Evidence map›Paper›PMID 23955900›Full record

ArticlePediatric blood & cancer2014

Comparable survival for pediatric acute myeloid leukemia with poor-risk cytogenetics following chemotherapy, matched related donor, or unrelated donor transplantation.

Michael J Kelly, John T Horan, Todd A Alonzo, Mary Eapen, Robert B Gerbing, Wensheng He, Beverly J Lange, Susan K Parsons, William G Woods

Abstract read
In one paragraph

Article in Pediatric blood & cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 9% 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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Hematopoietic Stem Cell Transplantation Outcomes for High-Risk AML: A Report From the Children's Oncology Group.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
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  14. Pediatric AML: From Biology to Clinical Management.Journal of clinical medicine · 2015
    Review
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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 7 institutions in 1 country.

Michael J KellyThe Floating Hospital for Children at Tufts Medical Center, Boston, Massachusetts; Department of Pediatrics, Tufts University School of Medicine, Boston, Massachusetts; Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, Massachusetts.
John T Horan
Todd A Alonzo
Mary Eapen
Robert B Gerbing
Wensheng He
Beverly J Lange
Susan K Parsons
William G Woods
Emory University · USMedical College of Wisconsin · USArcadia · USChildren's Hospital of Philadelphia · USTufts Children's Hospital · USTufts Medical Center · USUniversity of Southern California · US

Funding

Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
Tufts CTSI Career Development Program in Comparative Effectiveness ResearchKM1CA156726 · NCI · TUFTS UNIVERSITY BOSTON · PI KENT, DAVID M, SELKER, HARRY P. · 2010 to 2010
$2.5M
NCI NIH HHS KM1 CA156726NCI NIH HHS U24 CA076518NCI NIH HHS U24-CA76518
6 · The paper itself

Abstract

backgroundWe sought to better define the role of hematopoietic cell transplantation (HCT) in first remission (CR1) for high-risk pediatric acute myeloid leukemia (AML). PROCEDURES: Outcomes were compared among patients aged less than 21 years with cytogenetically defined poor-risk AML treated with chemotherapy, matched related (MRD), or unrelated donor (URD) transplantation in CR1. Poor-risk cytogenetics was defined as monosomy 7/del7q, monosomy 5/del 5q, abnormalities of 3q, t(6;9)(p23;q34), or complex karyotype. Included are patients treated on Children's Oncology Group trials or reported to the Center for International Blood and Marrow Transplant Research from 1989 to 2006.

resultsOf the 233 patients, 123 received chemotherapy, 55 received MRD HCT, and 55 received URD HCT. The 5-year overall survival from the time of consolidation chemotherapy or transplant conditioning was similar: chemotherapy (43% ± 9%), MRD (46% ± 14%), or URD (50% ± 14%), P = 0.99. Similarly, multivariate analysis demonstrated no significant differences in survival [(reference group = chemotherapy); MRD HR 1.08, P = 0.76; URD HR 1.13, P = 0.67] despite lower relapse risk with URD HCT (HR = 0.43, P = 0.01).

conclusionsOur findings do not provide support for the preferential use of HCT over chemotherapy alone for children with cytogenetically defined poor-risk AML in CR1.

Indexed as

Chromosome AberrationsDonor SelectionHematopoietic Stem Cell TransplantationAdolescentAdultAntineoplastic Combined Chemotherapy ProtocolsChildChild, PreschoolCombined Modality TherapyCytogenetic AnalysisFemaleFollow-Up StudiesGraft vs Host DiseaseHumansInfantInfant, Newbornacute myeloid leukemiachemotherapyhematopoietic cell transplantationpediatrics

Identifiers

PMID23955900
PMCPMC3919967
OpenAlexW1895468119

What OpenQuestion holds

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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.