1. Clinical Practice Guidelines for Diagnosis and Treatment of Chronic Lymphocytic Leukemia (CLL) in The Netherlands
- Author
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Michel van Gelder, Arnon P. Kater, Rogier Mous, Hein Visser, Sabina Kersting, Ward Posthuma, Mark-David Levin, Hanneke M. van der Straaten, Suzanne I.M. Neppelenbroek, RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy, Interne Geneeskunde, MUMC+: MA Hematologie (9), Experimental Immunology, Clinical Haematology, Amsterdam institute for Infection and Immunity, AII - Inflammatory diseases, CCA - Cancer Treatment and Quality of Life, and CCA - Cancer Treatment and quality of life
- Subjects
Bendamustine ,Cancer Research ,medicine.medical_specialty ,Chronic lymphocytic leukemia ,Guidelines as Topic ,PLUS CHLORAMBUCIL ,Chemo-immunotherapy ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,immune system diseases ,hemic and lymphatic diseases ,CYCLOPHOSPHAMIDE ,medicine ,Humans ,RITUXIMAB ,030212 general & internal medicine ,IBRUTINIB ,Intensive care medicine ,Reimbursement ,Netherlands ,PHASE-3 TRIAL ,Chlorambucil ,business.industry ,Venetoclax ,PREVIOUSLY UNTREATED PATIENTS ,STEM-CELL TRANSPLANTATION ,Hematology ,Guideline ,OPEN-LABEL ,medicine.disease ,Leukemia, Lymphocytic, Chronic, B-Cell ,Transplantation ,1ST-LINE TREATMENT ,Oncology ,chemistry ,Kinase inhibitors ,Small lymphocytic lymphoma ,030220 oncology & carcinogenesis ,Ibrutinib ,Immunology ,BENDAMUSTINE ,Health economics ,business ,medicine.drug - Abstract
Considerable progress has been made in treatment of patients with CLL, and new potent drugs have become available. Therefore the Dutch CLL guidelines were revised. Efficacy, quality of life and socio-economic impact were taken into account. This has led to guidelines with chemo-immunotherapy still as the cornerstone of CLL treatment and with novel targeted drugs for specific risk-groups. Introduction: In recent years, considerable progress has been made in the treatment of patients with chronic lymphocytic leukemia (CLL), and new potent drugs have become available. Therefore, the CLL working party revised the Dutch guidelines. Not only efficacy but also quality of life and socio-economic impact were taken into account in the formulation of treatment recommendations. Materials and Methods: The working party discussed a set of questions regarding diagnostic tests and treatment and wrote the draft guideline. This was evidence-based whenever possible, but in cases of low evidence, an expert-based recommendation was formulated with input of the entire working party. The draft guideline was sent to all hematologists in the Netherlands for comment and was subsequently approved. Results: Recommendations were formulated on diagnostic tests and work-up before treatment. Also, recommendations were made for treatment with fludarabine-cyclophosphamide-rituximab, bendamustine-rituximab, chlorambucil with anti-CD20 antibody, ibrutinib, idelalisib-rituximab, venetoclax, and allogeneic stem cell transplantation. Conclusion: In the revised Dutch CLL guidelines, chemo-immunotherapy is still the cornerstone of CLL treatment with novel targeted drugs for specific risk groups. (C) 2017 Elsevier Inc. All rights reserved.
- Published
- 2017