Table 7.

Complications and Reported Incidence Rates (%) in CML Patients Undergoing BMT

Complication Incidence Rates % References
Transplant-related mortality (all causes)  18-68  57, 68, 84, 86, 93, 94, 102  
Grade II-IV acute GVHD  8-63  68, 70, 80, 81, 82, 83, 84, 87, 92, 93, 94, 104, 106, 107  
Chronic GVHD 4-75  70, 80, 81, 82, 83, 84, 87, 92, 93, 94, 104, 106, 107 
GVHD (fatal)  1-12  71, 72, 80, 93  
 Acute GVHD (fatal)  2-13  82, 83, 105  
 Chronic GVHD (fatal) 8-10  82, 83, 105  
Mucositis, oral  48 70  
Pulmonary  
 Interstitial pneumonitis  8-28 70, 82, 83, 87, 105  
 Interstitial pneumonitis (fatal) 4-32  70, 71, 72, 80, 81, 82, 83, 84, 87, 92, 93, 104 
 ARDS (fatal)   2  81  
 Obstructive bronchiolitis (fatal)   2  92  
 Pulmonary edema  2  92  
 Pulmonary embolism   2 92  
Infection/sepsis (fatal)  3-24  70, 71, 72, 81, 82, 83, 84, 87, 92, 93, 102, 103, 105, 106  
Veno-occlusive disease  7-43  83, 102, 105  
 Veno-occlusive disease (fatal)  1-4  70, 71, 93, 102, 103, 105, 106  
Hemorrhagic cystitis  12  83  
Hemorrhage (fatal)  1-2 102  
Second malignancy (fatal)   2  70 
Cardiac failure (fatal)   2  70  
Cerebral bleeding (fatal)   2  93  
Hemolytic uremic syndrome (fatal)   1  93  
Hepatotoxicity (fatal)  6  84 
Complication Incidence Rates % References
Transplant-related mortality (all causes)  18-68  57, 68, 84, 86, 93, 94, 102  
Grade II-IV acute GVHD  8-63  68, 70, 80, 81, 82, 83, 84, 87, 92, 93, 94, 104, 106, 107  
Chronic GVHD 4-75  70, 80, 81, 82, 83, 84, 87, 92, 93, 94, 104, 106, 107 
GVHD (fatal)  1-12  71, 72, 80, 93  
 Acute GVHD (fatal)  2-13  82, 83, 105  
 Chronic GVHD (fatal) 8-10  82, 83, 105  
Mucositis, oral  48 70  
Pulmonary  
 Interstitial pneumonitis  8-28 70, 82, 83, 87, 105  
 Interstitial pneumonitis (fatal) 4-32  70, 71, 72, 80, 81, 82, 83, 84, 87, 92, 93, 104 
 ARDS (fatal)   2  81  
 Obstructive bronchiolitis (fatal)   2  92  
 Pulmonary edema  2  92  
 Pulmonary embolism   2 92  
Infection/sepsis (fatal)  3-24  70, 71, 72, 81, 82, 83, 84, 87, 92, 93, 102, 103, 105, 106  
Veno-occlusive disease  7-43  83, 102, 105  
 Veno-occlusive disease (fatal)  1-4  70, 71, 93, 102, 103, 105, 106  
Hemorrhagic cystitis  12  83  
Hemorrhage (fatal)  1-2 102  
Second malignancy (fatal)   2  70 
Cardiac failure (fatal)   2  70  
Cerebral bleeding (fatal)   2  93  
Hemolytic uremic syndrome (fatal)   1  93  
Hepatotoxicity (fatal)  6  84 

The data presented include wide ranges in incidence rates because of significant differences in study designs and definitions of outcome measures. Moreover, many of the higher incidence rates are taken from studies conducted over the past 15 years and do not necessarily reflect likely outcomes in current practice, which are often much lower.

Abbreviations: ARDS, acute respiratory distress syndrome; GVHD, graft-versus-host disease.

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