ArticleCase reports in hematology2026
Renal Outcomes Following Autologous Stem Cell Transplantation in Dialysis-Dependent Patients With Multiple Myeloma: A Single-Center Study From a Low- and Middle-Income Country.
Article in Case reports in hematology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Multiple myeloma (MM) frequently causes renal impairment, and a subset of patients progresses to end-stage renal disease (ESRD) requiring dialysis. Dialysis dependence has historically been considered a relative contraindication to high-dose conditioning and autologous stem cell transplantation (ASCT). Emerging evidence indicates that ASCT may provide effective hematologic control and, in selected patients, renal recovery. Methods: We conducted a retrospective case series of five dialysis-dependent patients with MM who underwent ASCT at An-Najah National University Hospital. Demographic and clinical characteristics, transplant variables, supportive-care measures, infectious and noninfectious complications, hematologic recovery, admission and discharge laboratory values, and short-term outcomes were extracted from the medical records. Results: The five patients had a mean age of 56 years and received reduced-dose melphalan (140 mg/m Conclusions: ASCT was feasible in carefully selected dialysis-dependent patients with MM and was associated with timely hematologic recovery and no 100-day treatment-related mortality. Infectious complications and vascular-access management remain major clinical concerns. Larger prospective studies are needed to define long-term renal outcomes and predictors of dialysis independence.
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