Management of B-cell non-Hodgkin lymphoma in Asia: resource-stratified guidelines

被引:25
作者
Tan, Daryl [1 ,2 ]
Tan, Soo Yong [3 ,4 ,5 ]
Lim, Soon Thye [4 ,6 ]
Kim, Seok Jin [7 ]
Kim, Won-Seog [7 ]
Advani, Ranjana [8 ]
Kwong, Yok-Lam [9 ]
机构
[1] Raffl Hosp, Raffl Canc Ctr, Singapore 88770, Singapore
[2] Singapore Gen Hosp, Dept Haematol, Singapore, Singapore
[3] Singapore Gen Hosp, Dept Pathol, Singapore, Singapore
[4] Duke Natl Univ Singapore, Grad Sch Med, Singapore, Singapore
[5] Natl Univ Singapore, Inst Mol & Cell Biol, Singapore 117548, Singapore
[6] Natl Canc Ctr, Dept Med Oncol, Singapore, Singapore
[7] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Div Hematol Oncol,Dept Med, Seoul, South Korea
[8] Stanford Univ, Ctr Comprehens Canc, Stanford, CA 94305 USA
[9] Univ Hong Kong, Dept Med, Hong Kong, Hong Kong, Peoples R China
关键词
CHOP PLUS RITUXIMAB; RANDOMIZED CONTROLLED-TRIAL; DIFFUSE LARGE-CELL; TERM-FOLLOW-UP; BONE-MARROW-TRANSPLANTATION; GRADE FOLLICULAR LYMPHOMA; PROGRESSION-FREE SURVIVAL; CHRONIC HEPATITIS-B; HIGH-DOSE THERAPY; PHASE-II;
D O I
10.1016/S1470-2045(13)70450-9
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Treatment of B-cell non-Hodgkin lymphomas has undergone substantial developments in the past 10 years. The introduction of rituximab has greatly improved survival outcomes in patients. Clinical practice guidelines based on current evidence have been developed to provide recommendations for standard treatment approaches. However, guidelines do not take into account resource limitations in resource-poor countries. The huge disparities in economy, health-care infrastructure, and access to novel drugs between Asian countries can hinder the delivery of optimum care to patients with lymphoma in Asia. We outline guidelines appropriate to different levels of health-care resources and expertise, aiming to provide advice on diagnosis and treatment, unify interpretation of results, and allow the design of future studies in Asia. In this resource-adapted consensus, we summarise recommendations for diagnosis, staging, risk stratification, and treatment of common B-cell non-Hodgkin lymphomas in Asia.
引用
收藏
页码:E548 / E561
页数:14
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