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...
- 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
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UNACIONAL2 |
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Universidad Nacional de Colombia |
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|
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 |
dc.type.coar.fl_str_mv |
http://purl.org/coar/resource_type/c_2df8fbb1 |
dc.type.driver.spa.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.version.spa.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.coar.spa.fl_str_mv |
http://purl.org/coar/resource_type/c_6501 |
dc.type.coarversion.spa.fl_str_mv |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
dc.type.content.spa.fl_str_mv |
Text |
dc.type.redcol.spa.fl_str_mv |
http://purl.org/redcol/resource_type/ART |
format |
http://purl.org/coar/resource_type/c_6501 |
status_str |
publishedVersion |
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 |
dc.identifier.eprints.spa.fl_str_mv |
http://bdigital.unal.edu.co/66219/ |
identifier_str_mv |
ISSN: 2357-3848 |
url |
https://repositorio.unal.edu.co/handle/unal/65196 http://bdigital.unal.edu.co/66219/ |
dc.language.iso.spa.fl_str_mv |
spa |
language |
spa |
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 |
dc.rights.uri.spa.fl_str_mv |
http://creativecommons.org/licenses/by-nc/4.0/ |
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 https://repositorio.unal.edu.co/bitstream/unal/65196/2/53961-315038-1-PB.pdf.jpg |
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Repositorio Institucional Universidad Nacional de Colombia |
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repositorio_nal@unal.edu.co |
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1814089813068873728 |
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 |