Evidence map›Paper›PMID 26164839›Full record

ArticleVirchows Archiv : an international journal of pathology2015

Consensus diagnostic histopathological criteria for acute gastrointestinal graft versus host disease improve interobserver reproducibility.

Andreas Kreft, Anja Mottok, Ildiko Mesteri, Diana M Cardona, Anne Janin, Anja A Kühl, Mindaugas Andrulis, Andrea Brunner, Howard M Shulman, Giovanni Negri and 3 more

Abstract read
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In one paragraph

Article in Virchows Archiv : an international journal of pathology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

17 citing papers in PubMed, 42 citations in OpenAlex.

  1. Trial
  2. A Randomized, Double-Blind, Placebo-Controlled Phase 3 Trial of Oral Brincidofovir for Cytomegalovirus Prophylaxis in Allogeneic Hematopoietic Cell Transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2019
    Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Histologic diagnosis and grading of esophageal acute graft-versus-host disease.Virchows Archiv : an international journal of pathology · 2019
    Article
  12. Current approach to early gastrointestinal and liver complications of hematopoietic stem cell transplantation.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2019
    Review
  13. Article
  14. Inflammatory and infectious manifestations of immunodeficiency in the gastrointestinal tract.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2018
    Review
  15. Review
  16. Graft-versus-Host Disease of the Gut: A Histologic Activity Grading System and Validation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2017
    Article
  17. 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

13 authors at 12 institutions in 6 countries.

Andreas KreftInstitute of Pathology, University Medical Center Mainz, Langenbeckstr. 1, 55101, Mainz, Germany, andreas.kreft@unimedizin-mainz.de.
Anja Mottok
Ildiko Mesteri
Diana M Cardona
Anne Janin
Anja A Kühl
Mindaugas Andrulis
Andrea Brunner
Howard M Shulman
Giovanni Negri
Alexandar Tzankov
Elisabeth Huber
Gastrointestinal Pathology Group of the German-Austrian-Swiss GvHD Consortium
Assistance Publique – Hôpitaux de Paris · FRCharité - Universitätsmedizin Berlin · DEDuke University Hospital · USHeidelberg University · DEInnsbruck Medical University · ATJohannes Gutenberg University Mainz · DEMedical University of Vienna · ATOspedale di Bolzano · ITSeattle University · USUniversity Hospital of Basel · CHUniversity Hospital Regensburg · DEUniversity of Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Graft versus host disease (GvHD) is a clinically important complication after allogeneic hematopoietic stem cell transplantation (HSCT). Its diagnosis relies on clinical and histopathological findings. In order to evaluate and improve inter-institutional diagnostic agreement on histological diagnosis and grading of acute gastrointestinal GvHD, we conducted a round robin test, which included 33 biopsies from 23 patients after HSCT. Five pathologists from different institutions independently evaluated the original sections from the biopsies submitted for diagnosis. Based on their results, consensus qualitative criteria for the assessment of typical histological features of GvHD (e.g., apoptosis, crypt destruction, mucosa denudation) were proposed, including detailed descriptions as well as histological images. In a second round robin test with involvement of the same pathologists, the reproducibility of both diagnosis and grading had improved. Remaining differences were mostly related to differential diagnostic considerations, including viral infection or toxic side effects of medication, which should be resolved by integrating histopathological findings with proper clinical information.

Indexed as

AdultAgedAllograftsConsensusFemaleGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedObserver Variation

Identifiers

PMID26164839
OpenAlexW968092244

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.