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Peer-reviewedCC BY-NC-ND 4.0Stem Cell Reviews and Reports

Long-term Results of Allogeneic Hematopoietic Cell Transplantation (allo-HCT): Real-life Data of 15- and 20-year Survivals from a Single Center

  1. 1Department of Hematology, Transplantation and Internal Medicine, Medical University of Warsaw, Ul. Banacha 1A, 02-097 Warsaw, Poland
  2. 2Doctoral School of the Medical University of Warsaw, Ul. Żwirki I Wigury 61, 02-091 Warsaw, Poland

Abstract

Allogeneic hematopoietic cell transplantations (allo-HCT) is a procedure with long history and well-documented efficacy in treating various malignant and non-malignant diseases of the hematopoietic system. While there is a potential for late complications even over 10 years following allo-HCT, the data on longer observations are limited due to loss in follow-up, personnel and organizational changes in transplant centers, and focusing on new promising therapies instead of HCT. The study aimed to evaluate 15- and 20-year overall and progression-free survival of allo-HCT recipients in our center. During the inclusion period from 1999 to 2014, we identified 269 allo-HCT recipients. Survival analyses were performed using Kaplan–Meier curves, the Cox proportional hazards model, and the log-rank test. First, we evaluated 15- and 20-year survival rates for the entire cohort of allo-HCT recipients from matched related donor (MRD) and matched unrelated donor (MUD). Then we performed similar analyses for allo-HCT recipients due to acute myeloid leukemia (AML), acute lymphoblastic leukemia (ALL), chronic myeloid leukemia (CML), myelodysplastic neoplasms (MDS), non-Hodgkin lymphomas (NHL), and severe aplastic anemia (SAA). It was confirmed that survival benefit continues also during long-term observation. Notably, the plateau effect of PFS was often observed over 20 years following allo-HCT, implying the ability to cure in a relatively large group of patients with otherwise incurable diseases.

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BibTeX
@article{karaszewski2026longterm,
  title = {{Long-term Results of Allogeneic Hematopoietic Cell Transplantation (allo-HCT): Real-life Data of 15- and 20-year Survivals from a Single Center}},
  author = {Kajetan Karaszewski and Jakub Góra and Monika Paluszewska and Elżbieta Urbanowska and Ewa Karakulska-Prystupiuk and Piotr Boguradzki and Agnieszka Tomaszewska and Grzegorz Władysław Basak and Wiesław Wiktor Jędrzejczak},
  journal = {Stem Cell Reviews and Reports},
  year = {2026},
  month = sep,
  doi = {10.1007/s12015-026-11241-2},
  url = {https://doi.org/10.1007/s12015-026-11241-2},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - JOUR
TI  - Long-term Results of Allogeneic Hematopoietic Cell Transplantation (allo-HCT): Real-life Data of 15- and 20-year Survivals from a Single Center
AU  - Kajetan Karaszewski
AU  - Jakub Góra
AU  - Monika Paluszewska
AU  - Elżbieta Urbanowska
AU  - Ewa Karakulska-Prystupiuk
AU  - Piotr Boguradzki
AU  - Agnieszka Tomaszewska
AU  - Grzegorz Władysław Basak
AU  - Wiesław Wiktor Jędrzejczak
PY  - 2026
DA  - 2026/09/22
JO  - Stem Cell Reviews and Reports
DO  - 10.1007/s12015-026-11241-2
UR  - https://doi.org/10.1007/s12015-026-11241-2
AB  - Allogeneic hematopoietic cell transplantations (allo-HCT) is a procedure with long history and well-documented efficacy in treating various malignant and non-malignant diseases of the hematopoietic system. While there is a potential for late complications even over 10 years following allo-HCT, the data on longer observations are limited due to loss in follow-up, personnel and organizational changes in transplant centers, and focusing on new promising therapies instead of HCT. The study aimed to evaluate 15- and 20-year overall and progression-free survival of allo-HCT recipients in our center. During the inclusion period from 1999 to 2014, we identified 269 allo-HCT recipients. Survival analyses were performed using Kaplan–Meier curves, the Cox proportional hazards model, and the log-rank test. First, we evaluated 15- and 20-year survival rates for the entire cohort of allo-HCT recipients from matched related donor (MRD) and matched unrelated donor (MUD). Then we performed similar analyses for allo-HCT recipients due to acute myeloid leukemia (AML), acute lymphoblastic leukemia (ALL), chronic myeloid leukemia (CML), myelodysplastic neoplasms (MDS), non-Hodgkin lymphomas (NHL), and severe aplastic anemia (SAA). It was confirmed that survival benefit continues also during long-term observation. Notably, the plateau effect of PFS was often observed over 20 years following allo-HCT, implying the ability to cure in a relatively large group of patients with otherwise incurable diseases.
SN  - 2629-3269
SN  - 2629-3277
ER  -