Evidence map›Paper›PMID 26149534›Full record

ArticleAmerican journal of hematology2015

Second allogeneic hematopoietic cell transplantation for graft failure: poor outcomes for neutropenic graft failure.

Troy C Lund, Jessica Liegel, Nelli Bejanyan, Paul J Orchard, Qing Cao, Jakub Tolar, Claudio Brunstein, John E Wagner, Michael R Verneris, Daniel Weisdorf

Abstract read
In one paragraph

Article in American journal of hematology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Post-Transplant Complications.Blood cell therapy · 2023
    Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
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  13. Review
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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

10 authors.

Troy C LundDivision of Pediatric Blood and Marrow Transplant, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota.
Jessica LiegelBlood and Marrow Transplant Program, Department of Medicine, University of Minnesota, Minneapolis, Minnesota.
Nelli BejanyanBlood and Marrow Transplant Program, Department of Medicine, University of Minnesota, Minneapolis, Minnesota.
Paul J OrchardDivision of Pediatric Blood and Marrow Transplant, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota.
Qing CaoBiostatistics Core, Masonic Cancer Center, University of Minnesota, Minneapolis, Minnesota.
Jakub TolarDivision of Pediatric Blood and Marrow Transplant, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota.
Claudio BrunsteinBlood and Marrow Transplant Program, Department of Medicine, University of Minnesota, Minneapolis, Minnesota.
John E WagnerDivision of Pediatric Blood and Marrow Transplant, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota.
Michael R VernerisDivision of Pediatric Blood and Marrow Transplant, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota.
Daniel WeisdorfBlood and Marrow Transplant Program, Department of Medicine, University of Minnesota, Minneapolis, Minnesota.

Funding

Women's CancerP30CA077598 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Jeffrey S. Miller · 1998 to 2026
$100.4M
Trial Design and Biostatistical Support CoreP01CA065493 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI J SUNIL RAO · 1995 to 2026
$48.2M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
NCATS NIH HHS UL1 TR000114NCI NIH HHS P01 CA065493NCI NIH HHS P01 CA65493NCI NIH HHS P30 CA077598
6 · The paper itself

Abstract

Graft failure (GF) after hematopoietic cell transplant (HCT) occurs in 5-30% of patients. GF can be accompanied by neutropenia (NGF) or can result with adequate neutrophils, but loss of donor chimerism (non-neutropenic graft failure, NNGF). In this report, we describe the outcomes of 95 patients treated with a second HCT for GF at the University of Minnesota; 62 with NGF and 33 with NNGF. The cumulative incidence of neutrophil recovery at 42 days after second HCT was 45% for NGF and 88% for NNGF. A second GF occurred in 34 NGF (55%) and in 9 NNGF (27%) patients. The incidence of Grade III-IV acute graft versus host disease (GVHD) was 8% (95% confidence interval (CI), 1-16%) and 12% (95% CI, 1-23%) for NGF and NNGF, respectively. From the 2nd HCT, 1-year overall survival (OS) was 44% (95% CI, 34-54%), [NNGF: 76% (95% CI, 57-87%) and NGF: 27% (95% CI, 17-39%)]. The most common cause of death after second HCT was infection (52%). In summary, the outcomes of second HCT after NGF and NNGF are different with much worse outcomes for NGF necessitating new approaches for this complication.

Indexed as

Graft RejectionGraft vs Host DiseaseHematopoietic Stem Cell TransplantationNeutropeniaAdolescentAdultAgedAllograftsChildChild, PreschoolDisease-Free SurvivalFemaleHumansIncidenceInfantMale

Identifiers

PMID26149534
PMCPMC4579006

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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.