Evidence map›Paper›PMID 24769316›Full record

SynthesisBiology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation2014

Iron overload in allogeneic hematopoietic cell transplantation outcome: a meta-analysis.

Philippe Armand, Haesook T Kim, Johanna M Virtanen, Riitta K Parkkola, Maija A Itälä-Remes, Navneet S Majhail, Linda J Burns, Todd DeFor, Bryan Trottier, Uwe Platzbecker and 2 more

Open access · greenAbstract readMeta-Analysis
In one paragraph

Synthesis in Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
4.8field-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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  7. Article
  8. Observational
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  16. Review
  17. Iron overload in the HCT patient: a review.Bone marrow transplantation · 2021
    Review
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  20. Review
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

12 authors at 6 institutions in 3 countries.

Philippe ArmandDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts. Electronic address: parmand@partners.org.
Haesook T KimDepartment Biostatistics and Computational Biology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Johanna M VirtanenDepartment of Radiology, Turku University Hospital, Turku, Finland.
Riitta K ParkkolaDepartment of Radiology, Turku University Hospital, Turku, Finland.
Maija A Itälä-RemesDepartment of Medicine, Turku University Hospital, Turku, Finland.
Navneet S MajhailDepartment of Blood and Marrow Transplant Program, Cleveland Clinic, Cleveland, Ohio.
Linda J BurnsDepartment of Medicine, Blood and Marrow Transplant Program, University of Minnesota, Minneapolis, Minnesota.
Todd DeForBiostatistics Core, Masonic Cancer Center, University of Minnesota Medical School, Minneapolis, Minnesota.
Bryan TrottierDepartment of Medicine, Blood and Marrow Transplant Program, University of Minnesota, Minneapolis, Minnesota.
Uwe PlatzbeckerDepartment of Medicine I, University Hospital C.-G.-Carus, Dresden, Germany.
Joseph H AntinDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Martin WermkeDepartment of Medicine I, University Hospital C.-G.-Carus, Dresden, Germany.
Dana-Farber Cancer Institute · USTurku University Hospital · FIUniversity Hospital Carl Gustav Carus · DEUniversity of Minnesota · USCleveland Clinic · USUniversity of Minnesota Medical Center · US

Funding

Women's CancerP30CA077598 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Douglas Yee · 1998 to 2026
$100.4M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
Project 3: Humoral Targets and B Cell Biology in Chronic Graft-vs.-Host DiseaseP01CA142106 · NCI · DANA-FARBER CANCER INST · PI CUTLER, COREY S · 2009 to 2019
$17.5M
Reconstitution of Regulatory T Cells after Allogeneic Stem Cell TransplantationU19AI029530 · NIAID · DANA-FARBER CANCER INSTITUTE · PI SOIFFER, ROBERT JON · 2005 to 2010
$9.0M
NCATS NIH HHS UL1 TR000114NCI NIH HHS P01 CA142106NCI NIH HHS P30 CA077598NIAID NIH HHS U19 AI029530NIAID NIH HHS U19 AI 29530
6 · The paper itself

Abstract

An elevated ferritin level before allogeneic hematopoietic cell transplantation (HCT) is an adverse prognostic factor for overall survival (OS) and nonrelapse mortality. Because ferritin is an imperfect surrogate of iron stores, the prognostic role of iron overload remains unclear. We conducted a patient-level meta-analysis of 4 studies that used magnetic resonance imaging to estimate pre-HCT liver iron content (LIC). An elevated LIC was not associated with a significant increase in mortality: the hazard ratio (HR) for mortality associated with LIC > 7 mg/g dry weight (primary endpoint) was 1.4 (P = .18). In contrast, ferritin >1000 ng/mL was a significant prognostic factor (HR for mortality, 1.7; P = .036). There was, however, no significant association between ferritin > 2500 and mortality. This meta-analysis suggests that iron overload, as assessed by LIC, is not a strong prognostic factor for OS in a general adult HCT population. Our data also suggest that ferritin is an inadequate surrogate for iron overload in HCT.

Indexed as

AdolescentAdultAgedFemaleFerritinsHematopoietic Stem Cell TransplantationHumansIronIron OverloadMaleMiddle AgedPrognosisSurvival AnalysisTransplantation ConditioningTreatment OutcomeYoung AdultFerritinsIronAllogeneic hematopoietic cell transplantationIron overloadSerum ferritin

Identifiers

PMID24769316
PMCPMC4099413
OpenAlexW1999450971

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.