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10.05.2022 | Original Article

Mapping incidence and mortality of leukemia and its subtypes in 21 world regions in last three decades and projections to 2030

verfasst von: Rajesh Sharma, Chinmay Jani

Erschienen in: Annals of Hematology | Ausgabe 7/2022

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Abstract

This study examines the burden of leukemia and its subtypes at the global, regional, and national levels in 21 world regions and 204 countries in the last three decades. The estimates of incidence, deaths, and age-standardized rates of leukemia for 21 regions and 204 countries for 1990–2019 were extracted from the Global Burden of Disease 2019 study. Average annual percentage change in 1990–2019 for 21 regions was utilized for projecting leukemia burden in 2030. Globally, there were 643,579 [586,980–699,729] incident cases and 334,592 [306,818–360,214] deaths in 2019 due to leukemia, up from 474,924 [388,559–560,550] cases and 263,263 [233,664–298,696] deaths in 1990. Between 1990 and 2019, the age-standardized incidence rate (ASIR) decreased from 9.6 [8.1–11.0] in 1990 to 8.2 [7.5–8.9] per 100,000 person-years in 2019, and the age-standardized mortality rate (ASMR) decreased from 5.8/100,000 [5.2–6.4] in 1990 to 4.3/100,000 [3.9–4.6] in 2019. Between 1990 and 2019, the ASIR decreased in majority of regions except Western Europe and high-income Asia Pacific, whereas the ASMR decreased in all 21 regions. In 2019, country-wise, the ASIR varied from 3.0/100,000 [2.3–3.7] in Palau to 35.1/100,000 [26.4–47.2] in San Marino and the ASMR spanned from 2.3/100,000 [1.7–2.8] in San Marino to 15.8/100,000 [12.0–20.4] in Syria. As per our projections, globally, there will be 720,168 incident cases and 367,804 deaths due to leukemia in 2030. Substantial improvements have been witnessed in leukemia mortality rates in all regions, especially high-income regions and countries. Health care policies focusing on diagnostic improvements, cancer registration, and newer therapeutics at reduced cost or with insurance coverage are needed in low and middle-income countries.
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Literatur
1.
Zurück zum Zitat Ou Z, Yu D, Liang Y et al (2020) Analysis of the Global Burden of Disease study highlights the trends in death and disability-adjusted life years of leukemia from 1990 to 2017. Cancer Commun 40(11):598–610CrossRef Ou Z, Yu D, Liang Y et al (2020) Analysis of the Global Burden of Disease study highlights the trends in death and disability-adjusted life years of leukemia from 1990 to 2017. Cancer Commun 40(11):598–610CrossRef
2.
Zurück zum Zitat Gupta S, Antillon FA, Bonilla M et al (2011) Treatment-related mortality in children with acute lymphoblastic leukemia in Central America. Cancer 117(20):4788–4795PubMedCrossRef Gupta S, Antillon FA, Bonilla M et al (2011) Treatment-related mortality in children with acute lymphoblastic leukemia in Central America. Cancer 117(20):4788–4795PubMedCrossRef
3.
Zurück zum Zitat Umeh CA, Garcia-Gonzalez P, Tremblay D, Laing R (2020) The survival of patients enrolled in a global direct-to-patient cancer medicine donation program: The Glivec International Patient Assistance Program (GIPAP). EClinicalMedicine 19:100257PubMedPubMedCentralCrossRef Umeh CA, Garcia-Gonzalez P, Tremblay D, Laing R (2020) The survival of patients enrolled in a global direct-to-patient cancer medicine donation program: The Glivec International Patient Assistance Program (GIPAP). EClinicalMedicine 19:100257PubMedPubMedCentralCrossRef
4.
Zurück zum Zitat Vos T, Lim SS, Abbafati C et al (2020) Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the global burden of disease study 2019. Lancet 396:1204–1222CrossRef Vos T, Lim SS, Abbafati C et al (2020) Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the global burden of disease study 2019. Lancet 396:1204–1222CrossRef
5.
