○種別 (必須): | □ | 学術論文 (審査論文)
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○言語 (必須): | □ | 英語
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○招待 (推奨): |
○審査 (推奨): |
○カテゴリ (推奨): |
○共著種別 (推奨): |
○学究種別 (推奨): |
○組織 (推奨): |
○著者 (必須): | 1. | (英) Sawada Akihisa (日) (読)
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| 2. | (英) Ohga Shouichi (日) (読)
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| 3. | (英) Ishii Eiichi (日) (読)
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| 4. | (英) Inoue Masami (日) (読)
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| 5. | (英) Okada Keiko (日) (読)
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| 6. | (英) Inagaki Jiro (日) (読)
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| 7. | (英) Goto Hiroaki (日) (読)
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| 8. | (英) Suzuki Nobuhiro (日) (読)
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| 9. | (英) Koike Kazutoshi (日) (読)
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| 10. | (英) Atsuta Yoshiko (日) (読)
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| 11. | (英) Suzuki Ritsuro (日) (読)
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| 12. | (英) Yabe Hiromasa (日) (読)
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| 13. | (英) Kawa Keisei (日) (読)
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| 14. | (英) Kato Koji (日) (読)
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| 15. | 安友 康二 ([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.病理系.生体防御医学])
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○題名 (必須): | □ | (英) Feasibility of reduced-intensity conditioning followed by unrelated cord blood transplantation for primary hemophagocytic lymphohistiocytosis: a nationwide retrospective analysis in Japan. (日)
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○副題 (任意): |
○要約 (任意): | □ | (英) (日) A nationwide retrospective analysis was performed on patients who received allogeneic hematopoietic stem cell transplantation for primary or familial hemophagocytic lymphohistiocytosis (HLH) in Japan. The present analysis investigated whether reduced-intensity conditioning (RIC) followed by cord blood transplantation (CBT) (RIC-CBT) is feasible, compared to the outcomes of myeloablative conditioning and bone marrow transplantation. Based on the JSHCT data, 53 patients were analyzed. The overall survival rate (OS) was 65.4 ± 6.6 %. RIC-CBT (n = 13) was not inferior to other methods. Patients with a performance status of PS 4 (ECOG scale) with HLH-associated severe organ dysfunction during the initiation of conditioning had extremely poor outcomes. The OS rate in the RIC-CBT patients, excluding those with a performance status 4, was 80.0 ± 12.6 %. RIC may reduce treatment-related mortality; in addition, patients with engraftment failure, which is the main adverse event following RIC-CBT, were successfully rescued with secondary CBT. Unrelated cord blood may represent an alternative source if a patient has no related donor. As a RIC regimen for CBT, 140 mg/m(2) melphalan with fludarabine and anti-lymphocyte globulin or anti-thymocyte globulin may be feasible, but further dosage optimization should be performed in controlled clinical trials.
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○キーワード (推奨): | 1. | (英) Adolescent (日) (読)
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| 2. | (英) Allografts (日) (読)
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| 3. | (英) Antilymphocyte Serum (日) (読)
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| 4. | (英) Child (日) (読)
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| 5. | (英) Child, Preschool (日) (読)
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| 6. | (英) Cord Blood Stem Cell Transplantation (日) (読)
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| 7. | (英) Disease-Free Survival (日) (読)
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| 8. | (英) Female (日) (読)
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| 9. | (英) Humans (日) (読)
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| 10. | (英) Immunosuppressive Agents (日) (読)
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| 11. | (英) Infant (日) (読)
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| 12. | (英) Japan (日) (読)
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| 13. | (英) Lymphohistiocytosis, Hemophagocytic (日) (読)
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| 14. | (英) Male (日) (読)
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| 15. | (英) Melphalan (日) (読)
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| 16. | (英) Myeloablative Agonists (日) (読)
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| 17. | (英) Survival Rate (日) (読)
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| 18. | (英) Transplantation Conditioning (日) (読)
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| 19. | (英) Unrelated Donors (日) (読)
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| 20. | (英) Vidarabine (日) (読)
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○発行所 (推奨): |
○誌名 (必須): | □ | International Journal of Hematology (日本血液学会)
(pISSN: 0925-5710, eISSN: 1865-3774)
○ISSN (任意): | □ | 1865-3774
ISSN: 0925-5710
(pISSN: 0925-5710, eISSN: 1865-3774) Title: International journal of hematologyTitle(ISO): Int J HematolPublisher: Springer (NLM Catalog)
(医中誌Web)
(Scopus)
(CrossRef)
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○巻 (必須): | □ | 98
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○号 (必須): | □ | 2
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○頁 (必須): | □ | 223 230
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○都市 (任意): |
○年月日 (必須): | □ | 西暦 2013年 7月 11日 (平成 25年 7月 11日)
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○URL (任意): |
○DOI (任意): | □ | 10.1007/s12185-013-1391-z (→Scopusで検索)
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○PMID (任意): | □ | 23843148 (→Scopusで検索)
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○備考 (任意): | 1. | (英) PublicationType: Clinical Trial (日)
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| 2. | (英) PublicationType: Journal Article (日)
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| 3. | (英) PublicationType: Multicenter Study (日)
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| 4. | (英) PublicationType: Research Support, Non-U.S. Gov't (日)
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