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Hematopoietic Stem Cell Transplantation Activity and Trends at a Pediatric Transplantation Center in Turkey During 1998-2008
OBJECTIVE: The aim of this study was to document hematopoietic stem cell transplantation (HSCT) activity and trends at our treatment center.METHODS: Data collected over a 10-year period were retrospectively analyzed, concentrating primarily on types of HSCT, transplant-related mortality (TRM), stem cell sources, indications for HSCT, and causes of death following HSCT.RESULTS: In total, 222 allogeneic (allo)-HSCT (87.4%) and 32 autologous (auto)-HSCT (12.6%) procedures were performed between 1998 and 2008. Stem cells obtained from unrelated donors were used in 22.6% (50/222) of the allo- HSCTs. Cord blood was the source of hematopoietic stem cells (HSC) in 12.2% of all transplants. The most common indication for allo-HSCT was hemoglobinopathy (43.2%), versus neuroblastoma (53.1%) for auto-HSCT. The TRM rate 1 year post transplantation was 18.3% ± 2.5% for all transplants, but differed according to transplantation type (23.5% ± 7.9% for auto-HSCT and 17.5% ± 2.6% for allo-HSCT). The most common cause of death 1 year post HSCT was infection (35.9%).CONCLUSION: The TRM rate in the patients that underwent allo-HSCT was similar to that which has been previously reported; however, the TRM rate in the patients that underwent auto-HSCT was higher than previously reported in developed countries. The selection of these patients to be transplanted must be made attentively.

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Authors: Volkan Hazar, Gülsün Karasu, Vedat Uygun, Mediha Akcan, Alphan Küpesiz, Akif Yeşilipek

Keywords: Hematopoietik kök hücre nakli, Çocuk, Nakil ilişkili ölüm hızı, Türkiye

  • Year: 2012
  • Number: 2
  • Referance No: 78300
  • Figure 1: HSCT indications for non-malignant disorders (A) and malignant disorders (B)*
  • Figure 2: Main outcome of 254 children with HSCT (A: allogeneic HSCT, survival; B: allogeneic HSCT, relapse (or autologous reconstitution) incidence; C: allogeneic HSCT, TRM incidence; D: autologous HSCT, survival; E: autologous HSCT, relapse (or autologous reconstitution) incidence; F: autologous HSCT, TRM incidence)
  • Figure 3: Cumulative incidence of TRM by donor type in children receiving allogeneic HSCT.
  • Figure 1: Overall survival rates of patients having at least one of the three chromosomal aberrations (chromosome 13 aberrations, IGH translocations, P53 deletion) =1 and patients having none of these aberrations=2

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