Table 3.
Studies of Low Bone Mineral Density (BMD) Following Pediatric HCT*
Reference | Number | Disease | Age at HCT (years) | Age at Study (years) | F/U Median (range) | Z-score | Z-score −1 to −2 | Z-score <−2 | ||
---|---|---|---|---|---|---|---|---|---|---|
Total body | Lumbar | |||||||||
Bhatia et al. 1998 | 30 | 10 | AML, CML | 5.0Mdn (3.0–18.0) | 12.0Mdn (4.0–22.0) | 2.0 yrsMdn (1.0–10.0) | −0.5Mdn (−2.0 to 1.0) | NR | NR | NR |
Nysom et al. 2000 | 31 | 25 | ALL, AML, CML, NHL | 11.3Mdn (5.7–17.6) | 17.2Mdn (11.3–26.5) | 7.5 yrsMdn (3.6–12.6) | −0.5M | −0.5M | NR | NR |
Daniels et al. 2003 | 32 | 15 | Varied | NR | 15.2M (9.4–17.7) | 6.3 yrsM (1.0–12.2) | −0.7 to −0.9M | −0.7 to −0.9M | NR | NR |
Kaste et al. 2004 | 33 | 43 | Varied | 10.3Mdn (1.6–20.4) | 15.8Mdn (4.4–27.2) | 5.1 yrsMdn (1.0–10.2) | NR | −0.9Mdn,^ (−3.3 to 2.3) | 26% | 21% |
Petryk et al. 2006 | 29 | 21 | Varied | 10.2M (5.1–17.9) | 10.2M (5.1–17.9) | ≤1.0 yrs | NR | −0.9M (−2.9 to 1.1) | 33% | 19% |
Perkins et al. 2007 | 34 | 17 | ALL, AML | 1.7M (0.6–3.0) | 13.2M (3.8–23.8) | 11.6 yrsM (3.3–22.3) | NR | −0.3M (−2.4 to 2.0) | 18% | 6% |
Carpenter et al. 2007 | 35 | 66 | ALL, others | (1.1–17.9) | (2.0–18.2) | NR | NR | −3.6 to −2.5Mdn (−5.2 to −0.9) | NR | NR |
Studies without data on lumbar and/or total body BMD were excluded
ALL Acute Lymphoblastic Leukemia
AML Acute Myeloblastic Leukemia
CML Chronic Myelogenous Leukemia
MDS Myelodysplastic Syndrome
NHL Non-Hodgkins Lymphoma
^ by QCT
Mmean
Mdnmedian
NR Not Reported