Hematopoietic Stem Cell Transplantation Clinical Trial
Official title:
Pilot Study on Gender Differences in Hematopoietic Cell Transplantation Outcomes in the Pediatric Population
Gender medicine considers the way in which gender, male or female, affects the development
and impact of diseases and the response to therapies. It can be said that it is a new
transversal dimension of medicine, which evaluates the gender differences in the physiology,
pathophysiology and clinic of many diseases and thus sets itself the goal of reaching optimal
therapeutic decisions both in men and women based on proven scientific evidence.
Although knowledge of gender medicine has increased significantly in recent years, a gender
approach has not been much developed in pediatrics. In the field of bone marrow transplants,
hematopoietic stem cell transplantation is known to be the most effective consolidation
therapy in some high-risk hematology malignancies such as acute lymphoblastic leukemia and
acute myeloid leukemia, and represents one of the potential treatment for patients suffering
from solid tumors and genetic hematological, metabolic diseases and primary
immunodeficiencies. Huge progress has been made in high resolution donor typing, choice of
conditioning regimens, manipulation of hematopoietic stem cells (HSC) and prevention of
serious infections in recent years, which have significantly improved the survival rate of
patients undergoing to this procedure.
International literature regarding the response and outcomes from hematopoietic cell
transplantation in a gender perspective is completely absent, for these reasons this pilot
study was born from the need to understand from a broader perspective and in order to better
understand how the gender may or not influence the outcome of transplantation in pediatric
patients.
This retrospective analysis of the data will concern all patients who underwent allogeneic or
autologous bone marrow transplant. The data will be collected from clinical records and from
Regional electronic databases. All data will be collected anonymously and an identification
code will be assigned to each case.
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