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Splenic irradiation before hematopoietic stem cell transplantation for chronic myeloid leukemia: long-term follow-up of a prospective randomized study.
Author: , ApperleyJane, ArceseWilliam, ArnoldRenate, BaldomeroHelen, BootsmanNatalia, BronDominique, CordonnierCatherine, ErnstPeter, FerrantAugustin, FrassoniFrancesco, GahrtonGösta, GratwohlAlois, IacobelliSimona, KolbHans Jochem, KrögerNicolaus, LinkHartmut, NiederwieserDietger, OlavarriaEduardo, RichardCarlos, RuutuTapani, SchattenbergAnton, SchmitzNorbert, Torres-GomezAntonio, ZwaanFerry, van BiezenAnja
Original Abstract of the Article :
In the context of discussions on the reproducibility of clinical studies, we reanalyzed a prospective randomized study on the role of splenic irradiation as adjunct to the conditioning for hematopoietic stem cell transplantation (HSCT) for chronic myeloid leukemia (CML). Between 1986 and 1989, a tot...See full text at original site
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引用元:
https://doi.org/10.1007/s00277-016-2638-6
データ提供:米国国立医学図書館(NLM)
Splenic Irradiation: A Controversial Adjunct to Hematopoietic Stem Cell Transplantation
The field of [hematology] is constantly seeking to optimize treatment strategies for [chronic myeloid leukemia (CML)]. This research re-analyzes the results of a [prospective randomized study] on the role of [splenic irradiation] as an [adjunct] to [hematopoietic stem cell transplantation (HSCT)] for [CML]. The authors explore the long-term impact of [splenic irradiation] on [overall survival], [relapse incidence], and [non-relapse mortality] in patients with [CML].
No Clear Benefit Found for Splenic Irradiation
The long-term follow-up data confirmed the [initial findings] of this study, showing [no significant differences] in [overall survival], [relapse incidence], [non-relapse mortality], or the risk of [late secondary malignancies] between patients who received [splenic irradiation] and those who did not. These results suggest that [splenic irradiation] may not be necessary as a [routine adjunct] to [HSCT] for [CML].
Navigating the Complex Landscape of CML Treatment
The treatment of [CML] is a complex journey, with a variety of options and considerations. This research highlights the importance of carefully evaluating the [potential benefits] and [risks] of each treatment approach. Just as a camel navigates a complex desert landscape, we must carefully weigh the evidence to ensure that treatment decisions are based on the most current scientific understanding and the patient's individual needs.
Dr. Camel's Conclusion
This re-analysis provides valuable long-term data on the role of splenic irradiation in CML treatment. It suggests that this procedure may not offer significant benefits and should be considered carefully in the context of other treatment options. Just like a camel adapting to the ever-changing desert, we must continually evaluate and refine our treatment strategies to ensure the best outcomes for patients with CML.
Date :
- Date Completed 2017-01-27
- Date Revised 2017-01-27
Further Info :
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