PMID- 24083631 OWN - NLM STAT- MEDLINE DCOM- 20140507 LR - 20131015 IS - 1747-4094 (Electronic) IS - 1747-4094 (Linking) VI - 6 IP - 5 DP - 2013 Oct TI - Impact of comorbidities on the treatment of chronic myeloid leukemia with tyrosine-kinase inhibitors. PG - 563-74 LID - 10.1586/17474086.2013.837279 [doi] AB - The median age at diagnosis of chronic myeloid leukemia (CML) is between 60 and 65 years in most epidemiologic registries. Rather than age per se, a comprehensive evaluation of comorbidities may describe more properly the general clinical status of a patient. Tyrosine-kinase inhibitors (TKIs) have a different tolerability profile, and some adverse events (AEs) are peculiar of each drug, in particular, in presence of predisposing factors (comorbidities, concomitant medications). This article will review the impact of comorbidities in the safety and outcome of CML patients treated with TKIs. We will explore how the comorbidity status may be considered, together with CML-related factors, in the selection of the TKI in order to optimize treatment. FAU - Gugliotta, Gabriele AU - Gugliotta G AD - Department of Experimental, Diagnostic and Specialty Medicine, S.Orsola-Malpighi Hospital, University of Bologna, Institute of Hematology "L. e A. Seragnoli", Bologna, Italy. FAU - Castagnetti, Fausto AU - Castagnetti F FAU - Fogli, Miriam AU - Fogli M FAU - Cavo, Michele AU - Cavo M FAU - Baccarani, Michele AU - Baccarani M FAU - Rosti, Gianantonio AU - Rosti G LA - eng PT - Journal Article PT - Review DEP - 20131002 PL - England TA - Expert Rev Hematol JT - Expert review of hematology JID - 101485942 RN - 0 (Antineoplastic Agents) RN - 0 (Protein Kinase Inhibitors) SB - IM MH - Antineoplastic Agents/adverse effects/*therapeutic use MH - Comorbidity MH - Humans MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/*drug therapy MH - Protein Kinase Inhibitors/adverse effects/*therapeutic use EDAT- 2013/10/03 06:00 MHDA- 2014/05/08 06:00 CRDT- 2013/10/03 06:00 PHST- 2013/10/03 06:00 [entrez] PHST- 2013/10/03 06:00 [pubmed] PHST- 2014/05/08 06:00 [medline] AID - 10.1586/17474086.2013.837279 [doi] PST - ppublish SO - Expert Rev Hematol. 2013 Oct;6(5):563-74. doi: 10.1586/17474086.2013.837279. Epub 2013 Oct 2.