Evidence map›Paper›PMID 23955633›Full record

ArticleBone marrow transplantation2014

Uptake and use of recommendations for the diagnosis, severity scoring and management of chronic GVHD: an international survey of the EBMT-NCI Chronic GVHD Task Force.

R F Duarte, H Greinix, B Rabin, S A Mitchell, G Basak, D Wolff, J A Madrigal, S Z Pavletic, S J Lee

Open access · greenAbstract read
In one paragraph

Article in Bone marrow transplantation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
5.5field-weighted citation impact, top 4% 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

25 citing papers in PubMed, 45 citations in OpenAlex.

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  9. Real-world study of direct medical and indirect costs and time spent in healthcare in patients with chronic graft versus host disease.The European journal of health economics : HEPAC : health economics in prevention and care · 2021
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  12. Challenges in Conducting Studies in Chronic Graft-Clinical hematology international · 2019
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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

9 authors at 8 institutions in 5 countries.

R F DuarteDepartment of Hematology, Catalan Institute of Oncology-Hospital Duran I Reynals, Barcelona, Spain.
H GreinixDepartment of Internal Medicine I, Bone Marrow Transplantation, Medical University of Vienna, Vienna, Austria.
B RabinInstitute for Health Research, Kaiser Permanente, Denver, CO, USA.
S A MitchellOutcomes Research Branch, Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, USA.
G BasakDepartment of Hematology, Oncology and Internal Medicine, Medical University of Warsaw, Warsaw, Poland.
D WolffDepartment of Internal Medicine III, University of Regensburg, Regensburg, Germany.
J A MadrigalAnthony Nolan Research Institute, Royal Free Hospital, London, UK.
S Z PavleticExperimental Transplantation and Immunology Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD, USA.
S J LeeClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Anthony Nolan · GBCenter for Cancer Research · USFred Hutch Cancer Center · USKaiser Permanente · USMedical University of Vienna · ATMedical University of Warsaw · PLNational Cancer Institute · USUniversity of Regensburg · DE

Funding

Improving Outcomes Assessment in Chronic GVHDR01CA118953 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI LEE, STEPHANIE J · 2011 to 2025
$8.3M
Training and Career Development CoreU54CA163438 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI LEE, STEPHANIE J · 2011 to 2014
$3.7M
Improving Outcomes Assessment in Chronic GVHDU01CA118953 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI LEE, STEPHANIE J · 2007 to 2010
$3.1M
Intramural NIH HHSNCI NIH HHS R01 CA118953NCI NIH HHS U01 CA118953NCI NIH HHS U54 CA163438
6 · The paper itself

Abstract

In 2005, the National Institutes of Health (NIH) consensus conference published a series of papers recommending methods to improve the conduct of clinical trials in chronic GVHD. Although the NIH recommendations were primarily aimed at strengthening research, several papers addressed issues relevant for clinical practice, particularly diagnosis, severity scoring, and ancillary and supportive care practices. We conducted an international survey to assess the uptake of these recommendations, identify barriers to greater use and document the use and perceived effectiveness of available treatments. The response rate for the American survey of 1387 practitioners was 21.8%, and it was 24.6% for 407 centers surveyed in Europe, Asia, Australia and Africa. Most respondents were familiar with the NIH consensus recommendations (94-96%) and used them in practice. Multiple barriers to greater use were reported. Besides lack of time (55-62%), unfamiliarity with the recommendations, scarcity of evidence supporting the impact of recommendations on outcomes, insufficient training/experience in chronic GVHD management and inaccessibility of subspecialists were also endorsed. Systemic corticosteroids were reported to be the most effective treatment for chronic GVHD, but many others were perceived to have moderate or great success. Therapeutic management of steroid-refractory chronic GVHD was identified as the highest priority for research.

Indexed as

Chronic DiseaseClinical Trials as TopicConsensus Development Conferences, NIH as TopicData CollectionDisease ManagementGraft vs Host DiseaseHematologyHematopoietic Stem Cell TransplantationHumansInternational CooperationNational Institutes of Health (U.S.)Practice Guidelines as TopicTransplantation, HomologousTreatment OutcomeUnited States

Identifiers

PMID23955633
PMCPMC3947261
OpenAlexW1965883459

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.