Evidence map›Paper›PMID 19855442›Full record

ArticleBone marrow transplantation2010

Viral-load and B-lymphocyte monitoring of EBV reactivation after allogeneic hemopoietic SCT in children.

M Faraci, I Caviglia, G Morreale, E Lanino, D Cuzzubbo, S Giardino, E Di Marco, C Cirillo, F Scuderi, S Dallorso and 3 more

Abstract read
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Article in Bone marrow transplantation, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
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  7. Article
  8. Review
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

M FaraciHemopoietic Stem cell Transplant Unit, Hematology-Oncology Department, G Gaslini Children's Research Institute, Genova, Italy. maurafaraci@ospedale-gaslini.ge.it
I Caviglia
G Morreale
E Lanino
D Cuzzubbo
S Giardino
E Di Marco
C Cirillo
F Scuderi
S Dallorso
P Terranova
C Moroni
E Castagnola

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

EBV-associated post transplant lymphoproliferative disease (EBV-PTLD) is a life-threatening complication that may occur after hemopoietic SCT. We prospectively screened 80 children on a weekly basis using nested quantitative PCR to evaluate EBV genome copies. EBV viral load <1000 copies per 10(5) PBMC was observed in 63% of transplants, whereas it was between 1000 and 9999 copies per 10(5) PBMC in 13%, and between 10 000 and 19 999 in 10%, with no significant increase in percentage of CD20+ lymphocytes. Viral load reached > or = 20 000 copies per 10(5) PBMC in 14% of patients, and rituximab was administered to 75% of them. None of the patients except one developed a lymphoproliferative disease. Our study found that only 13% of unrelated donor HSCT recipients had a very high risk of EBV-PTLD defined as > or = 20 000 geq per 10(5) PBMC associated with an increase in CD20+ lymphocyte. We suggest that rituximab could be administered in the presence of very high levels of EBV-DNA viral load or in the presence of mid levels of EBV-DNA viral load associated with an increase in the percentage of CD20+ lymphocytes. Through this approach, we significantly reduced the number of patients treated with rituximab, and consequently the acute and chronic adverse events related to this treatment.

Indexed as

Viral LoadVirus ActivationAntibodies, MonoclonalAntibodies, Monoclonal, Murine-DerivedAntigens, CD20B-LymphocytesChildChild, PreschoolDNA, ViralFemaleHematopoietic Stem Cell TransplantationHerpesvirus 4, HumanHumansLymphocyte CountLymphoproliferative DisordersMaleAntibodies, MonoclonalAntibodies, Monoclonal, Murine-DerivedAntigens, CD20DNA, ViralRituximab

Identifiers

PMID19855442

What OpenQuestion holds

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Registered trials

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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.