Evidence map›Paper›PMID 25185264›Full record

ArticleBlood2014

Dominant unit CD34+ cell dose predicts engraftment after double-unit cord blood transplantation and is influenced by bank practice.

Duncan Purtill, Katherine Smith, Sean Devlin, Richard Meagher, Joann Tonon, Marissa Lubin, Doris M Ponce, Sergio Giralt, Nancy A Kernan, Andromachi Scaradavou and 2 more

Abstract readComparative Study
In one paragraph

Article in Blood, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing 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

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

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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

12 authors.

Duncan PurtillAdult Bone Marrow Transplantation Service, Department of Medicine.
Katherine SmithDepartment of Laboratory Medicine.
Sean DevlinDepartment of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, NY;
Richard MeagherDepartment of Laboratory Medicine.
Joann TononDepartment of Laboratory Medicine.
Marissa LubinAdult Bone Marrow Transplantation Service, Department of Medicine.
Doris M PonceAdult Bone Marrow Transplantation Service, Department of Medicine, Weill Cornell Medical College, New York, NY; and.
Sergio GiraltAdult Bone Marrow Transplantation Service, Department of Medicine, Weill Cornell Medical College, New York, NY; and.
Nancy A KernanBone Marrow Transplantation Service, Department of Pediatrics, Memorial Sloan-Kettering Cancer Center, New York, NY.
Andromachi ScaradavouBone Marrow Transplantation Service, Department of Pediatrics, Memorial Sloan-Kettering Cancer Center, New York, NY.
Cladd E StevensAdult Bone Marrow Transplantation Service, Department of Medicine.
Juliet N BarkerAdult Bone Marrow Transplantation Service, Department of Medicine, Weill Cornell Medical College, New York, NY; and.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
T LYMPHOCYTE SUBSET FUNCTION POST-TRANSPLANTATIONP01CA023766 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI PAMER, ERIC G. · 1985 to 2023
$59.0M
NCI NIH HHS P01 CA023766NCI NIH HHS P01 CA23766NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

We investigated the unit characteristics associated with engraftment after double-unit cord blood (CB) transplantation (dCBT) and whether these could be reliably identified during unit selection. Cumulative incidence of neutrophil engraftment in 129 myeloablative dCBT recipients was 95% (95% confidence interval: 90-98%). When precryopreservation characteristics were analyzed, the dominant unit CD34(+) cell dose was the only characteristic independently associated with engraftment (hazard ratio, 1.43; P = .002). When postthaw characteristics were also included, only dominant unit infused viable CD34(+) cell dose independently predicted engraftment (hazard ratio, 1.95; P < .001). We then examined the determinants of infused viable CD34(+) cell dose (precryopreservation count, postthaw recovery, and postthaw viability) in 402 units thawed at our center. This revealed close correlation between precryopreservation and postthaw CD34(+) cell counts (r(2) = 0.73). Median CD34(+) cell recovery was 101%, although it ranged from 12% to 1480%. Notably, units from non-Netcord Foundation for the Accreditation of Cellular Therapy (Netcord-FACT)-accredited banks were more likely to have low recovery (P < .001). Furthermore, although median postthaw CD34(+) cell viability was 92%, 33 (8%) units had <75% viable CD34(+) cells. Units from non-Netcord-FACT-accredited banks and units with cryovolumes other than 24.5 to 26.0 mL were more likely to have poor postthaw viability. Precryopreservation CD34(+) cell dose and banking practices should be incorporated into CB unit selection.

Indexed as

AdolescentAdultAgedAntigens, CD34BiomarkersBlood BankingBlood PreservationCell SeparationChildChild, PreschoolCord Blood Stem Cell TransplantationCryopreservationGraft SurvivalHematologic NeoplasmsHematopoietic Stem Cell TransplantationHumansAntigens, CD34Biomarkers

Identifiers

PMID25185264
PMCPMC4224191

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.