Zurück zum Zitat Wang H, Abbas KM, Abbasifard M et al (2020) Global age-sex-specific fertility, mortality, healthy life expectancy (HALE), and population estimates in 204 countries and territories, 1950–2019: a comprehensive demographic analysis for the global burden of disease study 2019. Lancet 396:1160–1203CrossRef Wang H, Abbas KM, Abbasifard M et al (2020) Global age-sex-specific fertility, mortality, healthy life expectancy (HALE), and population estimates in 204 countries and territories, 1950–2019: a comprehensive demographic analysis for the global burden of disease study 2019. Lancet 396:1160–1203CrossRef
6.
Zurück zum Zitat Murray CJ, Aravkin AY, Zheng P et al (2020) Global burden of 87 risk factors in 204 countries and territories, 1990–2019: a systematic analysis for the global burden of disease study 2019. Lancet 396:1223–1249CrossRef Murray CJ, Aravkin AY, Zheng P et al (2020) Global burden of 87 risk factors in 204 countries and territories, 1990–2019: a systematic analysis for the global burden of disease study 2019. Lancet 396:1223–1249CrossRef
7.
Zurück zum Zitat Global Burden of Disease Collaborative Network. Global Burden of Disease Study 2019 (GBD 2019) Results. Seattle, United States: Institute for Health Metrics and Evaluation (IHME). Source: Institute for Health Metrics Evaluation. Used with permission. All rights reserved. Available from http://ghdx.healthdata.org/gbd-results-tool. Accessed: Jan-Feb 2021 Global Burden of Disease Collaborative Network. Global Burden of Disease Study 2019 (GBD 2019) Results. Seattle, United States: Institute for Health Metrics and Evaluation (IHME). Source: Institute for Health Metrics Evaluation. Used with permission. All rights reserved. Available from http://​ghdx.​healthdata.​org/​gbd-results-tool. Accessed: Jan-Feb 2021
9.
Zurück zum Zitat Jabbour E, Fava C, Kantarjian H (2009) Advances in the biology and therapy of patients with chronic myeloid leukaemia. Best Pract Res Clin Haematol 22(3):395–407PubMedCrossRef Jabbour E, Fava C, Kantarjian H (2009) Advances in the biology and therapy of patients with chronic myeloid leukaemia. Best Pract Res Clin Haematol 22(3):395–407PubMedCrossRef
10.
Zurück zum Zitat Yamamoto JF, Goodman MT (2007) Patterns of leukemia incidence in the United States by subtype and demographic characteristics, 1997–2002. Cancer Causes Control 19(4):379–390PubMedCrossRef Yamamoto JF, Goodman MT (2007) Patterns of leukemia incidence in the United States by subtype and demographic characteristics, 1997–2002. Cancer Causes Control 19(4):379–390PubMedCrossRef
11.
Zurück zum Zitat Thygesen LC, Nielsen OJ, Johansen C (2009) Trends in adult leukemia incidence and survival in Denmark, 1943–2003. Cancer Causes Control 20(9):1671–1680PubMedCrossRef Thygesen LC, Nielsen OJ, Johansen C (2009) Trends in adult leukemia incidence and survival in Denmark, 1943–2003. Cancer Causes Control 20(9):1671–1680PubMedCrossRef
12.
Zurück zum Zitat Berger U, Maywald O, Pfirrmann M et al (2005) Gender aspects in chronic myeloid leukemia: long-term results from randomized studies. Leukemia 19:984–989PubMedCrossRef Berger U, Maywald O, Pfirrmann M et al (2005) Gender aspects in chronic myeloid leukemia: long-term results from randomized studies. Leukemia 19:984–989PubMedCrossRef
13.
Zurück zum Zitat Höglund M, Sandin F, Simonsson B (2015) Epidemiology of chronic myeloid leukaemia: an update. Ann Hematol 94(Suppl 2):S241-247PubMedCrossRef Höglund M, Sandin F, Simonsson B (2015) Epidemiology of chronic myeloid leukaemia: an update. Ann Hematol 94(Suppl 2):S241-247PubMedCrossRef
14.
Zurück zum Zitat Bonner MR, Williams BA, Rusiecki JA et al (2010) Occupational exposure to terbufos and the incidence of cancer in the Agricultural Health Study. Cancer Causes Control 21(6):871–877PubMedPubMedCentralCrossRef Bonner MR, Williams BA, Rusiecki JA et al (2010) Occupational exposure to terbufos and the incidence of cancer in the Agricultural Health Study. Cancer Causes Control 21(6):871–877PubMedPubMedCentralCrossRef
16.
