Hematopoietic Stem Cell Transplantation to Treat Leukodystrophies: Clinical Practice Guidelines from the Hunter's Hope Leukodystrophy Care Network.

dc.contributor.author

Page, Kristin M

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Stenger, Elizabeth O

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Connelly, James A

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Shyr, David

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West, Tara

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Wood, Susan

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Case, Laura

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Kester, Maureen

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Shim, Soo

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Hammond, Lauren

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Hammond, Matthew

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Webb, Christin

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Biffi, Alessandra

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Bambach, Barbara

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Fatemi, Ali

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Kurtzberg, Joanne

dc.date.accessioned

2022-03-23T15:04:17Z

dc.date.available

2022-03-23T15:04:17Z

dc.date.issued

2019-12

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2022-03-23T15:04:16Z

dc.description.abstract

The leukodystrophies are a heterogeneous group of inherited diseases characterized by progressive demyelination of the central nervous system leading to devastating neurologic symptoms and premature death. Hematopoietic stem cell transplantation (HSCT) has been successfully used to treat certain leukodystrophies, including adrenoleukodystrophy, globoid leukodystrophy (Krabbe disease), and metachromatic leukodystrophy, over the past 30 years. To date, these complex patients have primarily been transplanted at a limited number of pediatric centers. As the number of cases identified through pregnancy and newborn screening is increasing, additional centers will be required to treat these children. Hunter's Hope created the Leukodystrophy Care Network in part to create and standardize high-quality clinical practice guidelines to guide the care of affected patients. In this report the clinical guidelines for the care of pediatric patients with leukodystrophies undergoing treatment with HSCT are presented. The initial transplant evaluation, determination of patient eligibility, donor selection, conditioning, supportive care, and post-transplant follow-up are discussed. Throughout these guidelines the need for early detection and treatment and the role of the partnership between families and multidisciplinary providers are emphasized.

dc.identifier

S1083-8791(19)30571-3

dc.identifier.issn

1083-8791

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1523-6536

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https://hdl.handle.net/10161/24569

dc.language

eng

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Elsevier BV

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Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation

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10.1016/j.bbmt.2019.09.003

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Humans

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Leukodystrophy, Globoid Cell

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Leukodystrophy, Metachromatic

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Hematopoietic Stem Cell Transplantation

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Infant, Newborn

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Practice Guidelines as Topic

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Allografts

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Hematopoietic Stem Cell Transplantation to Treat Leukodystrophies: Clinical Practice Guidelines from the Hunter's Hope Leukodystrophy Care Network.

dc.type

Journal article

duke.contributor.orcid

Page, Kristin M|0000-0001-9670-8828

duke.contributor.orcid

Case, Laura|0000-0002-2941-2186

duke.contributor.orcid

Kurtzberg, Joanne|0000-0002-3370-0703

pubs.begin-page

e363

pubs.end-page

e374

pubs.issue

12

pubs.organisational-group

Duke

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School of Medicine

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Faculty

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Clinical Science Departments

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Institutes and Centers

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Orthopaedics

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Pathology

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Pediatrics

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Pediatrics, Medical Genetics

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Duke Cancer Institute

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Institutes and Provost's Academic Units

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Initiatives

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Orthopaedics, Physical Therapy

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Duke Innovation & Entrepreneurship

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Pediatrics, Transplant and Cellular Therapy

pubs.publication-status

Published

pubs.volume

25

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