Till sidans topp

Sidansvarig: Webbredaktion
Sidan uppdaterades: 2012-09-11 15:12

Tipsa en vän
Utskriftsversion

Low response rate to ATG-… - Göteborgs universitet Till startsida
Webbkarta
Till innehåll Läs mer om hur kakor används på gu.se

Low response rate to ATG-based immunosuppressive therapy in very severe aplastic anaemia - a Swedish nationwide cohort study.

Artikel i vetenskaplig tidskrift
Författare Krista Vaht
Magnus Göransson
Kristina Carlson
Cecilia Isaksson
Stig Lenhoff
Anna Sandstedt
Bertil Uggla
Jacek Winiarski
Per Ljungman
Mats Brune
Per-Ola Andersson
Publicerad i European journal of haematology
Volym 100
Nummer/häfte 6
Sidor 613-620
ISSN 1600-0609
Publiceringsår 2018
Publicerad vid Institutionen för medicin
Sidor 613-620
Språk en
Länkar dx.doi.org/10.1111/ejh.13057
www.ncbi.nlm.nih.gov/entrez/query.f...
Ämnesord age, antithymocyte globulin, aplastic anaemia, real‐world data, response rate
Ämneskategorier Hematologi

Sammanfattning

Antithymocyte globulin (ATG)-based immunosuppression remains a cornerstone in aplastic anaemia (AA) treatment. However, most ATG studies are not population-based and knowledge about real-world results concerning response and outcome could offer important information for treating physicians.We have recently performed a nationwide retrospective cohort study on all AA patients diagnosed in Sweden in 2000-2011 and now present treatment and outcome data on patients receiving first-line ATG.In total, 158 patients showed a 47.0% response rate which was similar in all age groups (range 41.5%-51.7%) with no difference regarding ATG formulation. The response was significantly associated with severity grade - especially at time of treatment initiation: very severe (VSAA) 22.7%; severe (SAA) 54.5% (P < 0.001); and non-severe 88.5% (P < 0.001). A logistic regression-based predictive model indicated that VSAA patients with an absolute reticulocyte count <25 x 109/l had only a 19% probability of response. In a multivariable analysis, age and VSAA at the time of treatment were the independent factors for inferior survival.Real-world VSAA patients respond poorly to ATG which indicates the need for a different treatment approach. Our findings suggest that age alone should not be a discriminating factor for administering ATG treatment. This article is protected by copyright. All rights reserved.

Sidansvarig: Webbredaktion|Sidan uppdaterades: 2012-09-11
Dela:

På Göteborgs universitet använder vi kakor (cookies) för att webbplatsen ska fungera på ett bra sätt för dig. Genom att surfa vidare godkänner du att vi använder kakor.  Vad är kakor?