{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T00:12:20Z","timestamp":1790986340022,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2014,4,25]],"date-time":"2014-04-25T00:00:00Z","timestamp":1398384000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Clinical Apheresis"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:p>This study examined the incidence and predictors of peripheral blood stem cell (PBSC) mobilization failure in patients with multiple myeloma (MM). Retrospective data for 104 patients who received granulocyte colony\u2010stimulating factor (G\u2010CSF) alone or with cyclophosphamide as mobilization regimens were analyzed. The rates of mobilization failure using two definitions of failure (&lt; 2 \u00d7 10<jats:sup>6<\/jats:sup> and\u2009&lt;\u20094 \u00d7 10<jats:sup>6<\/jats:sup> CD34<jats:sup>+<\/jats:sup> cells\/kg) following the first collection attempt were 16.3 and 33.7%, respectively. Predictors of mobilization failure were evaluated using logistic regression analysis which included age, advanced osteolytic lesions, bone marrow cellularity before mobilization, platelet count, body mass index before mobilization, and mobilization method. Lytic bone lesions were assessed using a conventional skeletal survey, and advanced osteolytic lesions were defined as lytic lesions in more than three skeletal sites regardless of the number of lytic lesions. On multivariate analysis, advanced osteolytic lesions [hazard ratio (HR)\u2009=\u200910.95, <jats:italic>P<\/jats:italic>\u2009=\u20090.001] and age \u226560 years (HR\u2009=\u20095.45, <jats:italic>P<\/jats:italic>\u2009=\u20090.016) were associated with a PBSC yield\u2009&lt;\u20092 \u00d7 10<jats:sup>6<\/jats:sup> CD34<jats:sup>+<\/jats:sup> cells\/kg, and advanced osteolytic lesions (HR\u2009=\u20095.08, <jats:italic>P<\/jats:italic>\u2009=\u20090.006), white blood cell count \u22644,000\/\u00b5L before mobilization (HR\u2009=\u20094.72, <jats:italic>P<\/jats:italic>\u2009=\u20090.005), and G\u2010CSF only mobilization (HR 10.52, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) were associated with PBSC yield\u2009&lt;\u20094 \u00d7 10<jats:sup>6<\/jats:sup> CD34<jats:sup>+<\/jats:sup> cells\/kg. The data suggest that an advanced osteolytic lesion is a significant predictor of mobilization failure in MM patients. J. Clin. Apheresis 29:305\u2013310 2014. \u00a9 2014 Wiley Periodicals, Inc.<\/jats:p>","DOI":"10.1002\/jca.21326","type":"journal-article","created":{"date-parts":[[2014,4,25]],"date-time":"2014-04-25T05:46:54Z","timestamp":1398404814000},"page":"305-310","source":"Crossref","is-referenced-by-count":6,"title":["Advanced lytic lesion is a poor mobilization factor in peripheral blood stem cell collection in patients with multiple myeloma"],"prefix":"10.1002","volume":"29","author":[{"given":"Sung\u2010Hoon","family":"Jung","sequence":"first","affiliation":[{"name":"Department of Hematology\u2010oncology Chonnam National University Hwasun Hospital Hwasun Jeollanamdo Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deok\u2010Hwan","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Hematology\u2010oncology Chonnam National University Hwasun Hospital Hwasun Jeollanamdo Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae\u2010Sook","family":"Ahn","sequence":"additional","affiliation":[{"name":"Department of Hematology\u2010oncology Chonnam National University Hwasun Hospital Hwasun Jeollanamdo Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yeo\u2010Kyeoung","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Hematology\u2010oncology Chonnam National University Hwasun Hospital Hwasun Jeollanamdo Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyeoung\u2010Joon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Hematology\u2010oncology Chonnam National University Hwasun Hospital Hwasun Jeollanamdo Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Je\u2010Jung","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Hematology\u2010oncology Chonnam National 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