Intensive chemotherapy in children with acute lymphoblastic leukemia. Interim analysis in a referral center in Colombia.

Background: Acute lymphoblastic leukemia is the most common cancer in children. In developed countries, overall survival rates are around 80%, while in developing countries, survival rate is much lower due to high rates of relapse, and abandonment and complications arising from the disease treatment...

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Autores:
Trujillo, Angela Maria
Linares Ballesteros, Adriana
Sarmiento, Isabel Cristina
Tipo de recurso:
Article of journal
Fecha de publicación:
2016
Institución:
Universidad Nacional de Colombia
Repositorio:
Universidad Nacional de Colombia
Idioma:
spa
OAI Identifier:
oai:repositorio.unal.edu.co:unal/65196
Acceso en línea:
https://repositorio.unal.edu.co/handle/unal/65196
http://bdigital.unal.edu.co/66219/
Palabra clave:
61 Ciencias médicas; Medicina / Medicine and health
Lymphoblastic Leukemia
Pediatrics
Side Effects
Survival
Leucemia linfoblástica
Pediatría
Toxicidad de medicamentos
Sobrevida
Rights
openAccess
License
Atribución-NoComercial 4.0 Internacional
id UNACIONAL2_4aba3fef32ac33ceb62fca74d5c4b84a
oai_identifier_str oai:repositorio.unal.edu.co:unal/65196
network_acronym_str UNACIONAL2
network_name_str Universidad Nacional de Colombia
repository_id_str
dc.title.spa.fl_str_mv Intensive chemotherapy in children with acute lymphoblastic leukemia. Interim analysis in a referral center in Colombia.
title Intensive chemotherapy in children with acute lymphoblastic leukemia. Interim analysis in a referral center in Colombia.
spellingShingle Intensive chemotherapy in children with acute lymphoblastic leukemia. Interim analysis in a referral center in Colombia.
61 Ciencias médicas; Medicina / Medicine and health
Lymphoblastic Leukemia
Pediatrics
Side Effects
Survival
Leucemia linfoblástica
Pediatría
Toxicidad de medicamentos
Sobrevida
title_short Intensive chemotherapy in children with acute lymphoblastic leukemia. Interim analysis in a referral center in Colombia.
title_full Intensive chemotherapy in children with acute lymphoblastic leukemia. Interim analysis in a referral center in Colombia.
title_fullStr Intensive chemotherapy in children with acute lymphoblastic leukemia. Interim analysis in a referral center in Colombia.
title_full_unstemmed Intensive chemotherapy in children with acute lymphoblastic leukemia. Interim analysis in a referral center in Colombia.
title_sort Intensive chemotherapy in children with acute lymphoblastic leukemia. Interim analysis in a referral center in Colombia.
dc.creator.fl_str_mv Trujillo, Angela Maria
Linares Ballesteros, Adriana
Sarmiento, Isabel Cristina
dc.contributor.author.spa.fl_str_mv Trujillo, Angela Maria
Linares Ballesteros, Adriana
Sarmiento, Isabel Cristina
dc.subject.ddc.spa.fl_str_mv 61 Ciencias médicas; Medicina / Medicine and health
topic 61 Ciencias médicas; Medicina / Medicine and health
Lymphoblastic Leukemia
Pediatrics
Side Effects
Survival
Leucemia linfoblástica
Pediatría
Toxicidad de medicamentos
Sobrevida
dc.subject.proposal.spa.fl_str_mv Lymphoblastic Leukemia
Pediatrics
Side Effects
Survival
Leucemia linfoblástica
Pediatría
Toxicidad de medicamentos
Sobrevida
description Background: Acute lymphoblastic leukemia is the most common cancer in children. In developed countries, overall survival rates are around 80%, while in developing countries, survival rate is much lower due to high rates of relapse, and abandonment and complications arising from the disease treatment.Objectives: To assess induction mortality, relapse and treatment abandonment. To describe the most frequent side effects of chemotherapy. To evaluate survival rates of patients and compare the findings found in this study with the existing literature.Material and methods: A retrospective cohort study was conducted on patients aged 1 to 18 with acute lymphoblastic leukemia, who received treatment under the BFM ALL IC 2009 protocol at Fundación Hospital La Misericordia (HOMI), from November 2012 to December 2014.Results: 119 patients were included. Death occurred in two cases during induction (1.67%) and in nine (7.7%) due to treatment, all of them caused by infection/sepsis and in complete remission. Six patients abandoned treatment (5%), while seven relapses occurred (5.9%). All patients experienced some type of side effect related to chemotherapy, the most frequent being febrile neutropenia (41.2%) and grade 3-4 infections (15.8%). Overall survival and event-free survival rates were 79.9% and 73.3%, respectively.Conclusions: Evaluating complications of treatment and death allows adopting measures and strategies to reduce such complications.
