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Cited by 359

The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.

Risk of Leukemia after Platinum-Based Chemotherapy for Ovarian Cancer

Open access
Travis, Lois B., Holowaty, Eric J., Bergfeldt, Kjell, Lynch, Charles F., Kohler, Betsy A., Wiklund, Tom, Curtis, Rochelle E., Hall, Per, Andersson, Michael, Pukkala, Eero, Sturgeon, Jeremy, Storm, Hans, Clarke, E. Aileen, Boice, John D., Gospodarowicz, Mary, Stovall, Marilyn·1999·New England Journal of Medicine

Abstract

BACKGROUND: Platinum-based chemotherapy is the cornerstone of modern treatment for ovarian, testicular, and other cancers, but few investigations have quantified the late sequelae of such treatment. METHODS: We conducted a case-control study of secondary leukemia in a population-based cohort of 28,971 women in North America and Europe who had received a diagnosis of invasive ovarian cancer between 1980 and 1993. Leukemia developed after the administration of platinum-based therapy in 96 women. These women were matched to 272 control patients. The type, cumulative dose, and duration of chemotherapy and the dose of radiation delivered to active bone marrow were compared in the two groups. RESULTS: Among the women who received platinum-based combination chemotherapy for ovarian cancer, the relative risk of leukemia was 4.0 (95 percent confidence interval, 1.4 to 11.4). The relative risks for treatment with carboplatin and for treatment with cisplatin were 6.5 (95 percent confidence interval, 1.2 to 36.6) and 3.3 (95 percent confidence interval, 1.1 to 9.4), respectively. We found evidence of a dose-response relation, with relative risks reaching 7.6 at doses of 1000 mg or more of platinum (P for trend <0.001). Radiotherapy without chemotherapy (median dose, 18.4 Gy) did not increase the risk of leukemia. CONCLUSIONS: Platinum-based treatment of ovarian cancer increases the risk of secondary leukemia. Nevertheless, the substantial benefit that platinum-based treatment offers patients with advanced disease outweighs the relatively small excess risk of leukemia.

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Metadata

Authors
Travis, L. B., Holowaty, E. J., Bergfeldt, K., Lynch, C. F., Kohler, B. A., Wiklund, T., Curtis, R. E., Hall, P., Andersson, M., Pukkala, E., Sturgeon, J., Storm, H., Clarke, E. A., Boice, J. D., Gospodarowicz, M., & Stovall, M.
Venue
New England Journal of Medicine
Published
1999-02-04
Volume
340
Issue
5
Pages
351-357
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2313420578
Cited by
359
References
16
FWCI
9.44
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Risk of Leukemia after Platinum-Based Chemotherapy for Ovarian Cancer. https://app.cochat.ai/papers/10.1056/nejm199902043400504
The paper
Travis, L. B., Holowaty, E. J., Bergfeldt, K., Lynch, C. F., Kohler, B. A., Wiklund, T., Curtis, R. E., Hall, P., Andersson, M., Pukkala, E., Sturgeon, J., Storm, H., Clarke, E. A., Boice, J. D., Gospodarowicz, M., & Stovall, M. (1999). Risk of Leukemia after Platinum-Based Chemotherapy for Ovarian Cancer. New England Journal of Medicine. https://doi.org/10.1056/nejm199902043400504

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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