Rational use of chronic graft-versus-host treatment alternatives: A systematic review

Transfus Apher Sci. 2022 Feb;61(1):103371. doi: 10.1016/j.transci.2022.103371. Epub 2022 Jan 24.

Abstract

Chronic graft versus host disease (cGVHD) is an important transplant complication that affects the quality of life of the recipient by causing organ damage after hematopoietic stem cell transplantation. Prospective controlled studies conducted to date for the treatment of the disease are limited. The results obtained in current studies are not sufficient to establish a standard treatment algorithm. Therefore, clinical experience and adequate clinical observations of the transplant team come to the fore for the treatment strategy to be established. Rational use of available instruments is possible, provided that we understand the mechanisms of the disease and use validated diagnostic and response criteria. In this study, we tried to create a practical workflow by evaluating current literature data.

Keywords: Allogeneic PSCT; Stem cell; Treatment; cGVHD.

Publication types

  • Systematic Review

MeSH terms

  • Chronic Disease
  • Graft vs Host Disease / therapy*
  • Humans
  • Prospective Studies