Evidence map›Paper›PMID 18836491›Full record

ArticleBone marrow transplantation2009

Actual or ideal body weight to calculate CD34+ cell dose in patients undergoing autologous hematopoietic SCT for myeloma?

V Singh, J Krishnamurthy, S Duffey, R Meagher, M Villa, J Monreal, A Evens, O Frankfurt, J Altman, L Gordon and 5 more

Abstract read
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Article in Bone marrow transplantation, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

15 authors.

V SinghDepartment of Hematology/Oncology, Northwestern University Medical School, 676 North St Clair Street, Chicago, IL 60611, USA.
J Krishnamurthy
S Duffey
R Meagher
M Villa
J Monreal
A Evens
O Frankfurt
J Altman
L Gordon
M Tallman
S Williams
J Winter
S Singhal
J Mehta

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CD34+ cell dose calculations are usually based on actual body weight (ABW). We have shown that ideal body weight (IBW) may provide a better basis for this in a small population of patients with hematologic malignancies. This was studied further in 514 myeloma autografts. The CD34+ cell doses (10(6)/kg) by IBW and ABW were 1.37-39.36 (median 6.03) and 1.15-29.67 (median 4.84), respectively. IBW-based cell doses correlated slightly better with engraftment than ABW-based doses (higher r(2)): 0.5 x 10(9)/l neutrophils 0.83 versus 0.82, 1.0 x 10(9)/l neutrophils 0.78 versus 0.77, 20 x 10(9)/l platelets 0.54 versus 0.53 and 50 x 10(9)/l platelets 0.57 versus 0.55. When outliers (hematologic recovery in <8 or >16 days) were excluded, the findings were similar: 0.5 x 10(9)/l neutrophils 0.85 versus 0.84, 1.0 x 10(9)/l neutrophils 0.85 versus 0.84, 20 x 10(9)/l platelets 0.86 versus 0.85 and 50 x 10(9)/l platelets 0.85 versus 0.84. CD34+ cell doses based on IBW as well as ABW significantly affected engraftment when analyzed separately as continuous variables. However, when analyzed together, only the dose based on IBW retained significance. We conclude that calculation of CD34+ cell numbers for autotransplantation should be based on IBW.

Indexed as

AdultAgedAntigens, CD34BiomarkersBody Mass IndexBody WeightCombined Modality TherapyFemaleHematologic NeoplasmsHematopoietic Stem Cell MobilizationHematopoietic Stem Cell TransplantationHumansMaleMelphalanMiddle AgedMultiple MyelomaAntigens, CD34BiomarkersMelphalan

Identifiers

PMID18836491

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.