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Provedor de dados:  BJMBR
País:  Brazil
Título:  Characterization and analysis of the outcome of adults with acute myeloid leukemia treated in a Brazilian University hospital over three decades
Autores:  Souto Filho,J.T.
Portugal,R.D.
Loureiro,M.
Pulcheri,W.
Nucci,M.
Data:  2011-07-01
Ano:  2011
Palavras-chave:  Acute myeloid leukemia
Survival
Prognosis
Resumo:  We evaluated the outcome of 227 patients with acute myeloid leukemia during three decades (period 1 - 1980’s, N = 89; period 2 - 1990’s, N = 73; period 3 - 2000’s, N = 65) at a single institution. Major differences between the three groups included a higher median age, rates of multilineage dysplasia and co-morbidities, and a lower rate of clinical manifestations of advanced leukemia in recent years. The proportion of patients who received induction remission chemotherapy was 66, 75, and 85% for periods 1, 2, and 3, respectively (P = 0.04). The median survival was 40, 77, and 112 days, and the 5-year overall survival was 7, 13, and 22%, respectively (P = 0.01). The median disease-free survival was 266, 278, and 386 days (P = 0.049). Survival expectation for patients with acute myeloid leukemia has substantially improved during this 30-year period, due to a combination of lower tumor burden and a more efficient use of chemotherapy and supportive care.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2011000700008
Editor:  Associação Brasileira de Divulgação Científica
Relação:  10.1590/S0100-879X2011007500058
Formato:  text/html
Fonte:  Brazilian Journal of Medical and Biological Research v.44 n.7 2011
Direitos:  info:eu-repo/semantics/openAccess
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