Evidence map›Paper›PMID 24777184›Full record

ArticleBone marrow transplantation2014

Prognostic factors and outcomes of severe gastrointestinal GVHD after allogeneic hematopoietic cell transplantation.

C Castilla-Llorente, P J Martin, G B McDonald, B E Storer, F R Appelbaum, H J Deeg, M Mielcarek, H Shulman, R Storb, R A Nash

Abstract 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 79 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 1 pooled it
–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

79 citing papers in PubMed, 1 synthesis or guideline pooled it.

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19 more citing papers are in PubMed but not listed here.

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

10 authors.

C Castilla-LlorenteFred Hutchinson Cancer Research Center, Seattle, WA, USA.
P J Martin1] Fred Hutchinson Cancer Research Center, Seattle, WA, USA [2] University of Washington, Seattle, WA, USA.
G B McDonald1] Fred Hutchinson Cancer Research Center, Seattle, WA, USA [2] University of Washington, Seattle, WA, USA.
B E Storer1] Fred Hutchinson Cancer Research Center, Seattle, WA, USA [2] University of Washington, Seattle, WA, USA.
F R Appelbaum1] Fred Hutchinson Cancer Research Center, Seattle, WA, USA [2] University of Washington, Seattle, WA, USA.
H J Deeg1] Fred Hutchinson Cancer Research Center, Seattle, WA, USA [2] University of Washington, Seattle, WA, USA.
M Mielcarek1] Fred Hutchinson Cancer Research Center, Seattle, WA, USA [2] University of Washington, Seattle, WA, USA.
H Shulman1] Fred Hutchinson Cancer Research Center, Seattle, WA, USA [2] University of Washington, Seattle, WA, USA.
R Storb1] Fred Hutchinson Cancer Research Center, Seattle, WA, USA [2] University of Washington, Seattle, WA, USA.
R A Nash1] Fred Hutchinson Cancer Research Center, Seattle, WA, USA [2] University of Washington, Seattle, WA, USA.

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Thomas James Lynch · 1985 to 2026
$296.4M
VIRUS-MEDIATED MYELOSUPPRESSIONP01CA018029 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Evan Newell · 1985 to 2026
$128.4M
Project 3: Stem Cell Allografts for Lymphoid MalignanciesP01CA078902 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI GOOLEY, TED A · 1999 to 2025
$46.1M
UNRELATED AND HLA-MISMATCHED RELATED DONOR TRANSPLANTSP01HL036444 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI SANDMAIER, BRENDA MARIE · 1986 to 2010
$25.9M
NCI NIH HHS CA015704NCI NIH HHS CA018029NCI NIH HHS CA078902NCI NIH HHS P01 CA018029NCI NIH HHS P01 CA078902NCI NIH HHS P30 CA015704NHLBI NIH HHS HL036444NHLBI NIH HHS P01 HL036444
6 · The paper itself

Abstract

We hypothesized that clinical risk factors could be identified within 2 weeks of onset of severe (stage 3 or 4) acute gut GVHD for identifying a patient population with a very poor outcome. Among 1462 patients who had allogeneic hematopoietic cell transplantation (HCT) between January 2000 and December 2005, 116 (7.9%) developed stage 3-4 gut GVHD. The median time for onset of stage 3-4 gut GVHD was 35 (4-135) days after allogeneic HCT. Eighty-five of the 116 patients (73%) had corticosteroid resistance before or within 2 weeks after the onset of stage 3-4 gut GVHD. Significant risk factors for mortality included corticosteroid resistance (hazards ratio (HR)=2.93; P=0.0005), age >18 years (HR=4.95; P=0.0004), increased serum bilirubin (HR 2.53; P=0.0001) and overt gastrointestinal bleeding (HR 2.88; P=0.0004). Among patients with stage 3-4 gut GVHD, the subgroup with 0, 1 or 2 risk factors had a favorable prognosis, whereas the subgroup with 3 or 4 risk factors had a dismal prognosis. This information should be considered in designing future studies of severe gut GVHD and in counseling patients about prognosis.

Indexed as

AdolescentAdultAgedChildChild, PreschoolFemaleGastrointestinal DiseasesGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansInfantMaleMiddle AgedPrognosisRisk FactorsTransplantation Conditioning

Identifiers

PMID24777184
PMCPMC4079749

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.