Yıl: 2023 Cilt: 56 Sayı: 2 Sayfa Aralığı: 106 - 113 Metin Dili: İngilizce DOI: 10.5505/aot.2023.70487 İndeks Tarihi: 09-12-2023

How are the Results of Allogeneic Stem Cell Transplantation in Elderly Patients? A Single-center Experience

Öz:
INTRODUCTION: In this study, we aimed to present allogeneic hematopoietic stem cell transplantation (allo-HCT) experience in elderly patients with hematological malignancy. METHODS: Thirty-five patients aged 60 years and older who underwent allo-HSCT between 2017 and 2021 were retrospectively analyzed. Patient's demographic/clinical features, and the outcomes of transplantation were reviewed. RESULTS: The median age was 63 (range, 60-74) years and 25 (77,1%) were male. Twenty-seven (60%) were diagnosed with AML, followed by MDS (n: 7, 20%). Twenty-three (65,8%) patients had intermediate, and 6 (17,1%) patients had a high hematopoietic cell transplantation-specific comorbidity index score. Karnofsky performance status of ≥ 90% was detected in 15 (42,9%) patients. Busulfan plus fludarabine plus anti-thymocyte globulin was used mainly as a reduced-intensity conditioning regimen, which was used in 18 (51,4%) patients. The median duration of neutrophil and platelet engraftments were 18 (range, 11-27) and 18 (range, 11-33) days, respectively. The median follow-up time was 4 months (range, 0-51), with the OS rate %14,2. The transplant-related mortality rate within the first 30 days after allo-HSCT was detected in 10 patients (28,6%) due to infection and/or GvHD. Response assessment could be performed in 25 (71,4%) patients after transplantation. The duration of PFS was 6 (range, 1-51) months in patients with response evaluation. The rate of PFS was 72% in 1 years and 5 (14,2%) patients were still alive with complete response at the last visit. DISCUSSION AND CONCLUSION: Reduced-intensity conditioning regimen has provided the important advantage in allo-HSCT, for elderly patients with hematological malignancies such as AML and MDS.
Anahtar Kelime: allogeneic hematopoietic stem cell transplantation elderly patients reduced-intensity conditioning regimen

