The effectiveness of hematopoietic stem cell transplantation in treating pediatric sickle cell disease: Systematic review and meta-analysis.
Saudi Pharm J
; 32(5): 102049, 2024 May.
Article
em En
| MEDLINE
| ID: mdl-38571765
ABSTRACT
Background:
Patients with sickle cell disease (SCD) have just one recognized curative therapy option hematopoietic stem cell transplantation (HSCT), which results in a long-lasting improvement in the clinical phenotype. Here, we assessed the effectiveness of HSCT in treating children with SCD by a systematic review and meta-analysis.Methods:
Up until January 2024, a comprehensive search was done using Web of Science, CINAHL, Embase, Google Scholar, Cochrane Library, PubMed/Medline, and Embase. Two reviewers worked separately to extract the data, and Newcastle-Ottawa Quality Assessment tool was used to assess the research's quality. The outcomes analyzed were Overall survival (OS), event-free survival (EFS), graft failure (GF) and mortality.Results:
Nineteen papers satisfied our inclusion requirements and were assessed to be of fair quality. The pooled rate of OS was high (92%; 95% CI 90.3%-93.5%). Similar finding was detected for EFS (85.8%; 95% CI 83.7%-87.7%). In the other hand, pooled rates of GF and mortality were 6.9% (95% CI 5.3%-8.9%) and 7.4% (95% CI 5%-10.7%), respectively. A significant publication bias was detected for OS, EFS and GF outcomes. Subgroups analysis showed that study design was the major source of heterogeneity.Conclusion:
Our results show that HSCT is effective and safe, with pooled survival rates above 90%. It is important to assess innovative tactics in light of the alarming GF and mortality rates.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
Saudi Pharm J
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Arábia Saudita