Evidence map›Paper›PMID 26367230›Full record

Trial reportBone marrow transplantation2016

Risk factors and prognosis of hepatic acute GvHD after allogeneic hematopoietic cell transplantation.

Y Arai, J Kanda, H Nakasone, T Kondo, N Uchida, T Fukuda, K Ohashi, K Kaida, K Iwato, T Eto and 8 more

Abstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Bone marrow transplantation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

15 citing papers in PubMed, 31 citations in OpenAlex.

  1. Graft-Versus-Host Disease Mouse Models: A Clinical-Translational Perspective.Methods in molecular biology (Clifton, N.J.) · 2025
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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

18 authors at 13 institutions in 2 countries.

Y AraiDepartment of Hematology and Oncology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
J KandaDivision of Hematology, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
H NakasoneDivision of Hematology, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
T KondoDepartment of Hematology and Oncology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
N UchidaDepartment of Hematology, Federation of National Public Service Personnel Mutual Aid Associations Toranomon Hospital, Tokyo, Japan.
T FukudaDivision of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan.
K OhashiHematology Division, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.
K KaidaDivision of Hematology, Department of Internal Medicine, Hyogo College of Medicine, Hyogo, Japan.
K IwatoDepartment of Hematology, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital, Hiroshima, Japan.
T EtoDepartment of Hematology, Hamanomachi Hospital, Fukuoka, Japan.
Y KandaDivision of Hematology, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
H NakamaeDepartment of Hematology, Osaka City University, Osaka, Japan.
T Nagamura-InoueDepartment of Cell Processing and Transfusion, Research Hospital, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan.
Y MorishimaDivision of Epidemiology and Prevention, Aichi Cancer Center Research Institute, Aichi, Japan.
M HirokawaDepartment of General Internal Medicine and Clinical Laboratory Medicine, Graduate School of Medicine, Akita University, Akita, Japan.
Y AtsutaJapanese Data Center for Hematopoietic Cell Transplantation, Aichi, Japan.
M MurataDepartment of Hematology and Oncology, Nagoya University Graduate School of Medicine, Aichi, Japan.
GVHD working group of the Japan Society for Hematopoietic Cell Transplantation
Jichi Medical University · JPKyoto University · JPNagoya University · JPAichi Cancer Center · JPAkita University · JPHamanomachi Hospital · JPHiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital · JPHyogo Medical University · JPJichi Medical University Saitama Medical Center · JPOsaka City University · JPTokyo Metropolitan Komagome Hospital · JPToranomon Hospital · JPUniversity of Tokyo Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatic acute GvHD (aGvHD) is associated with high mortality owing to poor response to immunosuppressive therapy. The pathogenesis of hepatic aGvHD differs from that of other lesions, and specific risk factors related to pre-transplant liver conditions should be determined. We conducted a cohort study by using a Japanese transplant registry database (N=8378). Of these subjects, 1.5% had hepatitis C virus Ab (HCV-Ab) and 9.4% had liver dysfunction (elevated transaminase or bilirubin levels) before hematopoietic cell transplantation (HCT). After HCT, the cumulative incidence of hepatic aGvHD was 6.7%. On multivariate analyses, HCV-Ab positivity (hazard ratio (HR), 1.93; P=0.02) and pre-transplant liver dysfunction (HR, 1.85; P<0.01), as well as advanced HCT risk, unrelated donors, HLA mismatch and cyclosporine as GvHD prophylaxis, were significant risk factors for hepatic aGvHD, whereas hepatitis B virus surface Ag was not. Hepatic aGvHD was a significant risk factor for low overall survival and high transplant-related mortality in all aGvHD grades (P<0.01). This study is the first to show the relationship between pre-transplant liver conditions and hepatic aGvHD. A prospective study is awaited to validate the results of this study and establish a new strategy especially for high-risk patients.

Indexed as

CyclosporineGraft vs Host DiseaseHematopoietic Stem Cell TransplantationLiver DiseasesRegistriesAcute DiseaseAdolescentAdultAgedAged, 80 and overAllograftsDisease-Free SurvivalFemaleHematologic NeoplasmsHumansMaleCyclosporine

Identifiers

PMID26367230
OpenAlexW2297424987

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.