研究进展

HCT-FS 定义的衰弱与异基因移植后生存:OS 与 NRM 而非复发

来源:Eur J Haematol · PMID 42949150 · DOI 10.1111/ejh.70344** · 来源:IMA 知识库《文献层·文献监控卡片》2026-10-29 期 · 摘要级(file_id dGBunAeRiRlm,下载实测 692,872 B) · 摘要级,未获取付费墙全文

数据日期 2026-10-29 · 生成时间 2026-10-29 06:03

证据级别:摘要级。本条依据 PubMed 结构化摘要与元数据撰写,付费墙全文未获取、未逐节核验,本站未做任何数值推算补全。

研究问题

To evaluate whether Hematopoietic Cell Transplantation Frailty Scale (HCT-FS)-defined frailty predicts overall survival (OS), nonrelapse mortality (NRM), and relapse across diverse hematologic diagnoses undergoing allogeneic hematopoietic cell transplantation (alloHCT), including nonmalignant disorders.

方法

We conducted a multicenter retrospective cohort study of 992 adults undergoing alloHCT at 16 centers in Canada and Spain (2018-2023).;HCT-FS-defined frailty is associated with OS and NRM but not relapse in this multicenter alloHCT cohort.

核心结论

Frailty was assessed at consultation using the HCT-FS (fit, prefrail, frail).;OS was estimated by Kaplan-Meier, competing-risks methods by cumulative incidence.;Multivariable models assessed associations with OS and NRM.;Frailty was assessed across six diagnostic categories, including nonmalignant disorders (4.8%). ‖ 结论:HCT-FS-defined frailty is associated with OS and NRM but not relapse in this multicenter alloHCT cohort.

局限

未能获取全文,具体设计细节、失访与统计学处理无法核验。

对本项目的价值

★★☆☆☆ 衰弱/肌少症是少有的已有监管认可终点的老年综合征,是临床转化的最短路径。

原文题录

  • 英文标题:HCT-FS-Defined Frailty Is Associated With Lower Survival Across Diverse Hematologic Diagnoses After Allogeneic Transplantation.
  • 期刊与标识:Eur J Haematol · PMID 42949150 · DOI 10.1111/ejh.70344**

A 级证据分级:A 级(同行评议人体研究)

本文属人体研究证据,但需注意:观察性或小样本干预的结论不等于已证实临床获益;效应量与长期安全性仍需更大规模、更长随访的试验验证。

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