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Current aspects of care patients with chronic lymphocytic leukemia
Šimkovič, Martin ; Smolej, Lukáš (advisor) ; Doubek, Michael (referee) ; Papajík, Tomáš (referee)
In recent years it has been an unprecedented development of knowledge of biology and treatment options of chronic lymphocytic leukemia (CLL). Survival of patients with CLL was improved by the introduction of the monoclonal antibodies (anti-CD20) and combined chemoimmunotherapy regimens. Despite this undeniable advance in the treatment of CLL and progress in knowledge of CLL biology and pathophysiology, many current aspects of care of these patients remain unresolved. In our work we focus on epidemiology of CLL, treatment of relapsing/refractory CLL patients, rituximab infusion-related adverse events and venous thromboembolism in CLL patients. Incidence of CLL in Hradec Králové district during period 1999-2013 was 8.2 patients per 100,000 persons per year. Trends in epidemiology were analyzed after splitting patients into two groups according to the period in which the diagnosis was made: n=92 in the period 1999- 2005 and n=108 in the period 2006-2013. Significant prolongation of survival (median OS not reached vs 86 months) was observed in patients treated during the period 2006-2013 in comparison to those treated in the period 1999-2005. However, the improvement of overall survival was achieved only in younger patients (≤ 70 years). Patients with refractory CLL have highly unfavourable prognosis....

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