Zurück zum Zitat Poynter JN, Richardson M, Blair CK et al (2016) Obesity over the life course and risk of acute myeloid leukemia and myelodysplastic syndromes. Cancer Epidemiol 40:134–140PubMedCrossRef Poynter JN, Richardson M, Blair CK et al (2016) Obesity over the life course and risk of acute myeloid leukemia and myelodysplastic syndromes. Cancer Epidemiol 40:134–140PubMedCrossRef
17.
Zurück zum Zitat Weihe P, Spielmann J, Kielstein H et al (2020) Childhood Obesity and Cancer Risk in Adulthood. Curr Obes Rep 9:204–212PubMedCrossRef Weihe P, Spielmann J, Kielstein H et al (2020) Childhood Obesity and Cancer Risk in Adulthood. Curr Obes Rep 9:204–212PubMedCrossRef
18.
Zurück zum Zitat Shamriz O, Leiba M, Levine H et al (2017) Higher body mass index in 16–19 year-old Jewish Adolescents of North African, Middle Eastern and European Origins is a Predictor of Acute Myeloid Leukemia: a cohort of 2.3 million Israelis. Cancer Causes Control 28:331–339PubMedCrossRef Shamriz O, Leiba M, Levine H et al (2017) Higher body mass index in 16–19 year-old Jewish Adolescents of North African, Middle Eastern and European Origins is a Predictor of Acute Myeloid Leukemia: a cohort of 2.3 million Israelis. Cancer Causes Control 28:331–339PubMedCrossRef
21.
Zurück zum Zitat Druker BJ, Guilhot F, O’Brien SG et al (2006) Five-year follow-up of patients receiving imatinib for chronic myeloid leukemia. N Engl J Med 355(23):2408–2417PubMedCrossRef Druker BJ, Guilhot F, O’Brien SG et al (2006) Five-year follow-up of patients receiving imatinib for chronic myeloid leukemia. N Engl J Med 355(23):2408–2417PubMedCrossRef
22.
Zurück zum Zitat Bower H, Björkholm M, Dickman PW, Höglund M, Lambert PC, Andersson TM (2016) Life Expectancy of Patients With Chronic Myeloid Leukemia Approaches the Life Expectancy of the General Population. J Clin Oncol 34(24):2851–2857PubMedCrossRef Bower H, Björkholm M, Dickman PW, Höglund M, Lambert PC, Andersson TM (2016) Life Expectancy of Patients With Chronic Myeloid Leukemia Approaches the Life Expectancy of the General Population. J Clin Oncol 34(24):2851–2857PubMedCrossRef
23.
Zurück zum Zitat Malhotra H, Radich J, Garcia-Gonzalez P (2019) Meeting the needs of CML patients in resource-poor countries. Hematology Am Soc Hematol Educ Program 2019(1):433–442PubMedPubMedCentralCrossRef Malhotra H, Radich J, Garcia-Gonzalez P (2019) Meeting the needs of CML patients in resource-poor countries. Hematology Am Soc Hematol Educ Program 2019(1):433–442PubMedPubMedCentralCrossRef
24.
Zurück zum Zitat Umeh CA, Garcia-Gonzalez P, Tremblay D, Laing R (2020) The survival of patients enrolled in a global direct-to-patient cancer medicine donation program: The Glivec International Patient Assistance Program (GIPAP). EClinicalMedicine 1(19):100257CrossRef Umeh CA, Garcia-Gonzalez P, Tremblay D, Laing R (2020) The survival of patients enrolled in a global direct-to-patient cancer medicine donation program: The Glivec International Patient Assistance Program (GIPAP). EClinicalMedicine 1(19):100257CrossRef
25.
Zurück zum Zitat Allemani C, Matsuda T, Di Carlo V et al (2018) Global surveillance of trends in cancer survival 2000–14 (CONCORD-3): analysis of individual records for 37 513 025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries. Lancet 391(10125):1023–1075PubMedPubMedCentralCrossRef Allemani C, Matsuda T, Di Carlo V et al (2018) Global surveillance of trends in cancer survival 2000–14 (CONCORD-3): analysis of individual records for 37 513 025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries. Lancet 391(10125):1023–1075PubMedPubMedCentralCrossRef
26.
