Journal article

Adolescents and young adult acute myeloid leukemia outcomes at pediatric versus adult centers: A population-based study

Sumit Gupta, Nancy N Baxter, Rinku Sutradhar, Jason D Pole, Chenthila Nagamuthu, Cindy Lau, Paul C Nathan

PEDIATRIC BLOOD & CANCER | WILEY | Published : 2021

Abstract

BACKGROUND: Adolescents and young adult (AYA) acute myeloid leukemia (AML) outcomes remain poor. The impact of locus of care (LOC; adult vs pediatric) in this population is unknown. PROCEDURE: The IMPACT cohort comprises detailed data for all Ontario, Canada, AYA aged 15-21 years diagnosed with AML between 1992 and 2012, linked to population-based health administrative data. We determined the impact of LOC on event-free survival (EFS) and overall survival (OS), treatment-related mortality (TRM), and relapse/progression. RESULTS: Among 140 AYA, 51 (36.4%) received therapy at pediatric centers. The five-year EFS and OS for the whole cohort were 35.0% ± 4.0% and 53.6% ± 4.2%. Cumulative doses o..

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