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Two-year PFS and OS for patients receiving four or more induction cycles followed by consolidation (n = 36) were 65% and 70% respectively. Older patients completing MTX-based induction and consolidation had clinical outcomes similar to those in younger cohorts. These retrospective data suggest that maximising MTX-RDI and delivering consolidation in a subgroup of older patients may improve clinical outcomes. © 2020 British Society for Haematology and John Wiley Sons Ltd.BACKGROUND Admission to hospital provides the opportunity to review patient medicat