Zurück zum Zitat Navarrete M, Rossi E, Brivio E et al (2014) Treatment of childhood acute lymphoblastic leukemia in central America: A lower-middle income countries experience. Pediatr Blood Cancer 61(5):803–809PubMedCrossRef Navarrete M, Rossi E, Brivio E et al (2014) Treatment of childhood acute lymphoblastic leukemia in central America: A lower-middle income countries experience. Pediatr Blood Cancer 61(5):803–809PubMedCrossRef
27.
Zurück zum Zitat Gupta S, Yeh S, Martiniuk A et al (2013) The magnitude and predictors of abandonment of therapy in paediatric acute leukaemia in middle-income countries: a systematic review and meta-analysis. Eur J Cancer 49(11):2555–2564PubMedCrossRef Gupta S, Yeh S, Martiniuk A et al (2013) The magnitude and predictors of abandonment of therapy in paediatric acute leukaemia in middle-income countries: a systematic review and meta-analysis. Eur J Cancer 49(11):2555–2564PubMedCrossRef
28.
Zurück zum Zitat Sharma R (2021) A Systematic Examination of Burden of Childhood Cancers in 183 Countries: Estimates from GLOBOCAN 2018. Eur J Cancer Care 30(5):e13438CrossRef Sharma R (2021) A Systematic Examination of Burden of Childhood Cancers in 183 Countries: Estimates from GLOBOCAN 2018. Eur J Cancer Care 30(5):e13438CrossRef
29.
Zurück zum Zitat Caniza MA, Odio C, Mukkada S et al (2015) Infectious complications in children with acute lymphoblastic leukemia treated in low-middle-income countries. Expert Rev Hematol 8(5):627–645PubMedCrossRef Caniza MA, Odio C, Mukkada S et al (2015) Infectious complications in children with acute lymphoblastic leukemia treated in low-middle-income countries. Expert Rev Hematol 8(5):627–645PubMedCrossRef
30.
Zurück zum Zitat Hunger SP, Lu X, Devidas M et al (2012) Improved survival for children and adolescents with acute lymphoblastic leukemia between 1990 and 2005: a report from the children’s oncology group. J Clin Oncol 30(14):1663–1669PubMedPubMedCentralCrossRef Hunger SP, Lu X, Devidas M et al (2012) Improved survival for children and adolescents with acute lymphoblastic leukemia between 1990 and 2005: a report from the children’s oncology group. J Clin Oncol 30(14):1663–1669PubMedPubMedCentralCrossRef
31.
Zurück zum Zitat Pulte D, Jansen L, Gondos A et al (2014) Survival of adults with acute lymphoblastic leukemia in Germany and the United States. PLoS ONE 9(1):e85554PubMedPubMedCentralCrossRef Pulte D, Jansen L, Gondos A et al (2014) Survival of adults with acute lymphoblastic leukemia in Germany and the United States. PLoS ONE 9(1):e85554PubMedPubMedCentralCrossRef
33.
Zurück zum Zitat Liu-Dumlao T, Kantarjian H, Thomas DA, O’Brien S, Ravandi F (2012) Philadelphia-positive acute lymphoblastic leukemia: current treatment options. Curr Oncol Rep 14(5):387–394PubMedPubMedCentralCrossRef Liu-Dumlao T, Kantarjian H, Thomas DA, O’Brien S, Ravandi F (2012) Philadelphia-positive acute lymphoblastic leukemia: current treatment options. Curr Oncol Rep 14(5):387–394PubMedPubMedCentralCrossRef
34.
Zurück zum Zitat Maino E, Sancetta R, Viero P et al (2014) Current and future management of Ph/BCR-ABL positive ALL. Expert Rev Anticancer Ther 14(6):723–740PubMedCrossRef Maino E, Sancetta R, Viero P et al (2014) Current and future management of Ph/BCR-ABL positive ALL. Expert Rev Anticancer Ther 14(6):723–740PubMedCrossRef
35.
