Evidence map›Paper›PMID 25479570›Full record

Trial reportBlood cancer journal2014

Decision analysis for donor selection in stem cell transplantation-HLA-8/8 allele-matched unrelated donor vs HLA-1 AG mismatched related donor.

J Kanda, S Fuji, S Kato, A Takami, J Tanaka, K Miyamura, K Ohashi, T Fukuda, Y Ozawa, H Kanamori and 11 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Blood cancer journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
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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

21 authors at 12 institutions in 1 country.

J KandaDivision of Hematology, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
S FujiDivision of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan.
S KatoDepartment of Cell Transplantation & Regenerative Medicine, Tokai University School of Medicine, Isehara, Japan.
A TakamiDepartment of Cellular Transplantation Biology, Kanazawa University Graduate School of Medical Sciences, Kanazawa, Japan.
J TanakaDepartment of Hematology, Tokyo Women's Medical University, Tokyo, Japan.
K MiyamuraDepartment of Hematology, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan.
K OhashiDivision of Hematology, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.
T FukudaDivision of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan.
Y OzawaDepartment of Hematology, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan.
H KanamoriDepartment of Hematology, Kanagawa Cancer Center, Yokohama, Japan.
T EtoDepartment of Hematology, Hamanomachi Hospital, Fukuoka, Japan.
N KobayashiDepartment of Hematology, Sapporo Hokuyu Hospital, Hokkaido, Japan.
K IwatoDepartment of Blood Transfusion, Hiroshima Red Cross and Atomic Bomb Survivors Hospital, Hiroshima, Japan.
Y MorishimaDivision of Epidemiology and Prevention, Aichi Cancer Center Research Institute, Nagoya, Japan.
H SakamakiDivision of Hematology, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.
Y AtsutaDepartment of Hematopoietic Stem Cell Transplantation Data Management and Biostatistics, Nagoya University School of Medicine, Nagoya, Japan.
Y KandaDivision of Hematology, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
HLA Working Group
Donor/Source Working Group
Adult AML Working Group
Adult ALL Working Group of the Japan Society for Hematopoietic Cell Transplantation
Tokyo Metropolitan Komagome Hospital · JPAichi Cancer Center · JPHamanomachi Hospital · JPHiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital · JPJichi Medical University · JPJichi Medical University Saitama Medical Center · JPKanagawa Cancer CenterKanazawa University · JPNagoya University · JPSapporo Hokuyu Hospital · JPTokai University · JPTokyo Women's Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Risk of relapse during the unrelated donor coordination period biases comparisons between allogeneic hematopoietic stem cell transplantation from an HLA 8 of 8 allele-matched unrelated donor (8/8 MUD) and that from a related donor with an HLA-1 antigen mismatch in the graft-versus-host (GVH) direction (RD/1AGMM-GVH). To reduce this bias, we performed a decision analysis focusing on acute myeloid leukemia (AML) and acute lymphoblastic leukemia (ALL) in first complete remission (CR1). The primary outcome measure was 5-year survival probability with or without quality-of-life (QOL) adjustment. A baseline analysis showed that the decision to perform MUD transplantation was superior to that to perform RD/1AGMM-GVH transplantation for patients with AML or ALL. However, in the ALL cohort, the direction of superiority was reversed when the interval between CR1 and 8/8 MUD transplantation was >5.5 months (without QOL adjustment) or >6 months (after QOL adjustment) or when overall survival of RD/1AGMM-GVH transplantation improved by 1.3% without QOL adjustment and 2.1% after QOL adjustment. In conclusion, 8/8 MUD should be prioritized in transplantation for AML and ALL in CR1. However, the MUD coordination period and improvements in RD/1AGMM-GVH transplantation might change the donor selection priority in transplantation for ALL in CR1.

Indexed as

Decision Support TechniquesHLA AntigensUnrelated DonorsAdolescentAdultAgedAllograftsDonor SelectionFemaleHematopoietic Stem Cell TransplantationHistocompatibility TestingHumansLeukemia, Myeloid, AcuteMaleMiddle AgedPrecursor Cell Lymphoblastic Leukemia-LymphomaHLA Antigens

Identifiers

PMID25479570
PMCPMC4315891
OpenAlexW2025673010

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.