PMID- 12376263 OWN - NLM STAT- MEDLINE DCOM- 20030123 LR - 20220127 IS - 1000-2588 (Print) IS - 1000-2588 (Linking) VI - 22 IP - 8 DP - 2002 Aug TI - [Quantitative analysis of Sokal's risk index in relation to 2 therapy protocols: their respective impact on clinical remission of chronic myeloid leukemia]. PG - 729-30 AB - OBJECTIVE: To quantitatively evaluate the impact of Sokal's risk index and that of 2 therapy protocols on the clinical outcome of patients with chronic myeloid leukemia (CML). METHODS: With the assistance of Access 2000 database of CML, 94 patients with CML were grouped on the basis of either different therapy protocols utilizing harringtonine plus Ara-C (HA) vs hydroxyurea (Hu) or Sokal scores, and the impact of therapy protocol and risk profile were quantitatively evaluated respectively. RESULT: Treatment protocol utilizing HA was incapable of lengthening the duration of chronic phase (DCP) of CML, regardless of its better short-term effect than that of Hu. The impact of risk profile of the patients on clinical remission rate and DCP was more significant than that of the therapy protocols. CONCLUSION: HA should not be used as the first-line protocol in the treatment of CML patients in chronic phase who have not received any previous medical intervention. Patients should be categorized according to the risk profile for choosing appropriate treatment protocol and making better clinical judgement. FAU - Du, Qing-Feng AU - Du QF AD - Department of Hematology, Nanfang Hospital, First Military Medical University, Guanghou 510515, China. FAU - Liu, Xiao-Li AU - Liu XL FAU - Liu, Qi-Fa AU - Liu QF FAU - Li, Rong AU - Li R FAU - Chen, Qi AU - Chen Q FAU - Zhou, Shu-Yun AU - Zhou SY LA - chi PT - Evaluation Study PT - Journal Article PL - China TA - Di Yi Jun Yi Da Xue Xue Bao JT - Di 1 jun yi da xue xue bao = Academic journal of the first medical college of PLA JID - 9426110 RN - 0 (Antineoplastic Agents) RN - 0 (Harringtonines) RN - 04079A1RDZ (Cytarabine) RN - 088662H40F (harringtonin) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Antineoplastic Agents/*therapeutic use MH - Cytarabine/*therapeutic use MH - Female MH - Harringtonines/*therapeutic use MH - Humans MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/*drug therapy MH - Male MH - Middle Aged MH - Outcome Assessment, Health Care MH - Treatment Outcome EDAT- 2002/10/12 04:00 MHDA- 2003/01/24 04:00 CRDT- 2002/10/12 04:00 PHST- 2002/10/12 04:00 [pubmed] PHST- 2003/01/24 04:00 [medline] PHST- 2002/10/12 04:00 [entrez] PST - ppublish SO - Di Yi Jun Yi Da Xue Xue Bao. 2002 Aug;22(8):729-30.