periods, 1980–2001 (cohort-1) and 2002–2015 (cohort-2). All patients with HCT for lymphoma, plasma cell disorders, chronic leukemia (except CML), myelodysplastic/myeloproliferative disorders, registered in the EBMT-ProMISe-database were included ( n  = 232,618) (COD-2 study). Results were compared to those in the ALL/AML/CML COD-1 study. Mortality from bacterial, viral, fungal, and parasitic infections decreased in very early, early and intermediate phases. In the late phase, mortality from bacterial infections increased, while mortality from fungal, viral, or unknown infectious etiology did not change. This pattern was similar for allo- and auto-HCT in COD-1 and COD-2 studies, with a distinct and constant lower incidence of all types of infections at all phases, after auto-HCT. In conclusion, infections were the main cause of death before day +100, followed by relapse. Mortality from infectious deaths significantly decreased, except late phase. Post-transplant mortality has significantly decreased in all phases, from all causes after auto-HCT; it has decreased in all phases after allo-HCT except late phase.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>37149673</pmid><doi>10.1038/s41409-023-01998-2</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-9458-8025</orcidid><orcidid>https://orcid.org/0000-0002-6554-483X</orcidid><orcidid>https://orcid.org/0000-0002-3158-119X</orcidid><orcidid>https://orcid.org/0000-0002-5535-4602</orcidid><orcidid>https://orcid.org/0000-0002-7264-808X</orcidid><orcidid>https://orcid.org/0000-0002-3755-4889</orcidid><orcidid>https://orcid.org/0000-0002-8698-9547</orcidid><orcidid>https://orcid.org/0000-0002-8189-5779</orcidid><orcidid>https://orcid.org/0000-0002-8281-3245</orcidid><orcidid>https://orcid.org/0000-0002-6117-5328</orcidid><orcidid>https://orcid.org/0000-0003-4524-8782</orcidid></addata></record>
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ispartof Bone marrow transplantation (Basingstoke), 2023-08, Vol.58 (8), p.881-892
issn 0268-3369
1476-5365
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subjects 692/308/174
692/700/478/174
Acute myeloid leukemia
Bacterial diseases
Bacterial infections
Cell Biology
Cell death
Complications
Death
Disorders
Fatalities
Fungi
Hematology
Hematopoietic stem cells
Infections
Infectious diseases
Internal Medicine
Leukemia
Life Sciences
Lymphoma
Medicine
Medicine & Public Health
Mortality
Myeloproliferative diseases
Parasitic diseases
Phases
Public Health
Stem cell transplantation
Stem Cells
Transplantation
Transplants & implants
title Decrease of lethal infectious complications in the context of causes of death (COD) after hematopoietic cell transplantation: COD-2 and COD-1 study of the Infectious Diseases Working Party EBMT
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