Evidence map›Paper›PMID 20703257›Full record

ArticleLeukemia2010

The impact of HLA matching on long-term transplant outcome after allogeneic hematopoietic stem cell transplantation for CLL: a retrospective study from the EBMT registry.

M Michallet, M Sobh, D Milligan, S Morisset, D Niederwieser, V Koza, T Ruutu, N H Russell, L Verdonck, N Dhedin and 10 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Leukemia, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 48 citations in OpenAlex.

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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

20 authors at 14 institutions in 8 countries.

M MichalletDepartment of Hematology, Edouard Herriot Hospital, Lyon, France. mauricette.michallet@chu-lyon.fr
M Sobh
D Milligan
S Morisset
D Niederwieser
V Koza
T Ruutu
N H Russell
L Verdonck
N Dhedin
A Vitek
M Boogaerts
L Vindelov
J Finke
V Dubois
A van Biezen
R Brand
T de Witte
P Dreger
Chronic Leukemia Working Party of the EBMT
Hôpital Edouard Herriot · FRLeiden University · NLHeartlands Hospital · GBHelsinki University Hospital · FIInstitute of Haematology and Blood Transfusion · CZKU Leuven · BELeipzig University · DEPitié-Salpêtrière Hospital · FRRadboud University Nijmegen · NLRigshospitalet · DKUniversity Hospital Heidelberg · DEUniversity Medical Center Freiburg · DEUniversity Medical Center Utrecht · NLUniversity of Nottingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We analyzed 368 chronic lymphocytic leukemia patients who underwent allogeneic hematopoietic stem cell transplantation reported to the EBMT registry between 1995 and 2007. There were 198 human leukocyte antigen (HLA)-identical siblings; among unrelated transplants, 31 were well matched in high resolution ('well matched' unrelated donor, WMUD), and 139 were mismatched (MM), including 30 matched in low resolution; 266 patients (72%) received reduced-intensity conditioning and 102 (28%) received standard. According to the EBMT risk score, 11% were in scores 1-3, 23% in score 4, 40% in score 5, 22% in score 6 and 4% in score 7. There was no difference in overall survival (OS) at 5 years between HLA-identical siblings (55% (48-64)) and WMUD (59% (41-84)), P=0.82. In contrast, OS was significantly worse for MM (37% (29-48) P=0.005) due to a significant excess of transplant-related mortality. Also OS worsened significantly when EBMT risk score increased. HLA matching had no significant impact on relapse (siblings: 24% (21-27); WMUD: 35% (26-44), P=0.11 and MM: 21% (18-24), P=0.81); alemtuzumab T-cell depletion and stem cell source (peripheral blood) were associated with an increased risk. Our findings support the use of WMUD as equivalent alternative to HLA-matched sibling donors for allogeneic HSCT in CLL, and justify the application of EBMT risk score in this disease.

Indexed as

Hematopoietic Stem Cell TransplantationAdultAgedAged, 80 and overFemaleFollow-Up StudiesGraft vs Host DiseaseHistocompatibility TestingHLA AntigensHumansLeukemia, Myelogenous, Chronic, BCR-ABL PositiveMaleMiddle AgedRegistriesRetrospective StudiesSiblingsHLA Antigens

Identifiers

PMID20703257
OpenAlexW2155112288

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.