Real-world practice patterns and outcomes in Veterans with relapsed/refractory diffuse large B-cell lymphoma. Chien, H., Morreall, D., Patil, V., Rasmussen, K. M., Li, C., Yong, C. M., Burningham, Z., Masaquel, A., Halloran, M., De Long-Sieg, E., Schulz, M., Sauer, B. C., & Halwani, A. S. Future oncology (London, England), 17(4):411–422, February, 2021. Place: England
doi  abstract   bibtex   
Aim: To describe practices and outcomes in veterans with relapsed/refractory diffuse large B-cell lymphoma. Patients & methods: Using Veteran Affairs Cancer Registry System and electronic health record data, we identified relapsed/refractory diffuse large B-cell lymphoma patients completing second-line treatment (2L) in 2000-2016. Treatments were classified as aggressive/nonaggressive. Analyses included descriptive statistics and the Kaplan-Meier estimation of progression-free survival and overall survival. Results: Two hundred and seventy patients received 2L. During median 9.7-month follow-up starting from 2L, 470 regimens were observed, averaging 2.7 regimens/patient: 219 aggressive, 251 nonaggressive. One hundred and twenty-one patients proceeded to third-line, 50 to fourth-line and 18 to fifth-line treatment. Median progression-free survival in 2L was 5.2 months. Median overall survival was 9.5 months. Forty-four patients (16.3%) proceeded to bone marrow transplant. Conclusion: More effective, less toxic treatments are needed and should be initiated earlier in treatment trajectory.
@article{chien_real-world_2021-1,
	title = {Real-world practice patterns and outcomes in {Veterans} with relapsed/refractory diffuse large {B}-cell lymphoma.},
	volume = {17},
	issn = {1744-8301 1479-6694},
	doi = {10.2217/fon-2020-0522},
	abstract = {Aim: To describe practices and outcomes in veterans with relapsed/refractory diffuse large B-cell lymphoma. Patients \& methods: Using Veteran Affairs Cancer  Registry System and electronic health record data, we identified  relapsed/refractory diffuse large B-cell lymphoma patients completing second-line  treatment (2L) in 2000-2016. Treatments were classified as  aggressive/nonaggressive. Analyses included descriptive statistics and the  Kaplan-Meier estimation of progression-free survival and overall survival.  Results: Two hundred and seventy patients received 2L. During median 9.7-month  follow-up starting from 2L, 470 regimens were observed, averaging 2.7  regimens/patient: 219 aggressive, 251 nonaggressive. One hundred and twenty-one  patients proceeded to third-line, 50 to fourth-line and 18 to fifth-line  treatment. Median progression-free survival in 2L was 5.2 months. Median overall  survival was 9.5 months. Forty-four patients (16.3\%) proceeded to bone marrow  transplant. Conclusion: More effective, less toxic treatments are needed and  should be initiated earlier in treatment trajectory.},
	language = {eng},
	number = {4},
	journal = {Future oncology (London, England)},
	author = {Chien, Hsu-Chih and Morreall, Deborah and Patil, Vikas and Rasmussen, Kelli M. and Li, Chunyang and Yong, Christina M. and Burningham, Zachary and Masaquel, Anthony and Halloran, Mary and De Long-Sieg, Elisha and Schulz, Mathias and Sauer, Brian C. and Halwani, Ahmad S.},
	month = feb,
	year = {2021},
	pmid = {33115291},
	note = {Place: England},
	keywords = {Aged, Humans, Male, Middle Aged, outcomes, Female, real-world evidence, Adult, Aged, 80 and over, Bone Marrow Transplantation, Lymphoma, Large B-Cell, Diffuse/mortality/*therapy, practice patterns, Recurrence, relapsed/refractory diffuse large B-cell lymphoma, Veterans},
	pages = {411--422},
}

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