Biology of Blood and Marrow Transplantation
Volume 15, Issue 2 , Pages 137-172 , February 2009

The Role of Cytotoxic Therapy with Hematopoietic Stem Cell Transplantation in the Therapy of Myelodysplastic Syndromes: An Evidence-Based Review

  • Denise M. Oliansky

      Affiliations

    • Roswell Park Cancer Institute, Buffalo, New York
  • ,
  • Joseph H. Antin

      Affiliations

    • Dana Farber Cancer Institute, Boston, Massachusetts
  • ,
  • John M. Bennett

      Affiliations

    • University of Rochester, James P. Wilmot Cancer Center, Rochester, New York
  • ,
  • H. Joachim Deeg

      Affiliations

    • Fred Hutchinson Cancer Research Center, Seattle, Washington
  • ,
  • Christin Engelhardt

      Affiliations

    • Aplastic Anemia and MDS International Foundation, Inc., Churchton, Maryland
  • ,
  • Kathleen V. Heptinstall

      Affiliations

    • The Myelodysplastic Syndromes Foundation, Inc., Crosswicks, New Jersey
  • ,
  • Marcos de Lima

      Affiliations

    • M.D. Anderson Cancer Center, Houston, Texas
  • ,
  • Steven D. Gore

      Affiliations

    • Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland
  • ,
  • Ronald G. Potts

      Affiliations

    • INTERLINK Health Services, Hillsboro, Oregon
  • ,
  • Lewis R. Silverman

      Affiliations

    • Mt. Sinai School of Medicine, New York, New York
  • ,
  • Roy B. Jones

      Affiliations

    • M.D. Anderson Cancer Center, Houston, Texas
  • ,
  • Philip L. McCarthy Jr.

      Affiliations

    • Roswell Park Cancer Institute, Buffalo, New York
  • ,
  • Theresa Hahn

      Affiliations

    • Roswell Park Cancer Institute, Buffalo, New York
    • Corresponding Author InformationCorrespondence and reprint requests: Theresa Hahn, PhD, Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY 14263.

Received 2 December 2008 ,Accepted 2 December 2008.

  • Image Result

    Net benefit or loss of overall discounted life expectancy for the 4 IPSS risk groups shown above and below the x-axis. A net benefit for delaying transplantation is noted for low and int-1 risk group,

    Net benefit or loss of overall discounted life expectancy for the 4 IPSS risk groups shown above and below the x-axis. A net benefit for delaying transplantation is noted for low and int-1 risk group, whereas any delay in the time to transplantation is associated with a loss in survivorship in the higher risk groups. (Reprinted with permission, Cutler et al. 2004.)

  • Image Result
    DFS among recipients of the HLA-identical related, HLA-identical unrelated, and HLA-nonidentical (related or unrelated) transplants. The + indicates censored patient. (Reprinted with permission, Deeg

    DFS among recipients of the HLA-identical related, HLA-identical unrelated, and HLA-nonidentical (related or unrelated) transplants. The + indicates censored patient. (Reprinted with permission, Deeg et al., 2002.)

  • Image Result
    OS by treatment arm for MDS. (Reprinted with permission, Couban et al., 2002.)

    OS by treatment arm for MDS. (Reprinted with permission, Couban et al., 2002.)

  • Image Result
    EFS in the RAEB/RAEB-t group according to the cell source. (Reprinted with permission, del Cañizo et al., 2003.)

    EFS in the RAEB/RAEB-t group according to the cell source. (Reprinted with permission, del Cañizo et al., 2003.)

  • Image Result
    Overall survival (OS) following CST and RIST in all patients. There was no significant difference in OS between CST and RIST (P = .25). (Reprinted with permission, Kojima et al. 2005.)

    Overall survival (OS) following CST and RIST in all patients. There was no significant difference in OS between CST and RIST (P = .25). (Reprinted with permission, Kojima et al. 2005.)

  • Image Result
    Cumulative survival in MDS patients (n = 1405) classified according to the FAB group proposals. (Reprinted with permission, Germing et al., 2000.)

    Cumulative survival in MDS patients (n = 1405) classified according to the FAB group proposals. (Reprinted with permission, Germing et al., 2000.)

  • Image Result
    Cumulative survival in MDS patients (n = 1157) classified according to the new WHO proposals. (Reprinted with permission, Germing et al., 2000.)

    Cumulative survival in MDS patients (n = 1157) classified according to the new WHO proposals. (Reprinted with permission, Germing et al., 2000.)

 Financial disclosure: See Acknowledgments on page 169.

PII: S1083-8791(08)00590-9

doi: 10.1016/j.bbmt.2008.12.003

Biology of Blood and Marrow Transplantation
Volume 15, Issue 2 , Pages 137-172 , February 2009