The Role of Cytotoxic Therapy with Hematopoietic Stem Cell Transplantation in the Therapy of Myelodysplastic Syndromes: An Evidence-Based Review

Denise M. Oliansky, Joseph H. Antin, John M. Bennett, H. Joachim Deeg, Christin Engelhardt, Kathleen V. Heptinstall, Marcos de Lima, Steven D. Gore, Ronald G. Potts, Lewis R. Silverman, Roy B. Jones, Philip L. McCarthy, Theresa Hahn

Research output: Contribution to journalReview article

Abstract

Clinical research examining the role of hematopoietic stem cell transplantation (SCT) in the therapy of myelodysplastic syndromes (MDS) in adults is presented and critically evaluated in this systematic evidence-based review. Specific criteria were used for searching the published literature and for grading the quality and strength of the evidence and the strength of the treatment recommendations. Treatment recommendations based on the evidence are presented in Table 3, and were reached unanimously by a panel of MDS experts. The identified priority areas of needed future research in MDS include: (1) the benefit of using alternative donor sources (eg, cord blood; haploidentical family donors) for patients without matched sibling or unrelated donors; (2) the role and appropriate timing of allogeneic SCT in combination with hypomethylating and immunomodulatory treatment regimens; (3) randomized trials comparing the safety and efficacy of various novel agents for treating MDS; and (4) the influence of the various MDS treatment modalities on patient-reported quality-of-life outcomes.

Original languageEnglish (US)
Pages (from-to)137-172
Number of pages36
JournalBiology of Blood and Marrow Transplantation
Volume15
Issue number2
DOIs
StatePublished - Feb 2009

Keywords

  • Adult
  • Evidence-based review
  • Hematopoietic stem cell transplantation
  • Myelodysplastic syndromes
  • Therapy

ASJC Scopus subject areas

  • Hematology
  • Transplantation

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    Oliansky, D. M., Antin, J. H., Bennett, J. M., Deeg, H. J., Engelhardt, C., Heptinstall, K. V., de Lima, M., Gore, S. D., Potts, R. G., Silverman, L. R., Jones, R. B., McCarthy, P. L., & Hahn, T. (2009). The Role of Cytotoxic Therapy with Hematopoietic Stem Cell Transplantation in the Therapy of Myelodysplastic Syndromes: An Evidence-Based Review. Biology of Blood and Marrow Transplantation, 15(2), 137-172. https://doi.org/10.1016/j.bbmt.2008.12.003