publishDate 2016
dc.date.issued.spa.fl_str_mv 2016-07-01
dc.date.accessioned.spa.fl_str_mv 2019-07-02T23:58:19Z
dc.date.available.spa.fl_str_mv 2019-07-02T23:58:19Z
dc.type.spa.fl_str_mv Artículo de revista
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dc.type.content.spa.fl_str_mv Text
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format http://purl.org/coar/resource_type/c_6501
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dc.identifier.issn.spa.fl_str_mv ISSN: 2357-3848
dc.identifier.uri.none.fl_str_mv https://repositorio.unal.edu.co/handle/unal/65196
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identifier_str_mv ISSN: 2357-3848
url https://repositorio.unal.edu.co/handle/unal/65196
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dc.relation.spa.fl_str_mv https://revistas.unal.edu.co/index.php/revfacmed/article/view/53961
dc.relation.ispartof.spa.fl_str_mv Universidad Nacional de Colombia Revistas electrónicas UN Revista de la Facultad de Medicina
Revista de la Facultad de Medicina
dc.relation.references.spa.fl_str_mv Trujillo, Angela Maria and Linares Ballesteros, Adriana and Sarmiento, Isabel Cristina (2016) Intensive chemotherapy in children with acute lymphoblastic leukemia. Interim analysis in a referral center in Colombia. Revista de la Facultad de Medicina, 64 (3). pp. 417-425. ISSN 2357-3848
dc.rights.spa.fl_str_mv Derechos reservados - Universidad Nacional de Colombia
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.license.spa.fl_str_mv Atribución-NoComercial 4.0 Internacional
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dc.rights.accessrights.spa.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv Atribución-NoComercial 4.0 Internacional
Derechos reservados - Universidad Nacional de Colombia
http://creativecommons.org/licenses/by-nc/4.0/
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Universidad Nacional de Colombia - Sede Bogotá - Facultad de Medicina
institution Universidad Nacional de Colombia
bitstream.url.fl_str_mv https://repositorio.unal.edu.co/bitstream/unal/65196/1/53961-315038-1-PB.pdf
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spelling Atribución-NoComercial 4.0 InternacionalDerechos reservados - Universidad Nacional de Colombiahttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Trujillo, Angela Maria0d0bfaa9-3bda-41b8-a55c-29f2c59502c4300Linares Ballesteros, Adrianaf59a520e-b50e-4fd5-b1f2-0ebd5b0f90e3300Sarmiento, Isabel Cristina3ef58153-585b-4499-a640-2ca4e5e6f30c3002019-07-02T23:58:19Z2019-07-02T23:58:19Z2016-07-01ISSN: 2357-3848https://repositorio.unal.edu.co/handle/unal/65196http://bdigital.unal.edu.co/66219/Background: Acute lymphoblastic leukemia is the most common cancer in children. In developed countries, overall survival rates are around 80%, while in developing countries, survival rate is much lower due to high rates of relapse, and abandonment and complications arising from the disease treatment.Objectives: To assess induction mortality, relapse and treatment abandonment. To describe the most frequent side effects of chemotherapy. To evaluate survival rates of patients and compare the findings found in this study with the existing literature.Material and methods: A retrospective cohort study was conducted on patients aged 1 to 18 with acute lymphoblastic leukemia, who received treatment under the BFM ALL IC 2009 protocol at Fundación Hospital La Misericordia (HOMI), from November 2012 to December 2014.Results: 119 patients were included. Death occurred in two cases during induction (1.67%) and in nine (7.7%) due to treatment, all of them caused by infection/sepsis and in