Yıl: 2012 Cilt: 34 Sayı: 4 Sayfa Aralığı: 178 - 183 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Factors that affect survival in patients with allogeneic hematopoetic stem cell transplantation

Öz:
Amaç: Allojenik hematopoetik kök hücre nakli yapılan hastalarda nakil başarısını etkileyebilecek faktörlerin sağkalım üzerine etkisinin belirlenmesi amaçlanmaktadır. Gereç ve Yöntemler: Kök hücre nakli yapılan 184 hastanın verileri geriye dönük olarak değerlendirildi. Hastalar tanı, nakil anındaki hastalık durumu, nakil zamanı, tanı ile nakil arasında geçen süre, doku uyumu, alıcı verici arasındaki cinsiyet uyumu, nakil sırasında verilen CD34 kök hücre miktarı, uygulanan hazırlık rejimleri ve akut lösemili hastalar için tanı anındaki risk durumlarına göre gruplara ayrıldı. Gruplar arasındaki sağkalım oranları Kaplan-Meier survival analiz yöntemiyle hesaplanırken mortaliteye etki eden faktörlerin belirlenmesi ve göreceli risk tayininde cox regresyon testi ile çoklu değişkenli regresyon analizleri kullanıldı. Bulgular: Çoklu değişkenli regresyon analizi sonucunda mortalite gelişimi üzerine en etkili faktörün nüks hastalık gelişimi olduğu gösterildi (risk oranı: 3,12; %95 CI: 2,02-4,82; p<,001). Mortaliteye katkı sağlayan diğer faktörler sırasıyla kronik graft versus host hastalığı gelişimi (risk oranı: 1,92; %95 CI: 1,19- 3,09; p=,008), akut lösemili hastalarda tanı anındaki yüksek risk durumu (risk oranı: 2,47; %95 CI: 1,47-4,14; p<,001) ve akut graft versus host hastalığı gelişimi idi (risk oranı: 1,78; %95 CI: 1,10-2,88; p=,019). Sonuç: Her nakil merkezinin nakil ilişkili mortalite risk gruplarını ve tedavi sonuçlarını belirlemesi; takip ve tedaviyle ilişkili yenilikleri yakından izleyip bunları uygulamaya geçirmeleri nakil başarısı üzerine olumlu yönde katkı sağlayacaktır.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Allojenik hematopoetik kök hücre nakli yapılan hastalarda sağkalım üzerine etkisi olan faktörlerin değerlendirilmesi

Öz:
Objective: It was aimed to evaluate factors contributing to mortality in the post-transplantation period and determine the relative risk of death caused by these factors in patients who underwent allogeneic hematopoietic stem cell transplantation. Material and Methods: Outcomes of 184 patients who underwent stem cell transplantation were retrospectively assessed. The patients were classified by considering the factors such as diagnosis, health status at the time of transplantation, time of transplantation, time between diagnosis and transplantation, histocompatibility, donor-recipient gender compatibility, amount of CD34 stem cell which was given, preparation regimes and risk status at the time of diagnosis. Outcomes were analyzed statistically by Kaplan-Meier survival analysis, Cox regresion test and multivariate regresion test. Results: When confounding factors of transplant-related mortality were assessed using multivariate regression analysis, recurrent disease development was shown to be the most significant factor affecting mortality (hazard rate: 3.12; 95% CI: 2.02-4.82; p<.001). The other factors affecting mortality were chronic graft versus host disease (hazard rate: 1.92; 95% CI: 1.19-3.09; p=.008), high-risk status of patients with acute leukemia at diagnosis (hazard rate: 2.47; 95% CI: 1.47-4.14; p<.001) and acute graft versus host disease (hazard rate: 1.78; 95% CI: 1.10-2.88; p=.019). Conclusion: It is very important for each stem cell transplantation center to determine the risk groups for transplant-related mortality and morbidity and outcomes in their own patient groups.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA ŞAHİN C, Kaynar L, KURNAZ F, pala ç, ŞIVGIN S, Eser B, Altuntaş F, ÇETİN M, ÜNAL A (2012). Factors that affect survival in patients with allogeneic hematopoetic stem cell transplantation. , 178 - 183.
