Allogeneic hematopoietic stem cell transplantation for patients with mildly reduced renal function as defined based on creatinine clearance before transplantation

Ann Hematol. 2013 Jan;92(2):255-60. doi: 10.1007/s00277-012-1584-1. Epub 2012 Oct 4.

Abstract

While renal comorbidity is generally defined by the serum creatinine level, the creatinine clearance rate (Ccr) is a more accurate indicator of renal function. Therefore, we retrospectively assessed how mildly reduced renal function as defined based on Ccr affects the outcome after allogeneic hematopoietic stem cell transplantation (HSCT). Patients who underwent allogeneic HSCT at the eight institutes of the Kanto Study Group for Cell Therapy were included in this study. Based on the corrected Ccr, patients were classified into group 0 (n = 440, ≥ 90 mL/min/1.73 m(2)), group 1 (n = 56, 60-89 mL/min/1.73 m(2)), or group 2 (n = 11, 30-59 mL/min/1.73 m(2)). Therefore, 67 patients were considered to have mild renal impairment, whereas only 2 had a serum creatinine level higher than 1.2 mg/dL. Twenty-eight patients required hemodialysis after HSCT, with 5.5, 5.4, and 9.1 % in groups 0, 1, and 2, respectively (p = 0.65). The incidence of non-relapse mortality (NRM) was higher in group 2, although these differences were not statistically significant probably due to the small sample size (23.7, 28.2, and 47.2 % at 3 years, p = 0.20). In conclusion, NRM may be associated with mildly reduced renal function before allogeneic HSCT, which cannot be detected by measurement of the serum creatinine level alone.

Publication types

  • Comparative Study
  • Multicenter Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Anemia, Aplastic / blood
  • Anemia, Aplastic / surgery
  • Calcineurin Inhibitors
  • Comorbidity
  • Creatinine / blood*
  • Female
  • Graft vs Host Disease / blood
  • Graft vs Host Disease / etiology
  • Graft vs Host Disease / prevention & control
  • Hematologic Neoplasms / blood
  • Hematologic Neoplasms / surgery
  • Hematopoietic Stem Cell Transplantation* / adverse effects
  • Humans
  • Immunosuppressive Agents / adverse effects
  • Immunosuppressive Agents / therapeutic use
  • Kaplan-Meier Estimate
  • Kidney / physiopathology*
  • Kidney Transplantation
  • Male
  • Metabolic Clearance Rate
  • Middle Aged
  • Renal Dialysis
  • Renal Insufficiency / blood
  • Renal Insufficiency / etiology*
  • Renal Insufficiency / physiopathology
  • Renal Insufficiency / surgery
  • Renal Insufficiency / therapy
  • Retrospective Studies
  • Transplantation Conditioning / adverse effects
  • Transplantation, Homologous
  • Treatment Outcome
  • Young Adult

Substances

  • Calcineurin Inhibitors
  • Immunosuppressive Agents
  • Creatinine