Evidence map›Paper›PMID 23606215›Full record

Trial reportAmerican journal of hematology2013

Optimal timing of allogeneic hematopoietic stem cell transplantation in patients with myelodysplastic syndrome.

Emilio Paolo Alessandrino, Matteo G Della Porta, Luca Malcovati, Christopher H Jackson, Cristiana Pascutto, Andrea Bacigalupo, Maria Teresa van Lint, Michele Falda, Massimo Bernardi, Francesco Onida and 12 more

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in American journal of hematology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

28 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Myelodysplastic syndromes.Nature reviews. Disease primers · 2022
    Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Allogeneic Hematopoietic Stem Cell Transplantation Is Underutilized in Older Patients with Myelodysplastic Syndromes.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2017
    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

22 authors.

Emilio Paolo AlessandrinoDepartment of Hematology Oncology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; Department of Molecular Medicine, University of Pavia, Pavia, Italy.
Matteo G Della Porta
Luca Malcovati
Christopher H Jackson
Cristiana Pascutto
Andrea Bacigalupo
Maria Teresa van Lint
Michele Falda
Massimo Bernardi
Francesco Onida
Stefano Guidi
Anna Paola Iori
Raffaella Cerretti
Paola Marenco
Pietro Pioltelli
Emanuele Angelucci
Rosi Oneto
Francesco Ripamonti
Alessandro Rambaldi
Alberto Bosi
Mario Cazzola
Gruppo Italiano Trapianto di Midollo Osseo (GITMO)

Funding

Medical Research Council
6 · The paper itself

Abstract

Allogeneic hematopoietic stem cell transplantation (HSCT) represents the only curative treatment for patients with myelodysplastic syndrome (MDS), but involves non-negligible morbidity and mortality. Registry studies have shown that advanced disease stage at transplantation is associated with inferior overall survival. To define the optimal timing of allogeneic HSCT, we carried out a decision analysis by studying 660 patients who received best supportive care and 449 subjects who underwent transplantation. Risk assessment was based on both the International Prognostic Scoring System (IPSS) and the World Health Organization classification-based Prognostic Scoring System (WPSS). We used a continuous-time multistate Markov model to describe the natural history of disease and evaluate the effect of allogeneic HSCT on survival. This model estimated life expectancy from diagnosis according to treatment policy at different risk stages. Relative to supportive care, estimated life expectancy increased when transplantation was delayed from the initial stages until progression to intermediate-1 IPSS-risk or to intermediate WPSS-risk stage, and then decreased for higher risks. Modeling decision analysis on WPSS versus IPSS allowed better estimation of the optimal timing of transplantation. These observations indicate that allogeneic HSCT offers optimal survival benefits when the procedure is performed before MDS patients progress to advanced disease stages.

Indexed as

Hematopoietic Stem Cell TransplantationAdolescentAdultAgedAged, 80 and overChildCohort StudiesFemaleHumansMaleMarkov ChainsMiddle AgedMyelodysplastic SyndromesRiskSurvival AnalysisTime Factors

Identifiers

PMID23606215
PMCPMC3736162

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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.