Evidence map›Paper›PMID 24813171›Full record

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

Impact of age on quality of life, functional status, and survival in patients with chronic graft-versus-host disease.

Areej El-Jawahri, Joseph Pidala, Yoshi Inamoto, Xiaoyu Chai, Nandita Khera, William A Wood, Corey Cutler, Mukta Arora, Paul A Carpenter, Jeanne Palmer and 7 more

Abstract readMulticenter Study
In one paragraph

Article 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 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
–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

34 citing papers in PubMed.

  1. Trial
  2. Review
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  5. Article
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  8. Quality of life among chronic myeloid leukemia patients in the second-line treatment with nilotinib and influential factors.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Article
  9. Article
  10. Oral manifestations of graft-versus-host disease in patients submitted to allogeneic hematopoietic stem cell transplantation: the experience of a Brazilian Cancer Center.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  11. Allogeneic hematopoietic cell transplantation for older patients.Hematology. American Society of Hematology. Education Program · 2021
    Article
  12. Oral white lesion in patients post-hematopoietic stem cell transplantation: a case series demonstrating the diagnostic dilemma.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  13. Article
  14. Functional capacity, pulmonary function, and quality of life in hematopoietic stem cell transplantation survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  15. Article
  16. Information Needs for Treatment Decision-making of Hematopoietic Cell Transplant Patients 65 Years or Older and Caregivers.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020
    Article
  17. Quality-of-Life Trajectories in Adolescent and Young Adult versus Older Adult Allogeneic Hematopoietic Cell Transplantation Recipients.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2020
    Article
  18. 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

17 authors.

Areej El-JawahriDivision of Bone Marrow Transplantation, Massachusetts General Hospital Cancer Center, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts. Electronic address: ael-jawahri@partners.org.
Joseph PidalaBlood and Marrow Transplantation, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.
Yoshi InamotoClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Xiaoyu ChaiClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Nandita KheraDivision of Hematology/Oncology, Mayo Clinic, Phoenix, Arizona.
William A WoodLinenberger Comprehensive Cancer Center, University of North Carolina Hospitals, Chapel Hill, North Carolina.
Corey CutlerHematologic Malignancies, Dana Farber Cancer Institute, Boston, Massachusetts.
Mukta AroraBlood and Marrow Transplant Program, University of Minnesota, Minneapolis, Minnesota.
Paul A CarpenterClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Jeanne PalmerDivision of Hematology-Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Mary FlowersClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Daniel WeisdorfBlood and Marrow Transplant Program, University of Minnesota, Minneapolis, Minnesota.
Steven PavleticNational Cancer Institute, National Institutes of Health Center for Cancer Research, Bethesda, Maryland.
Samantha JaglowskiDivision of Hematology-Oncology, Ohio State University Medical Center, Columbus, Ohio.
Madan JagasiaHematology and Stem Cell Transplant Program, Vanderbilt University Medical Center, Nashville, Tennessee.
Stephanie J LeeClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Yi-Bin ChenDivision of Bone Marrow Transplantation, Massachusetts General Hospital Cancer Center, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.

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
NCI NIH HHS CA118953NCI NIH HHS CA163438NCI NIH HHS R01 CA118953NCI NIH HHS U01 CA118953NCI NIH HHS U54 CA163438
6 · The paper itself

Abstract

Although older patients undergoing allogeneic hematopoietic stem cell transplantation (HCT) may experience higher morbidity, the impact of chronic graft-versus-host disease (GVHD) on quality of life (QOL) and survival outcomes for older compared with younger patients is currently unknown. We utilized data of patients with moderate or severe chronic GVHD (N = 522, 1661 follow-up visits, a total of 2183 visits) from the Chronic GVHD Consortium, a prospective observational multicenter cohort. We examined the relationship between age group (adolescent and young adult, "AYA," 18 to 40 years; "middle-aged," 41 to 59 years; and "older," ≥ 60 years) and QOL (Functional Assessment of Cancer Therapy-Bone Marrow Transplantation [FACT-BMT]), physical functioning (Human Activity Profile [HAP]), functional status (2-minute walk test [2MWT]), nonrelapse mortality, and overall survival. Because of multiple testing, P values < .01 were considered significant. This study included 115 (22%) AYA, 279 (53%) middle-aged, and 128 (25%) older patients with moderate (58%) or severe (42%) chronic GVHD. Despite more physical limitations in older patients as measured by worse functional status (shorter 2MWT [P < .001] and lower HAP scores [P < .001]) relative to AYA and middle-aged patients, older patients reported better QOL (FACT-BMT, P = .004) compared with middle-aged patients and similar to AYA patients (P = .99). Nonrelapse mortality and overall survival were similar between the age groups. Therefore, despite higher physical and functional limitations, older patients who are selected to undergo HSCT and survive long enough to develop moderate or severe chronic GVHD have preserved QOL and similar overall survival and nonrelapse mortality when compared with younger patients. Therefore, we did not find evidence that older age is associated with worse outcomes in patients with moderate or severe chronic GVHD.

Indexed as

AdolescentAdultAge FactorsChronic DiseaseCohort StudiesFemaleGraft vs Host DiseaseHumansMaleMiddle AgedProspective StudiesQuality of LifeRetrospective StudiesSurvival AnalysisYoung AdultAgeChronic graft-versus-host diseaseFunctional statusQuality-of-life

Identifiers

PMID24813171
PMCPMC4127362

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.