Specialist follow-up for CLL patients can be discontinued without harm, study finds

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Specialist follow-up for CLL patients can be discontinued without harm, study finds
CLLChronic Lymphocytic LeukemiaSpecialist Follow-Up
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A new study has found that specialized follow-up for chronic lymphocytic leukemia (CLL) patients can be discontinued without causing harm. The study showed that patients who stopped specialist follow-up had fewer hospital visits, fewer infections, and similar survival rates compared to those who continued follow-up. The findings suggest that specialized follow-up may not be necessary for CLL patients with a low risk of needing treatment.

The patients had fewer hospital visits , fewer infections and similar survival after three years compared to CLL patients who kept going to the doctor.

“Our findings show that it's feasible to discontinue specialized follow-up in patients who have a very low risk of needing CLL treatment, and that doing so does not cause these patients any harm,” Niemann said.The average age of diagnosis for CLL is 70, and so-called "indolent" CLL can remain stable for years without treatment.

In 2022, Niemann and his colleagues created a validated list of symptoms that identified more than 40% of patients with CLL whose annual risk of needing treatment was less than 2 in 100.For the study, researchers selected 112 patients whose leukemiaThe patients were told they didn't need to bother with follow-up for three years, but that they should get vaccinated againstMeanwhile, another 88 patients with low-risk CLL continued their periodic check-up visits with blood specialists.

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CLL Chronic Lymphocytic Leukemia Specialist Follow-Up Hospital Visits Infections Survival Rates Treatment

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