Autologous stem cell transplantation in multiple myeloma patients: utilization patterns and hospital effects
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Autologous stem cell transplantation in multiple myeloma patients: utilization patterns and hospital effects. / Jansen, Lina; Merz, Maximilian; Engelhardt, Monika; Weisel, Katja; Scheid, Christof; Straka, Christian; Langer, Christian; Salwender, Hans; Einsele, Hermann; Kröger, Nikolaus; Beelen, Dietrich W; Dreger, Peter; Goldschmidt, Hartmut; Brenner, Hermann; German National Registry for Stem Cell Transplants (DRST).
In: LEUKEMIA LYMPHOMA, Vol. 61, No. 10, 10.2020, p. 2365-2374.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Autologous stem cell transplantation in multiple myeloma patients: utilization patterns and hospital effects
AU - Jansen, Lina
AU - Merz, Maximilian
AU - Engelhardt, Monika
AU - Weisel, Katja
AU - Scheid, Christof
AU - Straka, Christian
AU - Langer, Christian
AU - Salwender, Hans
AU - Einsele, Hermann
AU - Kröger, Nikolaus
AU - Beelen, Dietrich W
AU - Dreger, Peter
AU - Goldschmidt, Hartmut
AU - Brenner, Hermann
AU - German National Registry for Stem Cell Transplants (DRST)
PY - 2020/10
Y1 - 2020/10
N2 - Evidence on volume outcome associations for autologous stem cell transplantation (ASCT) in multiple myeloma (MM) is limited. We investigated ASCT utilization patterns and volume outcome associations in the German National Registry for Stem Cell Transplants (DRST). MM patients with an upfront ASCT between 1998 and 2014 registered in the DRST were included. ASCT utilization increased strongly from 6% to 17% between 1999 and 2013 with the largest increase for patients aged 60-64 years (8-34%). The mean number of ASCTs conducted in the hospitals per year varied (quintiles, Q1:0.0-8.2 to Q5:31.0-102.7). Center volume was not associated with survival after upfront ASCT (lowest vs. highest center volume, hazard ratios and 95% confidence intervals: 0.95 (0.76-1.18), p = 0.92). Our findings may reflect a high standard of care and degree of specialization of centers performing ASCT for MM in Germany.
AB - Evidence on volume outcome associations for autologous stem cell transplantation (ASCT) in multiple myeloma (MM) is limited. We investigated ASCT utilization patterns and volume outcome associations in the German National Registry for Stem Cell Transplants (DRST). MM patients with an upfront ASCT between 1998 and 2014 registered in the DRST were included. ASCT utilization increased strongly from 6% to 17% between 1999 and 2013 with the largest increase for patients aged 60-64 years (8-34%). The mean number of ASCTs conducted in the hospitals per year varied (quintiles, Q1:0.0-8.2 to Q5:31.0-102.7). Center volume was not associated with survival after upfront ASCT (lowest vs. highest center volume, hazard ratios and 95% confidence intervals: 0.95 (0.76-1.18), p = 0.92). Our findings may reflect a high standard of care and degree of specialization of centers performing ASCT for MM in Germany.
U2 - 10.1080/10428194.2020.1768383
DO - 10.1080/10428194.2020.1768383
M3 - SCORING: Journal article
C2 - 32476543
VL - 61
SP - 2365
EP - 2374
JO - LEUKEMIA LYMPHOMA
JF - LEUKEMIA LYMPHOMA
SN - 1042-8194
IS - 10
ER -