Zurück zum Zitat Soverini S, Bassan R, Lion T (2019) Treatment and monitoring of Philadelphia chromosome-positive leukemia patients: recent advances and remaining challenges. J Hematol Oncol 12:39PubMedPubMedCentralCrossRef Soverini S, Bassan R, Lion T (2019) Treatment and monitoring of Philadelphia chromosome-positive leukemia patients: recent advances and remaining challenges. J Hematol Oncol 12:39PubMedPubMedCentralCrossRef
36.
Zurück zum Zitat Shah A, Andersson TM, Rachet B, Björkholm M, Lambert PC (2013) Survival and cure of acute myeloid leukaemia in E ngland, 1971–2006: a population–based study. Br J Haematol 162(4):509–516PubMedCrossRef Shah A, Andersson TM, Rachet B, Björkholm M, Lambert PC (2013) Survival and cure of acute myeloid leukaemia in E ngland, 1971–2006: a population–based study. Br J Haematol 162(4):509–516PubMedCrossRef
37.
Zurück zum Zitat Meyers J, Yu Y, Kaye JA, Davis KL (2013) Medicare fee-for-service enrollees with primary acute myeloid leukemia: an analysis of treatment patterns, survival, and healthcare resource utilization and costs. Appl Health Econ Health Policy 11(3):275–286PubMedCrossRef Meyers J, Yu Y, Kaye JA, Davis KL (2013) Medicare fee-for-service enrollees with primary acute myeloid leukemia: an analysis of treatment patterns, survival, and healthcare resource utilization and costs. Appl Health Econ Health Policy 11(3):275–286PubMedCrossRef
38.
Zurück zum Zitat Smith M, Barnett M, Bassan R, Gatta G, Tondini C, Kern W (2004) Adult acute myeloid leukaemia. Crit Rev Oncol Hematol 50(3):197–222PubMedCrossRef Smith M, Barnett M, Bassan R, Gatta G, Tondini C, Kern W (2004) Adult acute myeloid leukaemia. Crit Rev Oncol Hematol 50(3):197–222PubMedCrossRef
39.
Zurück zum Zitat Tallman MS, Wang ES, Altman JK et al (2019) Acute myeloid leukemia, version 3.2019, NCCN clinical practice guidelines in oncology. J Natl Compr Canc Netw 17(6):721–49PubMedCrossRef Tallman MS, Wang ES, Altman JK et al (2019) Acute myeloid leukemia, version 3.2019, NCCN clinical practice guidelines in oncology. J Natl Compr Canc Netw 17(6):721–49PubMedCrossRef
40.
Zurück zum Zitat Haferlach C, Dicker F, Schnittger S, Kern W, Haferlach T (2007) Comprehensive genetic characterization of CLL: a study on 506 cases analyzed with chromosome banding analysis, interphase FISH, IgV H status and immunophenotyping. Leukemia 21(12):2442–2451PubMedCrossRef Haferlach C, Dicker F, Schnittger S, Kern W, Haferlach T (2007) Comprehensive genetic characterization of CLL: a study on 506 cases analyzed with chromosome banding analysis, interphase FISH, IgV H status and immunophenotyping. Leukemia 21(12):2442–2451PubMedCrossRef
41.
Zurück zum Zitat Mrózek K, Eisfeld AK, Kohlschmidt J et al (2019) Complex karyotype in de novo acute myeloid leukemia: typical and atypical subtypes differ molecularly and clinically. Leukemia 33(7):1620–1634PubMedPubMedCentralCrossRef Mrózek K, Eisfeld AK, Kohlschmidt J et al (2019) Complex karyotype in de novo acute myeloid leukemia: typical and atypical subtypes differ molecularly and clinically. Leukemia 33(7):1620–1634PubMedPubMedCentralCrossRef
42.
Zurück zum Zitat de Lira Benicio MT, Ribeiro AF, Américo AD et al (2017) Evaluation of the European Leukemia Net recommendations for predicting outcomes of patients with acute myeloid leukemia treated in low-and middle-income countries (LMIC): A Brazilian experience. Leuk Res 60:109–114CrossRef de Lira Benicio MT, Ribeiro AF, Américo AD et al (2017) Evaluation of the European Leukemia Net recommendations for predicting outcomes of patients with acute myeloid leukemia treated in low-and middle-income countries (LMIC): A Brazilian experience. Leuk Res 60:109–114CrossRef
43.
44.
