2018
Considerations for Treatment-free Remission in Patients With Chronic Myeloid Leukemia: A Joint Patient-Physician Perspective
SAGLIO, Giuseppe, Giora SHARF, Antonio ALMEIDA, Andrija BOGDANOVIC, Felice BOMBACI et. al.Základní údaje
Originální název
Considerations for Treatment-free Remission in Patients With Chronic Myeloid Leukemia: A Joint Patient-Physician Perspective
Autoři
SAGLIO, Giuseppe, Giora SHARF, Antonio ALMEIDA, Andrija BOGDANOVIC, Felice BOMBACI, Jelena CUGUROVIC, Nigel DEEKES, Valentin GARCIA-GUTIERREZ, Jan DE JONG, Sarunas NARBUTAS, Peter WESTERWEEL a Daniela ŽÁČKOVÁ
Vydání
CLINICAL LYMPHOMA MYELOMA & LEUKEMIA, DALLAS, CIG MEDIA GROUP, LP, 2018, 2152-2650
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 2.274
UT WoS
000432995800007
Klíčová slova anglicky
CML; CML advocates; TFR; TKIs (Tyrosine Kinase Inhibitors); Therapy discontinuation
Změněno: 19. 2. 2020 12:23, Mgr. Tereza Miškechová
Anotace
V originále
Treatment-free remission (TFR) after discontinuation of tyrosine kinase inhibitor therapy is now an emerging treatment goal for patients with chronic myeloid leukemia, who have achieved a deep and stable response to treatment. Although guidance is now available, patients' questions regarding this progressive concept have yet to be addressed. The overall aim of this European Steering Group is a patient-centered approach that educates patients on their treatment options, including TFR, facilitates better patient-physician relationships, and meets patients' emotional and psychological needs. The present report outlines 5 key topic areas on discontinuing tyrosine kinase therapy and the implications of TFR for patient-physician consideration: what TFR is; when TFR is appropriate; which patients might and might not be eligible for TFR; and patients' considerations for discontinuing therapy, such as tyrosine kinase withdrawal syndrome, potential psychological implications, molecular recurrence, and repeat treatment. This Steering Group advocates that patients with chronic myeloid leukemia should have access to high-quality, frequent molecular monitoring and be treated in a specialist center with appropriate medical and psychological support. As patient concerns with attempting TFR become forefront in patient-physician discussions, a greater number of eligible patients might be willing to discontinue therapy.