Evidence map›Paper›PMID 24887383›Full record

Trial reportBone marrow transplantation2014

Autoimmune cytopenias after umbilical cord blood transplantation in adults with hematological malignancies: a single-center experience.

J Sanz, M Arango, N Carpio, P Montesinos, F Moscardó, G Martín, F López, I Jarque, I Lorenzo, J de la Rubia and 6 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report 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 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.3field-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

22 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Article
  3. Posttransplant Autoimmune Hemolytic Anemia with Anti-D Specificity Successfully Treated with Daratumumab: A Case Report.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2024
    Article
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  17. Optimal Practices in Unrelated Donor Cord Blood Transplantation for Hematologic Malignancies.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2017
    Review
  18. Article
  19. Article
  20. Article
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

16 authors at 1 institution in 1 country.

J SanzServicio de Hematología, Hospital Universitari i politècnic La Fe, Valencia, Spain.
M ArangoServicio de Hematología, Hospital Universitari i politècnic La Fe, Valencia, Spain.
N CarpioServicio de Hematología, Hospital Universitari i politècnic La Fe, Valencia, Spain.
P MontesinosServicio de Hematología, Hospital Universitari i politècnic La Fe, Valencia, Spain.
F MoscardóServicio de Hematología, Hospital Universitari i politècnic La Fe, Valencia, Spain.
G MartínServicio de Hematología, Hospital Universitari i politècnic La Fe, Valencia, Spain.
F LópezServicio de Hematología, Hospital Universitari i politècnic La Fe, Valencia, Spain.
I JarqueServicio de Hematología, Hospital Universitari i politècnic La Fe, Valencia, Spain.
I LorenzoServicio de Hematología, Hospital Universitari i politècnic La Fe, Valencia, Spain.
J de la RubiaServicio de Hematología, Hospital Universitari i politècnic La Fe, Valencia, Spain.
P SolvesServicio de Hematología, Hospital Universitari i politècnic La Fe, Valencia, Spain.
B BoludaServicio de Hematología, Hospital Universitari i politècnic La Fe, Valencia, Spain.
C SalazarServicio de Hematología, Hospital Universitari i politècnic La Fe, Valencia, Spain.
C CañigralServicio de Hematología, Hospital Universitari i politècnic La Fe, Valencia, Spain.
M A SanzServicio de Hematología, Hospital Universitari i politècnic La Fe, Valencia, Spain.
G F SanzServicio de Hematología, Hospital Universitari i politècnic La Fe, Valencia, Spain.
Hospital Universitari i Politècnic La Fe · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We describe incidence, clinical features, serological data, response to therapy and outcome of autoimmune cytopenias (ACs), including autoimmune hemolytic anemia (AIHA) and autoimmune thrombocytopenia (AIT) in a series of 281 consecutive adults with hematological malignancies that received single-unit umbilical cord blood transplantation (UCBT) at a single institution. AIHA was diagnosed in 15 patients at a median time of 181 days (range, 25-543), 12 of them had cold antibodies (IgM). The 3-year cumulative incidence (CI) of AIHA was 5.4% (CI 95% 2.7-8.1). Concomitant infections at the time of AIHA were present in 10 patients. Five out of nine patients that received corticosteroids achieved either a PR or a CR, whereas six out of eight patients that received rituximab responded. Four patients developed AIT giving a 3-year CI of 1.4% (CI 95% 0-2.8), concomitant infections were present in three of them. Multivariable analysis showed that development of chronic GVHD (relative risk (RR) 4; 95% CI 1.1-13.7; P=0.03) and diagnosis of CML (RR 4.3; 95% CI 1.5-12.7; P=0.008) were associated with an increased risk of AC. In conclusion, AIHA and AIT are relevant and clinically significant complications in UCBT recipients, especially among those that develop chronic GVHD. Response to therapy is sub-optimal, and rituximab should be considered as a therapeutic option, in this setting were most patients had cold AIHA and a serological profile similar to that seen in cold agglutinin disease.

Indexed as

Anemia, Hemolytic, AutoimmuneCord Blood Stem Cell TransplantationPurpura, Thrombocytopenic, IdiopathicAdolescentAdrenal Cortex HormonesAdultAllograftsAntibodies, Monoclonal, Murine-DerivedChronic DiseaseFollow-Up StudiesGraft vs Host DiseaseHematologic NeoplasmsHumansImmunologic FactorsMaleMiddle AgedAdrenal Cortex HormonesAntibodies, Monoclonal, Murine-DerivedImmunologic FactorsRituximab

Identifiers

PMID24887383
OpenAlexW2032835977

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.