Evidence map›Paper›PMID 25599169›Full record

ArticleBone marrow transplantation2015

Low blood lymphocyte count at 30 days post transplant predicts worse acute GVHD and survival but not relapse in a large retrospective cohort.

Z Gul, E Van Meter, M Abidi, I Ditah, M Abdul-Hussein, A Deol, L Ayash, L G Lum, E K Waller, V Ratanatharathorn and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in Bone marrow transplantation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Effects of Late Toxicities on Outcomes in Long-Term Survivors of Ex-Vivo CD34Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2018
    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

12 authors at 7 institutions in 1 country.

Z GulDivision of Hematology/BMT, Markey Cancer Center, University of Kentucky, Lexington, KY, USA.
E Van MeterCore Biostatistics, College of Public Health, University of Kentucky, Lexington, KY, USA.
M AbidiBlood and marrow program, Department of Oncology, Wayne State University/ Karmanos Cancer Center, Detroit, MI, USA.
I DitahDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
M Abdul-HusseinDepartment of Internal Medicine, Grand Strand Regional Medical Center, Myrtle Beach, SC, USA.
A DeolBlood and marrow program, Department of Oncology, Wayne State University/ Karmanos Cancer Center, Detroit, MI, USA.
L AyashBlood and marrow program, Department of Oncology, Wayne State University/ Karmanos Cancer Center, Detroit, MI, USA.
L G LumBlood and marrow program, Department of Oncology, Wayne State University/ Karmanos Cancer Center, Detroit, MI, USA.
E K WallerDepartment of Hematology and Medical Oncology, Emory University and Winship Cancer Center, Atlanta, GA, USA.
V RatanatharathornBlood and marrow program, Department of Oncology, Wayne State University/ Karmanos Cancer Center, Detroit, MI, USA.
J UbertiBlood and marrow program, Department of Oncology, Wayne State University/ Karmanos Cancer Center, Detroit, MI, USA.
Z Al-KadhimiDepartment of Hematology and Medical Oncology, Emory University and Winship Cancer Center, Atlanta, GA, USA.
Emory University · USMarkey Cancer Center · USMayo Clinic · USRegional Medical Center · USUniversity of Kentucky · USWayne State University · USWinship Cancer Institute

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple reports have shown that low absolute lymphocyte count at day 30 (ALC30) after allogeneic hematopoietic SCT (AHSCT) is associated with higher risk of disease relapse and worse OS. However, these reports included heterogeneous populations with different grafts and GVHD prophylaxis. Therefore, we retrospectively evaluated the association of ALC30 with transplant outcomes in a cohort of 381 consecutive patients who underwent AHSCT between 2005 and 2010 and received T-replete PBSC grafts and Tacrolimus/Mycophenolate combination as GVHD prophylaxis. Median follow-up was 57 months. Lower ALC30 (⩽400 × 10(6)/L) was associated with lower OS and increased nonrelapse mortality (NRM) for the whole cohort as well as for recipients of SD and UD grafts separately. Lower ALC30 was associated with more severe acute GVHD (aGVHD; III-IV) for the entire cohort as well as for the SD and UD groups. No association was found between lower ALC30 and relapse. Pretransplant factors associated with lower ALC30 were: unrelated donors; HLA mismatch; older donors; lower recipient age; and lower CD34+ cell dose. In this large retrospective study, ALC30⩽400 × 10(6)/L was associated with worse OS, increased NRM and severe aGVHD.

Indexed as

Cohort StudiesFemaleGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansLymphocyte CountLymphocytesMaleMiddle AgedPredictive Value of TestsRecurrenceRetrospective StudiesTransplantation ConditioningTransplantation, Homologous

Identifiers

PMID25599169
OpenAlexW2048564396

What OpenQuestion holds

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Registered trials

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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.