Zurück zum Zitat Gupta S, Howard SC, Hunger SP et al (2015) Treating childhood cancer in low- and middle-income countries. In: Cancer: Disease Control Priorities, Vol. 3. The International Bank for Reconstruction and Development / The World Bank, Washington, DC Gupta S, Howard SC, Hunger SP et al (2015) Treating childhood cancer in low- and middle-income countries. In: Cancer: Disease Control Priorities, Vol. 3. The International Bank for Reconstruction and Development / The World Bank, Washington, DC
45.
Zurück zum Zitat Magrath I, Steliarova-Foucher E, Epelman S et al (2013) Improving cancer care for children and young people 2. Lancet Oncol 13:104–106CrossRef Magrath I, Steliarova-Foucher E, Epelman S et al (2013) Improving cancer care for children and young people 2. Lancet Oncol 13:104–106CrossRef
46.
Zurück zum Zitat Lam CG, Howard SC, Bouffet E, Pritchard-Jones K (2019) Science and health for all children with cancer. Science 363(6432):1182–1186PubMedCrossRef Lam CG, Howard SC, Bouffet E, Pritchard-Jones K (2019) Science and health for all children with cancer. Science 363(6432):1182–1186PubMedCrossRef
47.
Zurück zum Zitat Philip CC, Geoge B, Ganapule A et al (2014) Acute myeloid leukemia: Challenges and real world data from India. Blood 124(21):3685CrossRef Philip CC, Geoge B, Ganapule A et al (2014) Acute myeloid leukemia: Challenges and real world data from India. Blood 124(21):3685CrossRef
49.
Zurück zum Zitat Knaul FM, Gonzalez-Pier E, Gomez-Dantes O et al (2012) The quest for universal health coverage: acheiving social protection for all in Mexico. Lancet 380:1259–1279PubMedCrossRef Knaul FM, Gonzalez-Pier E, Gomez-Dantes O et al (2012) The quest for universal health coverage: acheiving social protection for all in Mexico. Lancet 380:1259–1279PubMedCrossRef
50.
Zurück zum Zitat Antillon F, Baez F, Barrantes Zamorra JC (2005) AMOR: a proposed cooperative effort to improve outcomes of childhood cancer in Central America. Pediatr Blood Cancer 45:107–110PubMedCrossRef Antillon F, Baez F, Barrantes Zamorra JC (2005) AMOR: a proposed cooperative effort to improve outcomes of childhood cancer in Central America. Pediatr Blood Cancer 45:107–110PubMedCrossRef
51.
Zurück zum Zitat Mostert S, Sitaresmi MN, Gundy CM et al (2010) Comparing childhood leukaemia treatment before and after the introduction of a parental education programme in Indonesia. Arch Dis Child 95:20–25PubMedCrossRef Mostert S, Sitaresmi MN, Gundy CM et al (2010) Comparing childhood leukaemia treatment before and after the introduction of a parental education programme in Indonesia. Arch Dis Child 95:20–25PubMedCrossRef
52.
Zurück zum Zitat Israels T, Borgstein E, Pidini D et al (2012) Managment of children with a Wilms tumor in Malawi, sub-saharan Africa. J Pediatr Hematol Oncol 34:606–610PubMedCrossRef Israels T, Borgstein E, Pidini D et al (2012) Managment of children with a Wilms tumor in Malawi, sub-saharan Africa. J Pediatr Hematol Oncol 34:606–610PubMedCrossRef
53.
Zurück zum Zitat Howard SC, Metzger ML, Wilimas JA et al (2008) Childhood cancer epidemiology in low-income countries. Cancer 112:461–472PubMedCrossRef Howard SC, Metzger ML, Wilimas JA et al (2008) Childhood cancer epidemiology in low-income countries. Cancer 112:461–472PubMedCrossRef
Metadaten
Titel
Mapping incidence and mortality of leukemia and its subtypes in 21 world regions in last three decades and projections to 2030
verfasst von
Rajesh Sharma
Chinmay Jani
Publikationsdatum
10.05.2022
Verlag
Springer Berlin Heidelberg
Erschienen in
Annals of Hematology / Ausgabe 7/2022
Print ISSN: 0939-5555
Elektronische ISSN: 1432-0584
DOI
https://doi.org/10.1007/s00277-022-04843-6

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