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Younger age and induction failure predict outcomes in infant leukemia: 30 years of experience in a tertiary center

OBJECTIVES: This study aimed to evaluate the characteristics and outcomes of infant patients with leukemia. METHODS: A retrospective analysis was conducted in a cohort of 39 patients diagnosed with infant leukemia from 1990 to 2020 who underwent treatment at the pediatric hemato-oncology department...

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Detalles Bibliográficos
Autores principales: Ochoa-Fernández, Bárbara, Galán-Gómez, Víctor, Guerra-García, Pilar, Sanromán, Sonsoles, Martínez, Isabel, Bueno, David, Mozo, Yasmina, Sisinni, Luisa, Losantos, Itsaso, González, Berta, Pérez-Martínez, Antonio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10263122/
https://www.ncbi.nlm.nih.gov/pubmed/37325355
http://dx.doi.org/10.3389/fped.2023.1166176
Descripción
Sumario:OBJECTIVES: This study aimed to evaluate the characteristics and outcomes of infant patients with leukemia. METHODS: A retrospective analysis was conducted in a cohort of 39 patients diagnosed with infant leukemia from 1990 to 2020 who underwent treatment at the pediatric hemato-oncology department of a tertiary hospital in Madrid, Spain. RESULTS: Of the 588 diagnosed cases of childhood leukemia, 39 (6.6%) cases were infant leukemia. The 5-year event-free survival and the 5-year overall survival were 43.6% (SE 4.1) and 46.5% (SD 24.08), respectively. In a univariate analysis, a younger age at diagnosis was associated with poorer outcomes (p = 0.027), as was induction failure (p = 0.0024). Patients treated with hematopoietic stem cell transplantation had better outcomes than non-transplanted patients (p = 0.001); however, the group comparisons that exclude patients who were unable to undergo transplantation due to refractoriness/relapse or death during treatment showed no significant differences. CONCLUSIONS: The main risk factors that affected survival in our study were an age younger than 6 months and a poor response to induction therapy. It is important to identify poor prognostic factors in this population in order to seek different approaches that could improve outcomes.