Limiting factors for autologous transplantation among transplant-eligible multiple myeloma patients: Lesson from a Tertiary Cancer Centre in rural India.


Journal

Leukemia research
ISSN: 1873-5835
Titre abrégé: Leuk Res
Pays: England
ID NLM: 7706787

Informations de publication

Date de publication:
08 2019
Historique:
received: 05 05 2019
revised: 05 06 2019
accepted: 06 06 2019
pubmed: 15 6 2019
medline: 21 5 2020
entrez: 15 6 2019
Statut: ppublish

Résumé

There is limited data from low and middle income countries on the exact proportion of Myeloma patients undergoing transplant even if they are eligible for the same. In this retrospective analysis of all newly diagnosed transplant eligible Myeloma treated between January 2011 to June 2017, number of patients undergoing transplant were recorded and among those not opting for transplant, reasons for the same were noted. Among 89 eligible patients, 23 (26%) patients could undergo transplantation. Most common reasons for not undergoing transplant were fear of the complications in 42 (47%) and financial reasons in 41 (46%) of patients. The transplanted group had better progression free survival when compared against the non-transplanted group (3 year PFS of 80% versus 36%, HR = 0.09, 95%CI 0.02-0.4, p = 0.001). Future studies may be conducted to arrive at measures, for correcting the transplant related concerns and fears, through psycho-social interventions.

Identifiants

pubmed: 31200146
pii: S0145-2126(19)30113-4
doi: 10.1016/j.leukres.2019.106167
pii:
doi:

Types de publication

Clinical Trial Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

106167

Informations de copyright

Copyright © 2019 Elsevier Ltd. All rights reserved.

Auteurs

Chandran K Nair (CK)

Department of Clinical Hematology and Medical Oncology, Malabar Cancer Centre, Thalassery, Kerala, India. Electronic address: cknair09@gmail.com.

Kalaiselvi Selvaraj (K)

Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, India.

Vineetha Raghavan (V)

Department of Clinical Hematology and Medical Oncology, Malabar Cancer Centre, Thalassery, Kerala, India.

Manuprasad A (M)

Department of Clinical Hematology and Medical Oncology, Malabar Cancer Centre, Thalassery, Kerala, India.

Praveen Kumar Shenoy (PK)

Department of Clinical Hematology and Medical Oncology, Malabar Cancer Centre, Thalassery, Kerala, India.

Anju R Kurup (AR)

Department of Clinical Hematology and Medical Oncology, Malabar Cancer Centre, Thalassery, Kerala, India.

Karthickeyan Duraisamy (K)

Academy for Public Health, Kozhikode, Kerala, India.

Kalpita Shringarpure (K)

Department of Preventive and Social Medicine, Medical College Baroda, Vadodara, Gujarat, India.

Vinayagamoorthy Venugopal (V)

Department of Community Medicine, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India.

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