Öz:
Amaç: Biz bu çalışmada 60 yaş ve üzerindeki hematolojik malignitesi olan hastalarda allo-HSCT deneyimini ve sonuçlarını sunmayı amaçladık. Gereç ve yöntemler: 2017-2021 yılları arasında allo-HSCT uygulanan 60 yaş ve üstü 35 hasta retrospektif olarak analiz edildi. Hastaların nakil anındaki demografik ve klinik özellikleri ile nakil sonuçları incelendi. Bulgular: Ortanca yaş 63 (60-74) ve 25'i (%77,1) erkekti. Yirmi yedi (%60) hasta AML, 20 (%20) hasta MDS tanılıydı. Yirmi üç (%65,8) hastada orta, altı (%17,1)’ sında yüksek hematopoietik hücre transplantasyonu spesifik komorbidite indeks skoru vardı. 15 (%42,9) hastada Karnofsky performans durumu ≥%90 olarak saptandı. Busulfan, fludarabin ve anti-timosit globulin kombinasyonu en sık kullanılan RIC rejimiydi ve 18 (%51,4) hastada kullanıldı. Ortanca nötrofil ve trombosit engraftman süresi sırasıyla 18 (11-27) ve 18 (11-33) gündü. Ortanca takip süresi 4 aydı (aralık, 0-51), toplam sağkalım oranı %14,2. Allo-HSCT' den sonraki ilk 30 gün içinde transplanta bağlı ölüm oranı enfeksiyon ve/veya GvHD nedeniyle 10 hastada (%28,6) tespit edildi. Nakil sonrası 25 (%71,4) hastada yanıt değerlendirmesi yapılabildi. Yanıt değerlendirmesi yapılan hastalarda PFS süresi 6 (dağılım, 1- 51) aydı. PFS oranı 12 ayda %72 idi. Son kontrolde 5 (%14,2) hasta tam yanıtla halen yaşıyordu. Sonuç: Azaltılmış yoğunluklu şartlandırma rejimi, özellikle AML ve MDS gibi hematolojik maligniteleri olan yaşlı hastalarda allo-HSCT' de önemli bir avantaj sağlamıştır.
Anahtar Kelime: allojeneik hematopoietik kök hücre nakli yaşlı hastalar düşük yoğunluklu hazırlama rejimi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Uysal A, ERKURT M, KUKU I, Kaya E, BERBER I, SARICI A, Biçim S, kaya a, Hidayet E (2023). How are the Results of Allogeneic Stem Cell Transplantation in Elderly Patients? A Single-center Experience. , 106 - 113. 10.5505/aot.2023.70487
Chicago Uysal Ayse,ERKURT MEHMET ALI,KUKU IRFAN,Kaya Emin,BERBER Ilhami,SARICI AHMET,Biçim Soykan,kaya ahmet,Hidayet Emine How are the Results of Allogeneic Stem Cell Transplantation in Elderly Patients? A Single-center Experience. (2023): 106 - 113. 10.5505/aot.2023.70487
MLA Uysal Ayse,ERKURT MEHMET ALI,KUKU IRFAN,Kaya Emin,BERBER Ilhami,SARICI AHMET,Biçim Soykan,kaya ahmet,Hidayet Emine How are the Results of Allogeneic Stem Cell Transplantation in Elderly Patients? A Single-center Experience. , 2023, ss.106 - 113. 10.5505/aot.2023.70487
AMA Uysal A,ERKURT M,KUKU I,Kaya E,BERBER I,SARICI A,Biçim S,kaya a,Hidayet E How are the Results of Allogeneic Stem Cell Transplantation in Elderly Patients? A Single-center Experience. . 2023; 106 - 113. 10.5505/aot.2023.70487
Vancouver Uysal A,ERKURT M,KUKU I,Kaya E,BERBER I,SARICI A,Biçim S,kaya a,Hidayet E How are the Results of Allogeneic Stem Cell Transplantation in Elderly Patients? A Single-center Experience. . 2023; 106 - 113. 10.5505/aot.2023.70487
IEEE Uysal A,ERKURT M,KUKU I,Kaya E,BERBER I,SARICI A,Biçim S,kaya a,Hidayet E "How are the Results of Allogeneic Stem Cell Transplantation in Elderly Patients? A Single-center Experience." , ss.106 - 113, 2023. 10.5505/aot.2023.70487
ISNAD Uysal, Ayse vd. "How are the Results of Allogeneic Stem Cell Transplantation in Elderly Patients? A Single-center Experience". (2023), 106-113. https://doi.org/10.5505/aot.2023.70487
APA Uysal A, ERKURT M, KUKU I, Kaya E, BERBER I, SARICI A, Biçim S, kaya a, Hidayet E (2023). How are the Results of Allogeneic Stem Cell Transplantation in Elderly Patients? A Single-center Experience. ACTA ONCOLOGICA TURCICA, 56(2), 106 - 113. 10.5505/aot.2023.70487
Chicago Uysal Ayse,ERKURT MEHMET ALI,KUKU IRFAN,Kaya Emin,BERBER Ilhami,SARICI AHMET,Biçim Soykan,kaya ahmet,Hidayet Emine How are the Results of Allogeneic Stem Cell Transplantation in Elderly Patients? A Single-center Experience. ACTA ONCOLOGICA TURCICA 56, no.2 (2023): 106 - 113. 10.5505/aot.2023.70487
MLA Uysal Ayse,ERKURT MEHMET ALI,KUKU IRFAN,Kaya Emin,BERBER Ilhami,SARICI AHMET,Biçim Soykan,kaya ahmet,Hidayet Emine How are the Results of Allogeneic Stem Cell Transplantation in Elderly Patients? A Single-center Experience. ACTA ONCOLOGICA TURCICA, vol.56, no.2, 2023, ss.106 - 113. 10.5505/aot.2023.70487
AMA Uysal A,ERKURT M,KUKU I,Kaya E,BERBER I,SARICI A,Biçim S,kaya a,Hidayet E How are the Results of Allogeneic Stem Cell Transplantation in Elderly Patients? A Single-center Experience. ACTA ONCOLOGICA TURCICA. 2023; 56(2): 106 - 113. 10.5505/aot.2023.70487
Vancouver Uysal A,ERKURT M,KUKU I,Kaya E,BERBER I,SARICI A,Biçim S,kaya a,Hidayet E How are the Results of Allogeneic Stem Cell Transplantation in Elderly Patients? A Single-center Experience. ACTA ONCOLOGICA TURCICA. 2023; 56(2): 106 - 113. 10.5505/aot.2023.70487
IEEE Uysal A,ERKURT M,KUKU I,Kaya E,BERBER I,SARICI A,Biçim S,kaya a,Hidayet E "How are the Results of Allogeneic Stem Cell Transplantation in Elderly Patients? A Single-center Experience." ACTA ONCOLOGICA TURCICA, 56, ss.106 - 113, 2023. 10.5505/aot.2023.70487
ISNAD Uysal, Ayse vd. "How are the Results of Allogeneic Stem Cell Transplantation in Elderly Patients? A Single-center Experience". ACTA ONCOLOGICA TURCICA 56/2 (2023), 106-113. https://doi.org/10.5505/aot.2023.70487