Evidence map›Paper›PMID 24972767›Full record

ArticleHaematologica2014

Engraftment kinetics and graft failure after single umbilical cord blood transplantation using a myeloablative conditioning regimen.

Annalisa Ruggeri, Myriam Labopin, Maria Pia Sormani, Guillermo Sanz, Jaime Sanz, Fernanda Volt, Gerard Michel, Franco Locatelli, Cristina Diaz De Heredia, Tracey O'Brien and 18 more

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

27 citing papers in PubMed, 62 citations in OpenAlex.

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  19. Increase of bone marrow macrophages and CD8Bone marrow transplantation · 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

28 authors at 20 institutions in 9 countries.

Annalisa RuggeriEurocord, Hospital Saint Louis, AP-HP, and IUH University Paris VII, France Hospital Saint Antoine, Service d'Hématologie et Thérapie Cellulaire, AP-HP, UPMC University of Paris 06, UMR-S 938, CEREST-TC EBMT, France Cord Blood Committee EBMT, University of Genova, Italy annalisa.ruggeri@sls.aphp.fr.
Myriam LabopinHospital Saint Antoine, Service d'Hématologie et Thérapie Cellulaire, AP-HP, UPMC University of Paris 06, UMR-S 938, CEREST-TC EBMT, France.
Maria Pia SormaniBiostatistics Unit, Department of Health Sciences (DISSAL), University of Genova, Italy.
Guillermo SanzHospital Universitario y Politécnico La Fe, Valencia, Spain.
Jaime SanzHospital Universitario y Politécnico La Fe, Valencia, Spain.
Fernanda VoltEurocord, Hospital Saint Louis, AP-HP, and IUH University Paris VII, France.
Gerard MichelHôpital d'Enfants de la Timone, Marseille, France.
Franco LocatelliDipartimento di Oncoematologia Pediatrica, Ospedale Bambino Gesù, IRCSS, Rome/University of Pavia, Italy.
Cristina Diaz De HerediaServicio de Hematologia y Oncologia Pediátricas, Hospital Universitario Vall d'Hebron, Barcelona, Spain.
Tracey O'BrienSydney Children's Hospital, Sydney, Australia.
William ArceseRome Transplant Network, University Tor Vergata, Rome, Italy.
Anna Paola IoriUniversità La Sapienza, Dip. Biotecnologie Cellulari ed Ematologia, Rome, Italy.
Sergi QuerolBarcelona Cord Blood Bank, Barcelona, Spain.
Gesine KoglerDusseldorf Cord Blood Bank, University of Dusseldorf, Germany.
Lucilla LecchiFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Fabienne PouthierBesançon Cord Blood Bank of the Etablissement Français du Sang, Besançon, France.
Federico GarnierAgence de la Biomedecine, Paris, France.
Cristina NavarreteNHS-Cord Blood Bank, NHSBT, Colindale Ave, and University College London, UK.
Etienne BaudouxLiege Cord Blood Bank, University of Liege, Belgium.
Juliana FernandesEurocord, Hospital Saint Louis, AP-HP, and IUH University Paris VII, France.
Chantal KenzeyEurocord, Hospital Saint Louis, AP-HP, and IUH University Paris VII, France.
Mary EapenDepartment of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Eliane GluckmanEurocord, Hospital Saint Louis, AP-HP, and IUH University Paris VII, France Monacord, Centre Scientifique de Monaco, Monaco.
Vanderson RochaEurocord, Hospital Saint Louis, AP-HP, and IUH University Paris VII, France Churchill Hospital, Oxford University Hospitals, UK.
Riccardo SaccardiEurocord, Hospital Saint Louis, AP-HP, and IUH University Paris VII, France Careggi University Hospital, Florence, Italy.
Eurocord
Cord Blood Committee EBMT
Netcord
European Organisation for Rare Diseases · FRHôpital Saint-Antoine · FRLeitat Technological Center · ESUniversité Paris Cité · FRAgence de la Biomédecine · FRBambino Gesù Children's Hospital · ITChurchill Hospital · GBÉtablissement Français du Sang · FRFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITHeinrich Heine University Düsseldorf · DEHôpital de la Timone · FRMedical College of Wisconsin · USNHS Blood and Transplant · GBSaint Louis University Hospital · USSapienza University of Rome · ITSydney Children's Hospital · AUUniversity of Genoa · ITUniversity of Liège · BEUniversity of Rome Tor Vergata · ITVall d'Hebron Hospital Universitari · ES

Funding

Department of Health RP-PG-0310-1003
6 · The paper itself

Abstract

Umbilical cord blood transplant recipients are exposed to an increased risk of graft failure, a complication leading to a higher rate of transplant-related mortality. The decision and timing to offer a second transplant after graft failure is challenging. With the aim of addressing this issue, we analyzed engraftment kinetics and outcomes of 1268 patients (73% children) with acute leukemia (64% acute lymphoblastic leukemia, 36% acute myeloid leukemia) in remission who underwent single-unit umbilical cord blood transplantation after a myeloablative conditioning regimen. The median follow-up was 31 months. The overall survival rate at 3 years was 47%; the 100-day cumulative incidence of transplant-related mortality was 16%. Longer time to engraftment was associated with increased transplant-related mortality and shorter overall survival. The cumulative incidence of neutrophil engraftment at day 60 was 86%, while the median time to achieve engraftment was 24 days. Probability density analysis showed that the likelihood of engraftment after umbilical cord blood transplantation increased after day 10, peaked on day 21 and slowly decreased to 21% by day 31. Beyond day 31, the probability of engraftment dropped rapidly, and the residual probability of engrafting after day 42 was 5%. Graft failure was reported in 166 patients, and 66 of them received a second graft (allogeneic, n=45). Rescue actions, such as the search for another graft, should be considered starting after day 21. A diagnosis of graft failure can be established in patients who have not achieved neutrophil recovery by day 42. Moreover, subsequent transplants should not be postponed after day 42.

Indexed as

Cord Blood Stem Cell TransplantationAdolescentAdultChildChild, PreschoolFemaleFollow-Up StudiesGraft RejectionGraft vs Host DiseaseHumansInfantLeukemia, Myeloid, AcuteMaleMiddle AgedMyeloablative AgonistsNeutrophilsMyeloablative Agonists

Identifiers

PMID24972767
PMCPMC4562541
OpenAlexW2148382458

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.