Chicago ŞAHİN Cem,Kaynar Leylagul,KURNAZ Fatih,pala çiğdem,ŞIVGIN Serdar,Eser Bülent,Altuntaş Fevzi,ÇETİN Mustafa,ÜNAL Ali Factors that affect survival in patients with allogeneic hematopoetic stem cell transplantation. (2012): 178 - 183.
MLA ŞAHİN Cem,Kaynar Leylagul,KURNAZ Fatih,pala çiğdem,ŞIVGIN Serdar,Eser Bülent,Altuntaş Fevzi,ÇETİN Mustafa,ÜNAL Ali Factors that affect survival in patients with allogeneic hematopoetic stem cell transplantation. , 2012, ss.178 - 183.
AMA ŞAHİN C,Kaynar L,KURNAZ F,pala ç,ŞIVGIN S,Eser B,Altuntaş F,ÇETİN M,ÜNAL A Factors that affect survival in patients with allogeneic hematopoetic stem cell transplantation. . 2012; 178 - 183.
Vancouver ŞAHİN C,Kaynar L,KURNAZ F,pala ç,ŞIVGIN S,Eser B,Altuntaş F,ÇETİN M,ÜNAL A Factors that affect survival in patients with allogeneic hematopoetic stem cell transplantation. . 2012; 178 - 183.
IEEE ŞAHİN C,Kaynar L,KURNAZ F,pala ç,ŞIVGIN S,Eser B,Altuntaş F,ÇETİN M,ÜNAL A "Factors that affect survival in patients with allogeneic hematopoetic stem cell transplantation." , ss.178 - 183, 2012.
ISNAD ŞAHİN, Cem vd. "Factors that affect survival in patients with allogeneic hematopoetic stem cell transplantation". (2012), 178-183.
APA ŞAHİN C, Kaynar L, KURNAZ F, pala ç, ŞIVGIN S, Eser B, Altuntaş F, ÇETİN M, ÜNAL A (2012). Factors that affect survival in patients with allogeneic hematopoetic stem cell transplantation. Erciyes Tıp Dergisi, 34(4), 178 - 183.
Chicago ŞAHİN Cem,Kaynar Leylagul,KURNAZ Fatih,pala çiğdem,ŞIVGIN Serdar,Eser Bülent,Altuntaş Fevzi,ÇETİN Mustafa,ÜNAL Ali Factors that affect survival in patients with allogeneic hematopoetic stem cell transplantation. Erciyes Tıp Dergisi 34, no.4 (2012): 178 - 183.
MLA ŞAHİN Cem,Kaynar Leylagul,KURNAZ Fatih,pala çiğdem,ŞIVGIN Serdar,Eser Bülent,Altuntaş Fevzi,ÇETİN Mustafa,ÜNAL Ali Factors that affect survival in patients with allogeneic hematopoetic stem cell transplantation. Erciyes Tıp Dergisi, vol.34, no.4, 2012, ss.178 - 183.
AMA ŞAHİN C,Kaynar L,KURNAZ F,pala ç,ŞIVGIN S,Eser B,Altuntaş F,ÇETİN M,ÜNAL A Factors that affect survival in patients with allogeneic hematopoetic stem cell transplantation. Erciyes Tıp Dergisi. 2012; 34(4): 178 - 183.
Vancouver ŞAHİN C,Kaynar L,KURNAZ F,pala ç,ŞIVGIN S,Eser B,Altuntaş F,ÇETİN M,ÜNAL A Factors that affect survival in patients with allogeneic hematopoetic stem cell transplantation. Erciyes Tıp Dergisi. 2012; 34(4): 178 - 183.
IEEE ŞAHİN C,Kaynar L,KURNAZ F,pala ç,ŞIVGIN S,Eser B,Altuntaş F,ÇETİN M,ÜNAL A "Factors that affect survival in patients with allogeneic hematopoetic stem cell transplantation." Erciyes Tıp Dergisi, 34, ss.178 - 183, 2012.
ISNAD ŞAHİN, Cem vd. "Factors that affect survival in patients with allogeneic hematopoetic stem cell transplantation". Erciyes Tıp Dergisi 34/4 (2012), 178-183.