Evidence map›Paper›PMID 24037022›Full record

ArticleBone marrow transplantation2014

Effective prevention of GVHD using in vivo T-cell depletion with anti-lymphocyte globulin in HLA-identical or -mismatched sibling peripheral blood stem cell transplantation.

C Wolschke, T Zabelina, F Ayuk, H Alchalby, J Berger, E Klyuchnikov, U-M Pein, S Schumacher, G Amtsfeld, R Adjallé and 5 more

Abstract read
PubMed Publisher
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 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. CD56Haematologica · 2017
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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

15 authors at 2 institutions in 1 country.

C WolschkeDepartment of Stem Cell Transplantation, University Medical Center, Hamburg, Germany.
T ZabelinaDepartment of Stem Cell Transplantation, University Medical Center, Hamburg, Germany.
F AyukDepartment of Stem Cell Transplantation, University Medical Center, Hamburg, Germany.
H AlchalbyDepartment of Stem Cell Transplantation, University Medical Center, Hamburg, Germany.
J BergerDepartment of Medical Statistics, University Medical Center, Hamburg, Germany.
E KlyuchnikovDepartment of Stem Cell Transplantation, University Medical Center, Hamburg, Germany.
U-M PeinDepartment of Stem Cell Transplantation, University Medical Center, Hamburg, Germany.
S SchumacherDepartment of Stem Cell Transplantation, University Medical Center, Hamburg, Germany.
G AmtsfeldDepartment of Stem Cell Transplantation, University Medical Center, Hamburg, Germany.
R AdjalléDepartment of Stem Cell Transplantation, University Medical Center, Hamburg, Germany.
F WortmannDepartment of Stem Cell Transplantation, University Medical Center, Hamburg, Germany.
H LellekDepartment of Stem Cell Transplantation, University Medical Center, Hamburg, Germany.
A RandenborghDepartment of Stem Cell Transplantation, University Medical Center, Hamburg, Germany.
A ZanderDepartment of Stem Cell Transplantation, University Medical Center, Hamburg, Germany.
N KrögerDepartment of Stem Cell Transplantation, University Medical Center, Hamburg, Germany.
Universität Hamburg · DEUniversity Medical Center Hamburg-Eppendorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To investigate the impact of anti-lymphocyte globulin (ATG-Fresenius) as part of the HLA-sibling transplantation, we evaluated 238 patients (median age 48 years) with different diagnoses (AML, ALL, CML and lymphoproliferative disorders). A total of 79 patients received ATG and 159 patients did not. In the ATG group, there were more HLA-mismatched donors (6% vs 1%, p=0.02), bad risk patients (70% vs 55%, P=0.04), reduced intensity conditioning (RIC) regimens (65% vs 34%, P=<0.001) and older patients (median age 51 vs 48 years, P=0.002). The median time to leukocyte engraftment was significantly faster in the non-ATG group (13 vs 15 days, P < 0.001). EBV reactivation was more often seen in the ATG group (9% vs 2%, P=0.05). Cumulative incidence of acute and chronic GVHD was less observed in the ATG group (27% vs 40%, P=0.004, and 33% vs 54%, P=0.002). The cumulative incidence rates of non-relapse mortality and of relapse at 5 years were 20 and 34%, respectively, for ATG and 34 and 29%, respectively, for non-ATG (P=0.06 and P=0.3). ATG can prevent GVHD without an obvious risk of relapse but should be confirmed in a randomized study.

Indexed as

Lymphocyte DepletionPeripheral Blood Stem Cell TransplantationAdolescentAdultAgedAntilymphocyte SerumChildClinical Trials as TopicDisease-Free SurvivalFemaleGraft vs Host DiseaseHematologic DiseasesHLA AntigensHumansIncidenceLeukocytesAntilymphocyte SerumHLA Antigens

Identifiers

PMID24037022
OpenAlexW2033841914

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.