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Cited by 300

The DOI matches its Crossref record; 42 of the 42 references it cites were found in a registry or an index.

Erythropoietin and Granulocyte-Colony Stimulating Factor Treatment Associated With Improved Survival in Myelodysplastic Syndrome

Open access
Jädersten, Martin, Malcovati, Luca, Dybedal, Ingunn, Giovanni Della Porta, Matteo, Invernizzi, Rosangela, Montgomery, Scott M., Pascutto, Cristiana, Porwit, Anna, Cazzola, Mario, Hellström-Lindberg, Eva·2008·Journal of Clinical Oncology

Abstract

Purpose: To assess the effect of erythropoietin (EPO) plus granulocyte-colony stimulating factor (G-CSF) treatment on survival and leukemic transformation in myelodysplastic syndrome (MDS). Patients and Methods: We compared the long-term outcome of patients with MDS treated with EPO plus G-CSF (n = 121) with untreated patients (n = 237) with MDS using multivariate Cox regression with delayed entry, for the first time adjusting for all major prognostic variables (WHO classification, karyotype, cytopenias, level of transfusion-need, age, and sex). Results: The erythroid response rate to EPO plus G-CSF was 39%, and the median response duration 23 months (range, 3 to 116+). In the multivariate analysis, treatment was associated with improved overall survival (hazard ratio, 0.61; 95% CI, 0.44 to 0.83; P = .002). Interestingly, this positive association was primarily observed in patients requiring fewer than 2 units of RBCs per month. Treatment was not linked to the rate of acute myeloid leukemia in any defined subgroup, including patients with an increase of marrow blasts or an unfavorable karyotype. Conclusion: The inherent risk of leukemic evolution in MDS makes the current investigation highly relevant, in light of the recent reports of potential negative effects of EPO treatment on outcome in patients with cancer. We conclude that treatment of anemia in MDS with EPO plus G-CSF may have a positive impact on outcome in patients with no or low transfusion need, while not affecting the risk of leukemic transformation.

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Crossref · 10.1200/jco.2007.15.4906

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Metadata

Authors
Jädersten, M., Malcovati, L., Dybedal, I., Giovanni Della Porta, M., Invernizzi, R., Montgomery, S. M., Pascutto, C., Porwit, A., Cazzola, M., & Hellström-Lindberg, E.
Venue
Journal of Clinical Oncology
Published
2008-07-20
Volume
26
Issue
21
Pages
3607-3613
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
OpenAlex
W2165036959
Cited by
300
References
42
FWCI
20.03
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Erythropoietin and Granulocyte-Colony Stimulating Factor Treatment Associated With Improved Survival in Myelodysplastic Syndrome. https://app.cochat.ai/papers/10.1200/jco.2007.15.4906
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Jädersten, M., Malcovati, L., Dybedal, I., Giovanni Della Porta, M., Invernizzi, R., Montgomery, S. M., Pascutto, C., Porwit, A., Cazzola, M., & Hellström-Lindberg, E. (2008). Erythropoietin and Granulocyte-Colony Stimulating Factor Treatment Associated With Improved Survival in Myelodysplastic Syndrome. Journal of Clinical Oncology. https://doi.org/10.1200/jco.2007.15.4906

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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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