Evidence map›Paper›PMID 25867645›Full record

ArticleBone marrow transplantation2015

Impact of ABO blood group mismatch in alemtuzumab-based reduced-intensity conditioned haematopoietic SCT.

C K Brierley, T J Littlewood, A J Peniket, R Gregg, J Ward, A Clark, A Parker, R Malladi, P Medd

Abstract read
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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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. ABO, alemtuzumab and allogeneic transplantation.Bone marrow transplantation · 2015
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

C K BrierleyDepartment of Haematology, Oxford University Hospitals NHS Trust, Oxford, UK.
T J LittlewoodDepartment of Haematology, Oxford University Hospitals NHS Trust, Oxford, UK.
A J PeniketDepartment of Haematology, Oxford University Hospitals NHS Trust, Oxford, UK.
R GreggCentre for Clinical Haematology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
J WardCentre for Clinical Haematology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
A ClarkDepartment of Haematology, Beatson West of Scotland Cancer Centre, Glasgow, UK.
A ParkerDepartment of Haematology, Beatson West of Scotland Cancer Centre, Glasgow, UK.
R MalladiCentre for Clinical Haematology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
P MeddDepartment of Haematology, Plymouth Hospitals NHS Trust, Plymouth, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The impact of ABO incompatibility on clinical outcomes following haematopoietic SCT (HSCT) remains controversial. This retrospective study assessed the effect of ABO mismatch on transplant outcomes and transfusion requirements in 594 patients undergoing reduced-intensity conditioned (RIC) HSCT with alemtuzumab in three UK transplant centres. We found no significant effects of minor, major or bidirectional ABO mismatch on overall survival, relapse-free survival, nonrelapse mortality or relapse incidence. Although the rate of acute GVHD was unaffected by ABO mismatch, the incidence of extensive chronic GVHD was higher in patients with minor and major mismatch compared with those who were ABO matched (hazard ratio (HR) 1.74, P=0.032 for minor, HR 1.69 P=0.0036 for major mismatch). Red cell and platelet transfusion requirements in the first 100 days post transplant did not differ by ABO mismatch. In this large UK series, ABO mismatch in RIC HSCT has no clinically significant effect on survival outcomes but appears to modify susceptibility to extensive chronic GVHD.

Indexed as

ABO Blood-Group SystemAdolescentAdultAgedAlemtuzumabAntibodies, Monoclonal, HumanizedFemaleHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedTransplantation, HomologousTreatment OutcomeYoung AdultABO Blood-Group SystemAlemtuzumabAntibodies, Monoclonal, Humanized

Identifiers

PMID25867645

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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.