11 research outputs found

    Eesti Haigekassa kliinilise auditi „Hulgimüeloomi diagnoosiga patsientide käsitlus Eesti haiglates“ kokkuvõte

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    Eesti Arst 2021; 100(3):137–145 &nbsp

    Ravimite rahastus Eestis – aeg muutusteks

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    Tööealise elanikkonna haigestumine on üks peamisi majanduskasvu peetumise allikaid globaalselt ning Eesti ei ole erand. Olukorra parandamisel on lisaks inimeste tervisekäitumisele ja meditsiinipersonali olemasolule kriitilise tähtsusega tänapäevase ravi kättesaadavus. Euroopas läbiviidud uuringu andmetel on 160 ravimist, mille Euroopa Ravimiamet on viimase 4 aasta jooksul heaks kiitnud, Eestis kättesaadavad vaid 41 ning aeg ravimi soodusravimite nimekirja arvamiseni on Eestis keskmiselt 599 päeva. Sellega jääb Eesti maha Euroopa Liidu keskmisest ja on pingereas tagapool mitmest meist majanduslikult nõrgemast riigist. Praegusele parimale teadmisele tuginedes on olukorra parandamiseks vaja uuendada Eesti tervisetehnoloogiate hindamise süsteemi ja siduda ravimitele soodustuse andmise piirmäärad majanduse arengu tasemega

    Myeloablative conditioning for allo-HSCT in pediatric ALL: FTBI or chemotherapy?-A multicenter EBMT-PDWP study.

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    Although most children with acute lymphoblastic leukemia (ALL) receive fractionated total body irradiation (FTBI) as myeloablative conditioning (MAC) for allogeneic hematopoietic stem cell transplantation (allo-HSCT), it is an important matter of debate if chemotherapy can effectively replace FTBI. To compare outcomes after FTBI versus chemotherapy-based conditioning (CC), we performed a retrospective EBMT registry study. Children aged 2-18 years after MAC for first allo-HSCT of bone marrow (BM) or peripheral blood stem cells (PBSC) from matched-related (MRD) or unrelated donors (UD) in first (CR1) or second remission (CR2) between 2000 and 2012 were included. Propensity score weighting was used to control pretreatment imbalances of the observed variables. 3.054 patients were analyzed. CR1 (1.498): median follow-up (FU) after FTBI (1.285) and CC (213) was 6.8 and 6.1 years. Survivals were not significantly different. CR2 (1.556): median FU after FTBI (1.345) and CC (211) was 6.2 years. Outcomes after FTBI were superior as compared with CC with regard to overall survival (OS), leukemia-free survival (LFS), relapse incidence (RI), and nonrelapse mortality (NRM). However, we must emphasize the preliminary character of the results of this retrospective "real-world-practice" study. These findings will be prospectively assessed in the ALL SCTped 2012 FORUM trial
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