Evidence map›Paper›PMID 25620751›Full record

ArticleBiology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation2015

Monosomal karyotype at the time of diagnosis or transplantation predicts outcomes of allogeneic hematopoietic cell transplantation in myelodysplastic syndrome.

Celalettin Ustun, Bryan J Trottier, Zohar Sachs, Todd E DeFor, Leyla Shune, Elizabeth L Courville, Shernan G Holtan, Michelle Dolan, Daniel J Weisdorf, Erica D Warlick

Abstract read
In one paragraph

Article in Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Allogeneic Stem Cell Transplantation for Advanced Myelodysplastic Syndrome: Comparison of Outcomes between CD34Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2018
    Article
  3. Article
  4. Article
  5. Myelodysplastic Syndromes: Updates and Nuances.The Medical clinics of North America · 2017
    Review
  6. Review
  7. Scoring System Prognostic of Outcome in Patients Undergoing Allogeneic Hematopoietic Cell Transplantation for Myelodysplastic Syndrome.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016
    Article
  8. Article
  9. Hematopoietic Cell Transplantation Outcomes in Monosomal Karyotype Myeloid Malignancies.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2016
    Article
  10. 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

10 authors.

Celalettin UstunDivision of Hematology-Oncology and Transplantation, University of Minnesota, Minneapolis, Minnesota. Electronic address: custun@umn.edu.
Bryan J TrottierDivision of Hematology-Oncology and Transplantation, University of Minnesota, Minneapolis, Minnesota.
Zohar SachsDivision of Hematology-Oncology and Transplantation, University of Minnesota, Minneapolis, Minnesota.
Todd E DeForDivision of Hematology-Oncology and Transplantation, University of Minnesota, Minneapolis, Minnesota.
Leyla ShuneDivision of Hematology-Oncology and Transplantation, University of Minnesota, Minneapolis, Minnesota.
Elizabeth L CourvilleUniversity of Minnesota Cytogenetics, Laboratory Medicine and Pathology, Minneapolis, Minnesota.
Shernan G HoltanDivision of Hematology-Oncology and Transplantation, University of Minnesota, Minneapolis, Minnesota.
Michelle DolanUniversity of Minnesota Cytogenetics, Laboratory Medicine and Pathology, Minneapolis, Minnesota.
Daniel J WeisdorfDivision of Hematology-Oncology and Transplantation, University of Minnesota, Minneapolis, Minnesota.
Erica D WarlickDivision of Hematology-Oncology and Transplantation, University of Minnesota, Minneapolis, Minnesota.

Funding

Women's CancerP30CA077598 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Douglas Yee · 1998 to 2026
$100.4M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
TRAINING IN HEMOGLOBIN &CELL MEMBRANE RESEARCHT32HL007062 · NHLBI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Jeffrey S. Miller, Gregory M Vercellotti · 1985 to 2026
$10.3M
NCATS NIH HHS UL1 TR000114NCI NIH HHS P30 CA077598NHLBI NIH HHS T32 HL007062
6 · The paper itself

Abstract

Various cytogenetic risk scoring systems may determine prognosis for patients with myelodysplastic syndromes (MDS). We evaluated 4 different risk scoring systems in predicting outcome after allogeneic hematopoietic cell transplantation (alloHCT). We classified 124 patients with MDS using the International Prognostic Scoring System (IPSS), the revised International Prognostic Scoring System (R-IPSS), Armand's transplantation-specific cytogenetic grouping, and monosomal karyotype (MK) both at the time of diagnosis and at alloHCT. After adjusting for other important factors, MK at diagnosis (compared with no MK) was associated with poor 3-year disease-free survival (DFS) (27% [95% confidence interval, 12% to 42%] versus 39% [95% confidence interval, 28% to 50%], P = .02) and overall survival (OS) (29% [95% confidence interval, 14% to 44%] versus 47% [95% confidence interval, 36% to 59%], P = .02). OS but not DFS was affected by MK at alloHCT. MK frequency was uncommon in low-score R-IPPS and IPSS. Although IPSS and R-IPSS discriminated good/very good groups from poor/very poor groups, patients with intermediate-risk scores had the worst outcomes and, therefore, these scores did not show a progressive linear discriminating trend. Cytogenetic risk score change between diagnosis and alloHCT was uncommon and did not influence OS. MK cytogenetics in MDS are associated with poor survival, suggesting the need for alternative or intensified approaches to their treatment.

Indexed as

Hematopoietic Stem Cell TransplantationMonosomyMyelodysplastic SyndromesAllograftsDisease-Free SurvivalFemaleHumansMaleMiddle AgedRetrospective StudiesSurvival RateAllogeneic hematopoietic cell transplantationCytogeneticsCytogenetic scoring systemsMonosomal karyotypeMyelodysplastic syndromeRelapse

Identifiers

PMID25620751
PMCPMC4790415

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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.