A single institution experience on 314 newly diagnosed advanced Hodgkin lymphoma patients: the role of ABVD in daily practice

被引:8
作者
Andjelic, Bosko [1 ]
Antic, Darko [1 ,2 ]
Jakovic, Ljubomir [1 ]
Todorovic, Milena [1 ,2 ]
Bogdanovic, Andrija [1 ,2 ]
Djurasinovic, Vladislava [1 ]
Bila, Jelena [1 ,2 ]
Mihaljevic, Biljana [1 ,2 ]
机构
[1] Clin Ctr Serbia, Clin Hematol, Belgrade 11000, Serbia
[2] Univ Belgrade, Fac Med, Belgrade, Serbia
关键词
advanced Hodgkin lymphoma; ABVD; daily practice; PROGNOSTIC SCORE; STANFORD-V; STAGE; CHEMOTHERAPY; TRIAL; INTENSIFICATION; BEACOPP; RADIOTHERAPY; MACROPHAGES; THERAPY;
D O I
10.1111/ejh.12364
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Based on the results of clinical trials, there is no global consensus on the optimal first-line therapy for patients with advanced Hodgkin lymphoma (HL) with both ABVD and BEACOPP currently being used. However, the results of clinical trials are usually better than those in daily practice. We thus describe here our experience on 314 advanced classical HL patients treated with ABVD at the Clinical Center of Serbia and associated centers between 1997 and 2008. The median follow-up for all patients was 91months; the estimated 5-yr event-free survival was 62% and the 5-yr overall survival (OS) 76%. Multivariate Cox regression analysis revealed that patients with IPS3 and extranodal disease involving more than one site have a poorer outcome. The data presented here show on overall improvement in outcome as compared to more previous data and illustrate the problems of treating advanced stage HL outside the setting of a clinical trial.
引用
收藏
页码:392 / 399
页数:8
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