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Country Report: The Report of Transplant Activity and Outcome During the First 12 Months at the First National Hematopoietic Stem Cell Transplant Center in Sri Lanka
Sri Lanka is a developing country with a population of 21 million. Nation Cancer Institute (NCI) is the largest tertiary cancer centre with universal health coverage. Absence of hematopoietic stem cell transplant (HSCT) was a major deficiency as most patients cannot afford transplant abroad. In 2013...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Asia-Pacific Blood and Marrow Transplantation Group
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10427228/ https://www.ncbi.nlm.nih.gov/pubmed/37588103 http://dx.doi.org/10.31547/bct-2019-007 |
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author | Abeysinghe, P Morawaka, L Gunasekara, S Suresh, S Jayathilake, PWDCC Udara, PHSP Siriwardena, PPR Milliken, S Moore, J Ma, DDF |
author_facet | Abeysinghe, P Morawaka, L Gunasekara, S Suresh, S Jayathilake, PWDCC Udara, PHSP Siriwardena, PPR Milliken, S Moore, J Ma, DDF |
author_sort | Abeysinghe, P |
collection | PubMed |
description | Sri Lanka is a developing country with a population of 21 million. Nation Cancer Institute (NCI) is the largest tertiary cancer centre with universal health coverage. Absence of hematopoietic stem cell transplant (HSCT) was a major deficiency as most patients cannot afford transplant abroad. In 2013-14, NCI decided to establish the first National HSCT center in collaboration with St. Vincent's Hospital Sydney. Eventually, the first Autologous HSCT was established at NCI in December 2016. Patients with multiple myeloma (MM) in very good partial remission or better remission, and patients with relapsed Non-Hodgkin's lymphoma (NHL) and Hodgkin lymphoma (HL), who were less than 65 years with good performance status were selected. Stem cells were mobilized with cyclophosphamide and G-CSF and the products were cryopreserved. Melphalan was the conditioning regime for MM while BEAM was used for HL and NHL. Twenty autologous transplants were performed in the first year. Mean age was 47 years (range: 17-62) and male to female ratio was 3: 2. There were 17 MM and one each of NHL, HL and POEMS syndrome patients. Median CD34+ stem cells collected was 12.72×10(6)/kg (range: 3-31) and median infused cell dose was 4.07×10(6)/kg (range: 2-7.4). Median engraftment day was 13 (range: 11-19) and median hospitalization was 16 days (range: 14-20). All developed febrile neutropenia and GradeⅢ thrombocytopenia. Zero transplant-related mortality was observed with acceptable morbidity. At the median follow-up of 47 weeks, the overall survival was 100% with all the patients still in remission. |
format | Online Article Text |
id | pubmed-10427228 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Asia-Pacific Blood and Marrow Transplantation Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-104272282023-08-16 Country Report: The Report of Transplant Activity and Outcome During the First 12 Months at the First National Hematopoietic Stem Cell Transplant Center in Sri Lanka Abeysinghe, P Morawaka, L Gunasekara, S Suresh, S Jayathilake, PWDCC Udara, PHSP Siriwardena, PPR Milliken, S Moore, J Ma, DDF Blood Cell Ther Survey Report Sri Lanka is a developing country with a population of 21 million. Nation Cancer Institute (NCI) is the largest tertiary cancer centre with universal health coverage. Absence of hematopoietic stem cell transplant (HSCT) was a major deficiency as most patients cannot afford transplant abroad. In 2013-14, NCI decided to establish the first National HSCT center in collaboration with St. Vincent's Hospital Sydney. Eventually, the first Autologous HSCT was established at NCI in December 2016. Patients with multiple myeloma (MM) in very good partial remission or better remission, and patients with relapsed Non-Hodgkin's lymphoma (NHL) and Hodgkin lymphoma (HL), who were less than 65 years with good performance status were selected. Stem cells were mobilized with cyclophosphamide and G-CSF and the products were cryopreserved. Melphalan was the conditioning regime for MM while BEAM was used for HL and NHL. Twenty autologous transplants were performed in the first year. Mean age was 47 years (range: 17-62) and male to female ratio was 3: 2. There were 17 MM and one each of NHL, HL and POEMS syndrome patients. Median CD34+ stem cells collected was 12.72×10(6)/kg (range: 3-31) and median infused cell dose was 4.07×10(6)/kg (range: 2-7.4). Median engraftment day was 13 (range: 11-19) and median hospitalization was 16 days (range: 14-20). All developed febrile neutropenia and GradeⅢ thrombocytopenia. Zero transplant-related mortality was observed with acceptable morbidity. At the median follow-up of 47 weeks, the overall survival was 100% with all the patients still in remission. Asia-Pacific Blood and Marrow Transplantation Group 2019-11-25 /pmc/articles/PMC10427228/ /pubmed/37588103 http://dx.doi.org/10.31547/bct-2019-007 Text en Copyright Ⓒ2019 Asia-Pacific Blood and Marrow Transplantation Group (APBMT). https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under CC BY-NC license (https://creativecommons.org/licenses/by-nc/4.0/). |
spellingShingle | Survey Report Abeysinghe, P Morawaka, L Gunasekara, S Suresh, S Jayathilake, PWDCC Udara, PHSP Siriwardena, PPR Milliken, S Moore, J Ma, DDF Country Report: The Report of Transplant Activity and Outcome During the First 12 Months at the First National Hematopoietic Stem Cell Transplant Center in Sri Lanka |
title | Country Report: The Report of Transplant Activity and Outcome During the First 12 Months at the First National Hematopoietic Stem Cell Transplant Center in Sri Lanka |
title_full | Country Report: The Report of Transplant Activity and Outcome During the First 12 Months at the First National Hematopoietic Stem Cell Transplant Center in Sri Lanka |
title_fullStr | Country Report: The Report of Transplant Activity and Outcome During the First 12 Months at the First National Hematopoietic Stem Cell Transplant Center in Sri Lanka |
title_full_unstemmed | Country Report: The Report of Transplant Activity and Outcome During the First 12 Months at the First National Hematopoietic Stem Cell Transplant Center in Sri Lanka |
title_short | Country Report: The Report of Transplant Activity and Outcome During the First 12 Months at the First National Hematopoietic Stem Cell Transplant Center in Sri Lanka |
title_sort | country report: the report of transplant activity and outcome during the first 12 months at the first national hematopoietic stem cell transplant center in sri lanka |
topic | Survey Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10427228/ https://www.ncbi.nlm.nih.gov/pubmed/37588103 http://dx.doi.org/10.31547/bct-2019-007 |
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