Joseph Pidala, Stephanie J

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Presentation transcript:

Variation in Management of Immune Suppression after Allogeneic Hematopoietic Cell Transplantation  Joseph Pidala, Stephanie J. Lee, Gwen Quinn, Heather Jim, Jongphil Kim, Claudio Anasetti  Biology of Blood and Marrow Transplantation  Volume 17, Issue 10, Pages 1528-1536 (October 2011) DOI: 10.1016/j.bbmt.2011.03.006 Copyright © 2011 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 1 Frequency histogram of reported day post-HCT for initiation of immune suppression taper. Biology of Blood and Marrow Transplantation 2011 17, 1528-1536DOI: (10.1016/j.bbmt.2011.03.006) Copyright © 2011 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 2 Frequency distribution of estimated rates of recurrent aGVHD following IS taper. PBSCT = ablative conditioning, peripheral blood stem cells; BMT = ablative conditioning, bone marrow; MUD = ablative conditioning, unrelated donor peripheral blood stem cells; RIC = reduced-intensity conditioning, peripheral blood stem cells; postresolved GVHD = recurrent aGVHD in setting of IS taper following prior successfully treated episode of aGVHD (P < .05 for comparisons between each group, with exception of the comparison of myeloablative PBSCT and RIC PBSCT). Biology of Blood and Marrow Transplantation 2011 17, 1528-1536DOI: (10.1016/j.bbmt.2011.03.006) Copyright © 2011 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 3 Estimated recurrent cGVHD in the setting of IS taper following successful control of a prior episode of cGVHD. Biology of Blood and Marrow Transplantation 2011 17, 1528-1536DOI: (10.1016/j.bbmt.2011.03.006) Copyright © 2011 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 4 Frequency distribution of estimated rate of IS discontinuation at 2 years after HCT according to clinical vignette. MRD = matched related donor; MUD = matched unrelated donor; MAC = myeloablative conditioning; RIC = reduced-intensity conditioning; PBSC = peripheral blood stem cells; BM = bone marrow stem cells. The proportions off IS are compared between each of these clinical vignettes by Bowker’s test with P < .05 for each, except the comparison of MRD/MAC/PBSC and MRD/RIC/PBSC vignettes, where P = NS. Biology of Blood and Marrow Transplantation 2011 17, 1528-1536DOI: (10.1016/j.bbmt.2011.03.006) Copyright © 2011 American Society for Blood and Marrow Transplantation Terms and Conditions

Figure 5 Frequency distribution of estimated rate of IS discontinuation at 5 years after HCT according to clinical vignette. MRD = matched related donor; MUD = matched unrelated donor; MAC = myeloablative conditioning; RIC = reduced-intensity conditioning; PBSC = peripheral blood stem cells; BM = bone marrow stem cells. The proportions off IS are compared between each of these clinical vignettes by Bowker’s test with P < .05 for each, except the comparison of MRD/MAC/PBSC and MRD/RIC/PBSC vignettes, where P = NS. Biology of Blood and Marrow Transplantation 2011 17, 1528-1536DOI: (10.1016/j.bbmt.2011.03.006) Copyright © 2011 American Society for Blood and Marrow Transplantation Terms and Conditions