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Correction to: Impact of depth of clinical response on outcomes of acute myeloid leukemia patients in first complete remission who undergo allogeneic hematopoietic cell transplantation
- Source :
- Bone Marrow Transplantation, 56(9), 2108-2117. Nature Publishing Group, Bone Marrow Transplant
- Publication Year :
- 2021
- Publisher :
- Nature Publishing Group, 2021.
-
Abstract
- Acute myeloid leukemia (AML) patients often undergo allogeneic hematopoietic cell transplantation (alloHCT) in first complete remission (CR). We examined the effect of depth of clinical response, including incomplete count recovery (CRi) and/or measurable residual disease (MRD), in patients from the Center for International Blood and Marrow Transplantation Research (CIBMTR) registry. We identified 2492 adult patients (1799 CR and 693 CRi) who underwent alloHCT between January 1, 2007 and December 31, 2015. The primary outcome was overall survival (OS). Multivariable analysis was performed to adjust for patient-, disease-, and transplant-related factors. Baseline characteristics were similar. Patients in CRi compared to those in CR had an increased likelihood of death (HR: 1.27; 95% confidence interval: 1.13-1.43). Compared to CR, CRi was significantly associated with increased non-relapse mortality (NRM), shorter disease-free survival (DFS), and a trend toward increased relapse. Detectable MRD was associated with shorter OS, shorter DFS, higher NRM, and increased relapse compared to absence of MRD. The deleterious effects of CRi and MRD were independent. In this large CIBMTR cohort, survival outcomes differ among AML patients based on depth of CR and presence of MRD at the time of alloHCT. Further studies should focus on optimizing post-alloHCT outcomes for patients with responses less than CR.
- Subjects :
- Oncology
medicine.medical_specialty
Neoplasm, Residual
Bone marrow transplantation
Disease
Article
hemic and lymphatic diseases
Internal medicine
medicine
Humans
610 Medicine & health
Retrospective Studies
Transplantation
Hematopoietic cell
Marrow transplantation
business.industry
Remission Induction
Hematopoietic Stem Cell Transplantation
Complete remission
Myeloid leukemia
Hematology
Prognosis
Confidence interval
Leukemia, Myeloid, Acute
Cohort
business
Subjects
Details
- Language :
- English
- ISSN :
- 14765365 and 02683369
- Volume :
- 56
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- Bone Marrow Transplantation
- Accession number :
- edsair.doi.dedup.....74e472b4c3202b0040285a12b9be2aa8
- Full Text :
- https://doi.org/10.1038/s41409-021-01353-3