Role of High-Dose Chemotherapy and Autologous Hematopoietic Cell Transplantation in Primary Systemic Amyloidosis: A Systematic Review  Rahul Mhaskar,

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Presentation transcript:

Role of High-Dose Chemotherapy and Autologous Hematopoietic Cell Transplantation in Primary Systemic Amyloidosis: A Systematic Review  Rahul Mhaskar, Ambuj Kumar, Madhusmita Behera, Mohamed A. Kharfan-Dabaja, Benjamin Djulbegovic  Biology of Blood and Marrow Transplantation  Volume 15, Issue 8, Pages 893-902 (August 2009) DOI: 10.1016/j.bbmt.2009.01.022 Copyright © 2009 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 1 Flow diagram showing the process of identifying and selecting relevant studies. Biology of Blood and Marrow Transplantation 2009 15, 893-902DOI: (10.1016/j.bbmt.2009.01.022) Copyright © 2009 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 2 Forest plot of OS with CC and AHCT versus CC for AL amyloidosis. The summary effect estimates (HR) for individual RCTs are indicated by black rectangles, with the size of the rectangle proportional to the study weight; the lines represent 95% CIs. The overall summary effect estimates (HR) and 95% CIs are indicated by the diamond. Biology of Blood and Marrow Transplantation 2009 15, 893-902DOI: (10.1016/j.bbmt.2009.01.022) Copyright © 2009 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 3 Forest plot for proportion of deaths in CC and AHCT for AL amyloidosis. The summary effect estimates (proportion: number of patients who died by number of patients who received the treatment) for individual studies are indicated by black rectangles, with the size of the rectangles proportional to the study weight; the lines represent 95% CIs. The overall summary effect estimate (proportion) and 95% CI are indicated by the diamond. Biology of Blood and Marrow Transplantation 2009 15, 893-902DOI: (10.1016/j.bbmt.2009.01.022) Copyright © 2009 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 4 Forest plot of CHR with CC and AHCT versus CC for AL amyloidosis. The summary effect estimates (OR) for individual RCTs are indicated by black rectangles, with the size of the rectangles proportional to the study weight; the lines represent 95% CIs. The overall summary effect estimates (OR) and 95% CIs are indicated by the diamond. Biology of Blood and Marrow Transplantation 2009 15, 893-902DOI: (10.1016/j.bbmt.2009.01.022) Copyright © 2009 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 5 Forest plot for proportion of CHR in CC and AHCT for AL amyloidosis. The summary effect estimates (proportion: number of patients with CHR by number of patients receiving the treatment) for individual studies are indicated by black rectangles, with the size of the rectangles proportional to the study weight; the lines represent 95% CIs. The overall summary effect estimate (proportion) and 95% CI are indicated by the diamond. Biology of Blood and Marrow Transplantation 2009 15, 893-902DOI: (10.1016/j.bbmt.2009.01.022) Copyright © 2009 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 6 Forest plot for proportion of TRM in CC and AHCT for AL amyloidosis. The summary effect estimates (proportion: number of patients dying from treatment- related causes by number of patients receiving the treatment) for individual studies are indicated by black rectangles, with the size of the rectangles proportional to the study weight; the lines represent 95% CIs. The overall summary effect estimate (proportion) and 95% CI are indicated by the diamond. Biology of Blood and Marrow Transplantation 2009 15, 893-902DOI: (10.1016/j.bbmt.2009.01.022) Copyright © 2009 American Society for Blood and Marrow Transplantation Terms and Conditions