complete remission. Six patients abandoned treatment (5%), while seven relapses occurred (5.9%). All patients experienced some type of side effect related to chemotherapy, the most frequent being febrile neutropenia (41.2%) and grade 3-4 infections (15.8%). Overall survival and event-free survival rates were 79.9% and 73.3%, respectively.Conclusions: Evaluating complications of treatment and death allows adopting measures and strategies to reduce such complications.Introducción. La leucemia linfoblástica aguda es el cáncer más frecuente en los niños. La sobrevida en países desarrollados está alrededor de 80%, mientras que en países de bajos ingresos la tasa de supervivencia es menor debido a altas cifras de recaída, abandono de tratamiento y complicaciones relacionadas con el tratamiento. Objetivos. Hacer una evaluación de muerte en inducción relacionada con el tratamiento, las recaídas y los abandonos de tratamiento; describir las reacciones adversas más observadas relacionadas con medicamentos de quimioterapia; evaluar la sobrevida, y comparar los hallazgos con publicaciones previas.Materiales y métodos. Estudio de cohorte retrospectivo. Se incluyeron pacientes con edades entre 1 y 18 años, con diagnóstico de leucemia linfoblástica aguda tratada entre noviembre de 2012 y diciembre de 2014 en la Fundación Hospital La Misericordia de Bogotá (HOMI) y a quienes se les había aplicado tratamiento con el protocolo BFM ALL IC 2009.Resultados. Se incluyeron 119 pacientes. Se presentaron dos (1.67%) muertes en inducción y nueve (7.7%) relacionadas con tratamiento —todas por infección/sepsis y en remisión completa—, seis abandonos (5%) y siete recaídas (5.9%). Todos los pacientes presentaron algún tipo de reacción adversa relacionada con medicamentos de quimioterapia, las más frecuentes fueron neutropenia febril (41.2%) e infecciones grado 3-4 (15.8%). Las sobrevidas global y libre de evento fueron de 79.9% y 73.3%, respectivamente.Conclusiones. La evaluación de los efectos deletéreos del tratamiento y muerte durante tratamiento permiten tomar medidas para disminuir estas complicaciones.application/pdfspaUniversidad Nacional de Colombia - Sede Bogotá - Facultad de Medicinahttps://revistas.unal.edu.co/index.php/revfacmed/article/view/53961Universidad Nacional de Colombia Revistas electrónicas UN Revista de la Facultad de MedicinaRevista de la Facultad de MedicinaTrujillo, Angela Maria and Linares Ballesteros, Adriana and Sarmiento, Isabel Cristina (2016) Intensive chemotherapy in children with acute lymphoblastic leukemia. Interim analysis in a referral center in Colombia. Revista de la Facultad de Medicina, 64 (3). pp. 417-425. ISSN 2357-384861 Ciencias médicas; Medicina / Medicine and healthLymphoblastic LeukemiaPediatricsSide EffectsSurvivalLeucemia linfoblásticaPediatríaToxicidad de medicamentosSobrevidaIntensive chemotherapy in children with acute lymphoblastic leukemia. Interim analysis in a referral center in Colombia.Artículo de revistainfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/version/c_970fb48d4fbd8a85Texthttp://purl.org/redcol/resource_type/ARTORIGINAL53961-315038-1-PB.pdfapplication/pdf692458https://repositorio.unal.edu.co/bitstream/unal/65196/1/53961-315038-1-PB.pdfc0a6796bd3b47e8703095838862878f9MD51THUMBNAIL53961-315038-1-PB.pdf.jpg53961-315038-1-PB.pdf.jpgGenerated Thumbnailimage/jpeg8530https://repositorio.unal.edu.co/bitstream/unal/65196/2/53961-315038-1-PB.pdf.jpgf34cb038c385d02b48b516ba668eaabeMD52unal/65196oai:repositorio.unal.edu.co:unal/651962024-05-09 23:09:07.571Repositorio Institucional Universidad Nacional de Colombiarepositorio_nal@unal.edu.co