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  • 1.
    Radivoyevitch, Tomas
    et al.
    Cleveland Clin Fdn, Dept Quantitat Hlth Sci, 9500 Euclid Ave, Cleveland, OH 44195 USA;Cleveland Clin Fdn, Dept Hematol & Oncol Res, 9500 Euclid Ave, Cleveland, OH 44195 USA.
    Dean, Robert M.
    Cleveland Clin, Blood & Marrow Transplant Program, Cleveland, OH 44106 USA;Royal Melbourne Hosp City Campus, Melbourne, Vic, Australia.
    Shaw, Bronwen E.
    Med Coll Wisconsin, CIBMTR, Milwaukee, WI 53226 USA.
    Brazauskas, Ruta
    Med Coll Wisconsin, CIBMTR, Milwaukee, WI 53226 USA;Med Coll Wisconsin, Div Biostat, Milwaukee, WI 53226 USA.
    Tecca, Heather R.
    Med Coll Wisconsin, CIBMTR, Milwaukee, WI 53226 USA.
    Molenaar, Remco J.
    Cleveland Clin Fdn, Dept Quantitat Hlth Sci, 9500 Euclid Ave, Cleveland, OH 44195 USA;Cleveland Clin Fdn, Dept Hematol & Oncol Res, 9500 Euclid Ave, Cleveland, OH 44195 USA;Acad Med Ctr, Dept Med Oncol, Amsterdam, Netherlands.
    Battiwalla, Minoo
    NHLBI, Hematol Branch, Bethesda, MD 20892 USA.
    Savani, Bipin N.
    Vanderbilt Univ, Med Ctr, Dept Med, Nashville, TN USA.
    Flowers, Mary E. D.
    Fred Hutchinson Canc Res Ctr, Div Clin Res, 1124 Columbia St, Seattle, WA 98104 USA.
    Cooke, Kenneth R.
    Johns Hopkins, Sidney Kimmel Comprehens Canc Ctr, Pediat Blood & Marrow Transplantat Program, Baltimore, MD USA.
    Hamilton, Betty K.
    Cleveland Clin, Blood & Marrow Transplant Program, Cleveland, OH 44106 USA;Royal Melbourne Hosp City Campus, Melbourne, Vic, Australia.
    Kalaycio, Matt
    Cleveland Clin, Blood & Marrow Transplant Program, Cleveland, OH 44106 USA;Royal Melbourne Hosp City Campus, Melbourne, Vic, Australia.
    Maciejewski, Jaroslaw P.
    Cleveland Clin, Blood & Marrow Transplant Program, Cleveland, OH 44106 USA;Royal Melbourne Hosp City Campus, Melbourne, Vic, Australia.
    Ahmed, Ibrahim
    Childrens Mercy Hosp & Clin, Dept Hematol Oncol & Bone Marrow Transplantat, Kansas City, MO USA.
    Akpek, Gorgun
    Rush Univ, Med Ctr, Stem Cell Transplantat & Cell Therapy, Chicago, IL 60612 USA.
    Bajel, Ashish
    Buchbinder, David
    Childrens Hosp Orange Cty, Div Pediat Hematol, Orange, CA 92668 USA.
    Cahn, Jean-Yves
    CHU Grenoble Alpes, Dept Hematol, Grenoble, France.
    D'Souza, Anita
    Med Coll Wisconsin, CIBMTR, Milwaukee, WI 53226 USA.
    Daly, Andrew
    Tom Baker Canc Clin, Calgary, AB, Canada.
    DeFilipp, Zachariah
    Massachusetts Gen Hosp, Blood & Marrow Transplant Program, Boston, MA 02114 USA.
    Ganguly, Siddhartha
    Univ Kansas, Med Ctr, Blood & Marrow Transplantat, Kansas City, KS 66103 USA.
    Hamadani, Mehdi
    Med Coll Wisconsin, CIBMTR, Milwaukee, WI 53226 USA.
    Hayashi, Robert J.
    Washington Univ, Dept Pediat, Sch Med St Louis, St Louis, MO 63130 USA.
    Hematti, Peiman
    Univ Wisconsin Hosp & Clin, Dept Med, Madison, WI 53792 USA.
    Inamoto, Yoshihiro
    Natl Canc Ctr, Div Hematopoiet Stem Cell Transplantat, Tokyo, Japan.
    Khera, Nandita
    Mayo Clin, Dept Hematol Oncol, Phoenix, AZ USA.
    Kindwall-Keller, Tamila
    Univ Virginia Hlth Syst, Div Hematol Oncol, Charlottesville, VA USA.
    Landau, Heather
    Mem Sloan Kettering Canc Ctr, Div Hematol, Bone Marrow Transplant Serv, 1275 York Ave, New York, NY 10021 USA.
    Lazarus, Hillard
    Case Western Reserve Univ, Seidman Canc Ctr, Cleveland, OH 44106 USA.
    Majhail, Navneet S.
    Cleveland Clin, Blood & Marrow Transplant Program, Cleveland, OH 44106 USA;Royal Melbourne Hosp City Campus, Melbourne, Vic, Australia.
    Marks, David I.
    Univ Hosp Bristol NHS Trust, Adult Bone Marrow Transplant, Bristol, Avon, England.
    Olsson, Richard F.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD). Karolinska Inst, Dept Lab Med, Stockholm, Sweden.
    Seo, Sachiko
    Natl Canc Res Ctr East, Dept Hematol & Oncol, Chiba, Japan.
    Steinberg, Amir
    Mt Sinai Hosp, Dept Hematol Oncol, New York, NY 10029 USA.
    William, Basem M.
    Ohio State Med Ctr, Columbus, OH USA.
    Wirk, Baldeep
    Seattle Canc Care Alliance, Div Bone Marrow Transplant, Seattle, WA USA.
    Yared, Jean A.
    Univ Maryland, Dept Med, Baltimore, MD 21201 USA.
    Aljurf, Mahmoud
    King Faisal Specialist Hosp & Res Ctr, Dept Oncol, Riyadh, Saudi Arabia.
    Abidi, Muneer H.
    Wayne State Univ, Karmanos Canc Inst, Dept Oncol, Detroit, MI USA.
    Allewelt, Heather
    Duke Univ, Med Ctr, Durham, NC USA.
    Beitinjaneh, Amer
    Univ Miami, Miami, FL USA.
    Cook, Rachel
    Oregon Hlth & Sci Univ, Portland, OR 97201 USA.
    Cornell, Robert F.
    Vanderbilt Univ, Med Ctr, Dept Med, Nashville, TN USA.
    Fay, Joseph W.
    Baylor Univ, Med Ctr, Dallas, TX USA.
    Hale, Gregory
    Johns Hopkins All Childrens Hosp, Dept Hematol Oncol, St Petersburg, FL USA.
    Chakrabarty, Jennifer Holter
    Univ Oklahoma, Dept Hematol Oncol, Oklahoma City, OK USA.
    Jodele, Sonata
    Cincinnati Childrens Hosp Med Ctr, Cincinnati, OH 45229 USA.
    Kasow, Kimberly A.
    Univ N Carolina, Chapel Hill, NC 27515 USA.
    Mahindra, Anuj
    Scripps Blood & Marrow Transplant Program, La Jolla, CA USA.
    Malone, Adriana K.
    Icahn Sch Med Mt Sinai, Tisch Canc Inst, New York, NY 10029 USA.
    Popat, Uday
    Univ Texas MD Anderson Canc Ctr, Houston, TX 77030 USA.
    Rizzo, J. Douglas
    Natl Canc Res Ctr East, Dept Hematol & Oncol, Chiba, Japan.
    Schouten, Harry C.
    Acad Ziekenhuis, Dept Hematol, Maastricht, Netherlands.
    Warwick, Anne B.
    Uniformed Serv Univ Hlth Sci, Dept Pediat, Bethesda, MD 20814 USA.
    Wood, William A.
    Univ N Carolina, Chapel Hill, NC 27515 USA.
    Sekeres, Mikkael A.
    Cleveland Clin, Blood & Marrow Transplant Program, Cleveland, OH 44106 USA;Royal Melbourne Hosp City Campus, Melbourne, Vic, Australia.
    Litzow, Mark R.
    Mayo Clin, Dept Med, Rochester, MN USA.
    Gale, Robert P.
    Imperial Coll London, Dept Med, London, England.
    Hashmi, Shahrukh K.
    King Faisal Specialist Hosp & Res Ctr, Dept Oncol, Riyadh, Saudi Arabia.
    Risk of acute myeloid leukemia and myelodysplastic syndrome after autotransplants for lymphomas and plasma cell myeloma2018In: Leukemia research: a Forum for Studies on Leukemia and Normal Hemopoiesis, ISSN 0145-2126, E-ISSN 1873-5835, Vol. 74, p. 130-136Article in journal (Refereed)
    Abstract [en]

