Evidence map›Paper›PMID 20062097›Full record

ArticleBone marrow transplantation2010

Engraftment syndrome after auto-SCT: analysis of diagnostic criteria and risk factors in a large series from a single center.

E Carreras, F Fernández-Avilés, L Silva, M Guerrero, C Fernández de Larrea, C Martínez, L Rosiñol, M Lozano, P Marín, M Rovira

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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 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% of its field
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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

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  14. Anticancer Drug-Induced Capillary Leak Syndrome.Kidney international reports · 2022
    Review
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  16. Acute kidney injury in cancer patients.Clinical and experimental nephrology · 2022
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

E CarrerasDepartment of Hematology, Hospital Clinic, IDIBAPS, University of Barcelona, Barcelona, Spain. carreras@clinic.ub.es
F Fernández-Avilés
L Silva
M Guerrero
C Fernández de Larrea
C Martínez
L Rosiñol
M Lozano
P Marín
M Rovira
Consorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESUniversitat de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Engraftment syndrome (ES) is increasingly observed in patients who receive auto-SCT. To investigate this fact, validate the clinical criteria for ES diagnosis and analyze the risk factors for this complication, we reviewed 328 consecutive peripheral blood auto-SCT performed during the past 7 years. A total of 43 patients presented with clinical or biological data suggestive of ES. Of the total, 41 (95%) and 22 (51%) could be diagnosed with ES using the Maiolino criteria (MC) and the Spitzer criteria (SC), respectively. The SC were less sensitive as they do not consider some relevant clinical data and limit the observation time after engraftment. All ES cases had high C-reactive protein (CRP) values not observed in the remaining patients at engraftment (median +/- s.d.: 17.5 +/- 7.3 vs 2.4 +/- 3.4 mg per 100 ml; P=0.0001). Multivariate analysis showed a higher risk of ES in SCT performed in recent years (relative risk (RR) 2.3, 95% confidence interval (CI 1.0-4.7), female patients (RR 2.5, 95% CI 1.2-5.2), and absence of intensive chemotherapy before SCT (RR 8.8, 95% CI 3.3-20.5). All patients except one improved after treatment with corticosteroids. The MC seem to be the best tool to establish a diagnosis of ES. In doubtful cases, the diagnosis could be confirmed by evaluating CRP. Auto-SCT in patients not receiving previous chemotherapy could explain the increasing incidence of ES in the past years.

Indexed as

AdolescentAdultAgedAnti-Inflammatory AgentsC-Reactive ProteinFemaleGraft vs Host DiseaseHematologic DiseasesHematopoietic Stem Cell TransplantationHumansIncidenceMaleMethylprednisoloneMiddle AgedMultivariate AnalysisRisk FactorsAnti-Inflammatory AgentsC-Reactive ProteinMethylprednisolone

Identifiers

PMID20062097
OpenAlexW1978418906

What OpenQuestion holds

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Read underepoch 390

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.