Evidence map›Paper›PMID 23038157›Full record

ArticleActa haematologica2013

Granulocyte macrophage colony-stimulating factor in 66 patients with myeloid or lymphoid neoplasms and recipients of hematopoietic stem cell transplantation with invasive fungal disease.

Amar Safdar, Gilhen Rodriguez, Jorge Zuniga, Fadi Al Akhrass, Georgia Georgescu, Anupam Pande

Open access · bronzeAbstract read
In one paragraph

Article in Acta haematologica, 2013. 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
0.8field-weighted citation impact, top 30% 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, 28 citations in OpenAlex.

  1. Article
  2. Antifungal Innate Immunity.Advances in experimental medicine and biology · 2025
    Review
  3. Review
  4. Review
  5. Review
  6. Non-European respiratory review : an official journal of the European Respiratory Society · 2022
    Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Immunomodulation as a Therapy forJournal of fungi (Basel, Switzerland) · 2018
    Review
  12. Review
  13. Review
  14. Treatment options in Invasive Aspergillosis.Current treatment options in infectious diseases · 2014
    Article
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

6 authors at 2 institutions in 1 country.

Amar SafdarThe University of Texas MD Anderson Cancer Center, Houston, TX, USA. amar.safdar@nyumc.org
Gilhen Rodriguez
Jorge Zuniga
Fadi Al Akhrass
Georgia Georgescu
Anupam Pande
The University of Texas MD Anderson Cancer Center · USNew York University · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
NCI NIH HHS CA16672NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

BACKGROUND/

aimsAdding granulocyte macrophage colony-stimulating factor (GM-CSF) may improve the response to antifungal therapy in immunosuppressed patients with invasive fungal disease (IFD).

methodsWe retrospectively assessed 66 patients in whom GM-CSF was given during antifungal therapy.

resultsSevere neutropenia (77%) and refractory/relapsed cancer (65%) were common in the group. Prior to GM-CSF therapy, 15% of patients received high-dose corticosteroids for a median of 30 ± 16 days [median cumulative dose (c.d.) 1,184 ± 1,019 mg], and 9 received steroids during GM-CSF therapy for a median of 16 ± 12 days (median c.d. 230 ± 1,314 mg). Mild toxic effects were noted in 9% of patients; there were no cases of cardiopulmonary toxicity. All-cause deaths were observed in 68% of patients and 48% died of progressive IFD. High-dose corticosteroids prior to GM-CSF (OR 24; 95% CI 2.21-264.9; p ≤ 0.009), GM-CSF started in the intensive care unit (OR 10; 95% CI 1.66-63.8; p ≤ 0.01), concurrent granulocyte transfusions (OR 5; 95% CI 1.27-16.8; p ≤ 0.02) and proven/probable IFD (OR 4; 95% CI 1-16.2; p ≤ 0.05) predicted antifungal treatment failure.

conclusionsGM-CSF adjuvant therapy was tolerated without serous toxicity and antifungal treatment failure remained a challenge in patients treated with high-dose systemic corticosteroids.

Indexed as

Hematopoietic Stem Cell TransplantationAdolescentAdrenal Cortex HormonesAdultAgedAged, 80 and overAntifungal AgentsChildFemaleGranulocyte-Macrophage Colony-Stimulating FactorHumansImmunocompromised HostLeukemia, LymphoidLeukemia, MyeloidMaleMiddle AgedAdrenal Cortex HormonesAntifungal AgentsGranulocyte-Macrophage Colony-Stimulating Factor

Identifiers

PMID23038157
PMCPMC3622475
OpenAlexW1967863788

What OpenQuestion holds

Textmetadata
LicenceTDM
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.