Are We Choosing Wisely With Autologous Hematopoietic Cell Transplantation Screening? The Utility of Pulmonary Function Testing Prior to Autologous Hematopoietic Cell Transplantation

作者: Tony Li , Ranjeeta Mallick , Arleigh McCurdy , Sunita Mulpuru , Lothar Huebsch

DOI: 10.1016/J.CLML.2018.11.002

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摘要: Abstract Introduction Despite the risk of morbidity and mortality associated with autologous hematopoietic cell transplantation (ASCT), there are no clear guidelines as to how screen for these risks. This study sought determine utility pulmonary function tests (PFTs) prior ASCT on predicting posttransplant clinical outcomes. Patients Methods undergoing between 2010 2012 at Ottawa Hospital (n = 172) were reviewed. PFT results retrieved. The primary outcomes incidence intensive care unit (ICU) admission, Seattle Criteria toxicities, transplant-related (TRM). Results PFTs performed 91 (53%) patients ASCT. There more smokers in cohort than non-PFT (41.8% vs. 19.8%, respectively; P  Conclusion testing deemed higher toxicity, abnormal did not predict an increased ICU or TRM our center.

参考文章(15)
S I Bearman, F R Appelbaum, C D Buckner, F B Petersen, L D Fisher, R A Clift, E D Thomas, Regimen-related toxicity in patients undergoing bone marrow transplantation. Journal of Clinical Oncology. ,vol. 6, pp. 1562- 1568 ,(1988) , 10.1200/JCO.1988.6.10.1562
Laura Labonté, Tariq Iqbal, Mukarram A. Zaidi, Sheryl A. McDiarmid, Lothar B. Huebsch, Jason Tay, Harold Atkins, David S. Allan, Utility of Comorbidity Assessment in Predicting Transplantation-Related Toxicity Following Autologous Hematopoietic Stem Cell Transplantation for Multiple Myeloma Biology of Blood and Marrow Transplantation. ,vol. 14, pp. 1039- 1044 ,(2008) , 10.1016/J.BBMT.2008.06.019
G. Gahrton, B. Bjorkstrand, Progress in haematopoietic stem cell transplantation for multiple myeloma Journal of Internal Medicine. ,vol. 248, pp. 185- 201 ,(2000) , 10.1046/J.1365-2796.2000.00706.X
M Hamadani, M Craig, F T Awan, S M Devine, How we approach patient evaluation for hematopoietic stem cell transplantation Bone Marrow Transplantation. ,vol. 45, pp. 1259- 1268 ,(2010) , 10.1038/BMT.2010.94
Basheer Y. Khassawneh, Peter White, Elias J. Anaissie, Barthel Barlogie, F. Charles Hiller, Outcome From Mechanical Ventilation After Autologous Peripheral Blood Stem Cell Transplantation Chest. ,vol. 121, pp. 185- 188 ,(2002) , 10.1378/CHEST.121.1.185
Ayman Saad, Anuj Mahindra, Mei-Jie Zhang, Xiaobo Zhong, Luciano J. Costa, Angela Dispenzieri, William R. Drobyski, Cesar O. Freytes, Robert Peter Gale, Cristina J. Gasparetto, Leona A. Holmberg, Rammurti T. Kamble, Amrita Y. Krishnan, Robert A. Kyle, David Marks, Taiga Nishihori, Marcelo C. Pasquini, Muthalagu Ramanathan, Sagar Lonial, Bipin N. Savani, Wael Saber, Manish Sharma, Mohamed L. Sorror, Baldeep M. Wirk, Parameswaran N. Hari, Hematopoietic Cell Transplant Comorbidity Index Is Predictive of Survival after Autologous Hematopoietic Cell Transplantation in Multiple Myeloma Biology of Blood and Marrow Transplantation. ,vol. 20, pp. 402- 408.e1 ,(2014) , 10.1016/J.BBMT.2013.12.557
M A Trinkaus, S E Lapinsky, M Crump, A Keating, D E Reece, C Chen, D C Hallett, N Franke, A Winter, J R Mikhael, Predictors of mortality in patients undergoing autologous hematopoietic cell transplantation admitted to the intensive care unit Bone Marrow Transplantation. ,vol. 43, pp. 411- 415 ,(2009) , 10.1038/BMT.2008.336
Mohamed L. Sorror, Michael B. Maris, Rainer Storb, Frederic Baron, Brenda M. Sandmaier, David G. Maloney, Barry Storer, Hematopoietic cell transplantation (HCT)-specific comorbidity index: a new tool for risk assessment before allogeneic HCT. Blood. ,vol. 106, pp. 2912- 2919 ,(2005) , 10.1182/BLOOD-2005-05-2004
Edward A. Copelan, Hematopoietic Stem-Cell Transplantation New England Journal of Medicine. ,vol. 354, pp. 1813- 1826 ,(2006) , 10.1056/NEJMRA052638