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In work published this year in the Journal of Clinical Oncology 1, we found that CHIP is present in about 30% of patients with non-Hodgkin lymphoma who undergo autologous stem cell transplants, reflecting a rate more than 5 times higher than healthy adults of similar age spectrum. In this population of lymphoma patients, the presence of CHIP.
Using the data of the Japanese HCT registry, the net survival rate of patients who survived for a given period was determined according to age, disease, and type of transplant. We included a total of 41,716 patients who received their first allogeneic hematopoietic cell transplantation between 1991 and 2015.
CHIP and malignancy risk: while CHIP significantly increases the risk of blood cancers, only a minority of individuals with CHIP will develop overt malignancy. Clinicians should counsel patients on this balance of risk. CHIP and transplantation: CHIP in patients undergoing autologous transplantation can impact mobilization and long-term survival.
Survival information for patients were annually updated at each transplant center, and the final annual update cycle of this dataset was performed during the period from June to October, 2016. Patients included in the analysis were patients who received first allogeneic HCT between 1991 and 2015.
Conclusion In patients undergoing ASCT for lymphoma, CHIP at the time of transplantation is associated with inferior survival and increased risk of TMN. Hematopoietic Stem Cell Transplantation / adverse effects*
Ten-year net survivals of total patient cohort were 41.5% and 47.4% for males and females, respectively. Except for myelodysplastic syndrome, multiple myeloma, and adult T-cell leukemia/lymphoma, 5-year CS for 5-year transplant survivors exceeded 90%.
Bone Marrow Transplantation 59, 1295–1301 (2024) Cite this article Prognosis for patients undergoing hematopoietic cell transplantation (HCT) has been improving. Short-term survival information, such as crude survival rates that consider deaths immediately after the transplantation, may not be sufficiently useful for assessing long-term survival.
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