    Background: Exposures to DNA-damaging drugs and ionizing radiations increase risks of acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS).

    Methods: 9028 recipients of hematopoietic cell autotransplants (1995-2010) for Hodgkin lymphoma (HL; n=916), non-Hodgkin lymphoma (NHL; n=3546) and plasma cell myeloma (PCM; n=4566), reported to the CIBMTR, were analyzed for risk of subsequent AML or MDS.

    Results: 335 MDS/ AML cases were diagnosed posttransplant (3.7%). Variables associated with an increased risk for AML or MDS in multivariate analyses were: (1) conditioning with total body radiation versus chemotherapy alone for HL (HR=4.0; 95% confidence interval [1.4, 11.6]) and NHL (HR=2.5 [1.1, 2.5]); (2) >= 3 versus 1 line of chemotherapy for NHL (HR=1.9 [1.3, 2.8]); and (3) subjects with NHL transplanted in 2005-2010 versus 1995-1999 (HR=2.1 [1.5, 3.1]). Using Surveillance, Epidemiology and End Results (SEER) data, we found risks for AML/ MDS in HL, NHL and PCM to be 5-10 times the background rate. In contrast, relative risks were 10-50 for AML and approximately 100 for MDS in the autotransplant cohort.

    Conclusions: There are substantial risks of AML and MDS after autotransplants for HL, NHL and PCM.

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