Terapie onco-ematologiche e danno renale: dalla sindrome da lisi tumorale alla nefropatia post-trapianto di midollo.

Translated title of the contribution: [Kidney damage caused by treatment for hematological malignancies: from tumor lysis syndrome to post-transplant kidney failure].

Sonia Pasquali, Lucio Manenti, Mariacristina Gregorini, Alfredo Stefani, Roberto Rustichelli

Research output: Contribution to journalArticle

Abstract

In the wide spectrum of therapies for hematological malignancies, hematopoietic stem cell transplantation, whether autologous or allogeneic, is a common procedure. In addition to other transplant-related organ toxicities, renal failure is a common complication following transplantation. This paper discusses the incidence, timing, etiologies, risk factors and prognosis of renal failure associated with three commonly used transplantation procedures: myeloablative autologous, myeloablative allogeneic, and non-myeloablative allogeneic transplantation. The epidemiology and prognosis of renal failure are different after these three procedures. Severe renal failure occurs with all three varieties, but the frequency increases from myeloablative autologous to non-myeloablative allogeneic to myeloablative allogeneic. In all three types of transplantation, the mortality is clearly associated with the severity of renal injury, and it is greater than 80% when dialysis is required. Strategies to improve renal failure following transplantation may have a beneficial impact on these patients. Reduction of acute renal failure will likely reduce the severity of non-renal organ dysfunction, the incidence and severity of chronic kidney disease, and the mortality.

Translated title of the contribution[Kidney damage caused by treatment for hematological malignancies: from tumor lysis syndrome to post-transplant kidney failure].
Original languageItalian
JournalGiornale italiano di nefrologia : organo ufficiale della Società italiana di nefrologia
Volume27 Suppl 50
Publication statusPublished - Sep 2010

ASJC Scopus subject areas

  • Nephrology

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