Evidence map›Paper›PMID 26031916›Full record

ArticleBlood2015

Efficiency of high-dose cytarabine added to CY/TBI in cord blood transplantation for myeloid malignancy.

Yasuyuki Arai, June Takeda, Kazunari Aoki, Tadakazu Kondo, Satoshi Takahashi, Yasushi Onishi, Yukiyasu Ozawa, Nobuyuki Aotsuka, Yasuji Kouzai, Hirohisa Nakamae and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

35 citing papers in PubMed, 60 citations in OpenAlex.

  1. Trial
  2. Evaluation of skeletal muscle indicators following allogeneic hematopoietic stem cell transplantation: verification of skeletal muscle mass adjustment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Evaluation of indices for predicting recovery of exercise tolerance in patients surviving allogenic hematopoietic stem cell transplantation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  15. Article
  16. Changes in the health-related quality of life and social reintegration status after lung transplantation following hematopoietic stem cell transplantation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  17. Review
  18. Article
  19. Article
  20. 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

17 authors at 11 institutions in 1 country.

Yasuyuki AraiDepartment of Hematology and Oncology, Graduate School of Medicine, Kyoto University, Japan;
June TakedaDepartment of Hematology and Oncology, Graduate School of Medicine, Kyoto University, Japan;
Kazunari AokiDepartment of Hematology and Oncology, Graduate School of Medicine, Kyoto University, Japan;
Tadakazu KondoDepartment of Hematology and Oncology, Graduate School of Medicine, Kyoto University, Japan;
Satoshi TakahashiDivision of Molecular Therapy, The Advanced Clinical Research Center, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan;
Yasushi OnishiDepartment of Hematology and Rheumatology, Tohoku University Hospital, Sendai, Japan;
Yukiyasu OzawaDepartment of Hematology, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan;
Nobuyuki AotsukaDivision of Hematology-Oncology, Japanese Red Cross Society Narita Hospital, Narita, Japan;
Yasuji KouzaiDepartment of Transfusion Medicine, Tokyo Metropolitan Tama Medical Center, Tama, Japan;
Hirohisa NakamaeDepartment of Hematology, Osaka City University Hospital, Osaka, Japan;
Shuichi OtaDepartment of Hematology, Sapporo Hokuyu Hospital, Sapporo, Japan;
Chiaki NakasekoDepartment of Hematology, Chiba University Hospital, Chiba, Japan;
Hiroki YamaguchiDepartment of Hematology, Nippon Medical School Hospital, Tokyo, Japan;
Koji KatoDepartment of Hematology and Oncology, Children's Medical Center, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan;
Yoshiko AtsutaJapanese Data Center for Hematopoietic Cell Transplantation, Nagoya, Japan; Department of Healthcare Administration, Nagoya University Graduate School of Medicine, Nagoya, Japan; and.
Akiyoshi TakamiDepartment of Internal Medicine Division of Hematology, Aichi Medical University, Nagakute, Japan.
AML and MDS Working Group of the Japan Society for Hematopoietic Cell Transplantation
Kyoto University · JPAichi Medical University · JPChiba University Hospital · JPJapanese Red Cross Narita Hospital · JPNagoya University · JPNippon Medical School Hospital · JPOsaka City University Hospital · JPSapporo Hokuyu Hospital · JPThe University of Tokyo · JPTohoku University Hospital · JPTokyo Metropolitan Tama Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cord blood transplantation (CBT) is an effective therapeutic option for adults with acute myelogenous leukemia (AML) and myelodysplastic syndrome (MDS) after the conventional cyclophosphamide and total body irradiation (CY/TBI) regimen, but posttransplant relapse is still of high importance. High-dose cytarabine (HDCA) can be added to CY/TBI for an intensified regimen; however, its additional effects have not yet been completely elucidated. Therefore, we conducted a cohort study to compare the prognosis of HDCA/CY/TBI (n = 617) and CY/TBI (n = 312) in CBT for AML/MDS, using a Japanese transplant registry database. The median age was 40 years, and 86.2% of the patients had AML; high-risk disease was observed in 56.2% of the patients. The median follow-up period after CBT was approximately 3.5 years. Overall survival was significantly superior in the HDCA/CY/TBI group (adjusted hazard ratio [HR], 0.56; 95% confidence interval [CI], 0.45-0.69; P < .01), and tumor-related mortality was lower (HR, 0.50; P < .01). The incidence of grade II to IV acute graft-vs-host disease (aGVHD) and chronic GVHD was significantly higher in the HDCA/CY/TBI group (HR, 1.33 and 2.30, respectively), but not grade III to IV aGVHD. Incidence of infectious episodes showed no significant difference. Nonrelapse mortality was not increased by the addition of HDCA. Higher-dose CA (12 rather than 8 g/m(2)) was more effective, particularly in patients at high-risk for disease. This study is the first to show the superiority of HDCA/CY/TBI to CY/TBI in CBT for AML/MDS. A large-scale prospective study is warranted to establish new conditioning regimens including HDCA administration.

Indexed as

Cord Blood Stem Cell TransplantationWhole-Body IrradiationAdolescentAdultAgedAntineoplastic Combined Chemotherapy ProtocolsCohort StudiesCombined Modality TherapyCyclophosphamideCytarabineFemaleFollow-Up StudiesHumansLeukemia, MyeloidMaleMiddle AgedCyclophosphamideCytarabine

Identifiers

PMID26031916
PMCPMC4504951
OpenAlexW613454817

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.