Evidence map›Paper›PMID 26367237›Full record

ArticleBone marrow transplantation2015

In patients older than 55 years with AML in first CR, should we search for a matched unrelated donor when an old sibling donor is available?

R Peffault de Latour, M Labopin, J Cornelissen, S Vigouroux, C Craddock, D Blaise, A Huyn, L Vindelov, J Maertens, P Chevallier and 12 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
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  8. Review
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

22 authors.

R Peffault de LatourService d'Hématologie Greffe, AP-HP-Hôpital Saint Louis, Paris, France.
M LabopinALWP-EBMT, AP-HP-Hôpital Saint Antoine, Paris, France.
J CornelissenHematology Department, Erasmus MC-Daniel den Hoed Cancer Centre, Rotterdam, The Netherlands.
S VigourouxCHU Bordeaux-Hôpital Haut-levêque, Pessac, France.
C CraddockBMT unit, Centre for Clinical Haematology-Queen Elizabeth Hospital, Birmingham, UK.
D BlaiseInstitut Paoli Calmettes-Unité de Transplantation et de Thérapie Cellulaire-Inserm UMR 891, Marseille, France.
A HuynDepartment of Hematology, Hopital de Purpan-CHU, Toulouse, France.
L VindelovBone Marrow Transplant Unit L 4043, Rigshospitalet, Copenhagen, Denmark.
J MaertensDepartment of Hematology, University Hospital Gasthuisberg, Leuven, Belgium.
P ChevallierDepartment of Hematology, Hopital Hotel Dieu-CHU, Nantes, France.
N FegueuxCHU Lapeyronie-Service d'Hématologie et Oncologie, Montpellier, France.
G SociéService d'Hématologie Greffe, AP-HP-Hôpital Saint Louis, Paris, France.
J Y CahnDepartment of Hematology, University Hospital, Grenoble, France.
E PetersenDepartment of Hematology, Utrecht, The Netherlands.
H SchoutenDepartment Internal Medicine Hematology/Oncology, University Hospital Maastricht, Maastricht, The Netherlands.
B LioureDepartment of Onco-Hematologiy, CHU Hautepierre, Strasbourg, France.
N RussellDivision of Hematology and BMT, Nottingham City Hospital, Nottingham, UK.
L L CorralHospital Clínico-Servicio de Hematología, Salamanca, Spain.
F CiceriHematology and BMT Unit, EBMT CIC 813, San Raffaele Scientific Institute, Milano, Italy.
A NaglerALWP-EBMT, AP-HP-Hôpital Saint Antoine, Paris, France.
M MohtyALWP-EBMT, AP-HP-Hôpital Saint Antoine, Paris, France.
Acute Leukemia Working Party of EBMT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Allogeneic hematopoietic transplantation is increasingly used in patients aged 55 years or more with AML. The question of whether outcomes can be improved with an allele-level 8/8 HLA-matched unrelated donor (MUD) rather than an older HLA-matched sibling (MSD, more than 55 years) is still unanswered. We thus analyzed outcomes in 714 patients aged 55 years and older with AML in first CR (CR1) who received PBSCs after a reduced-intensity conditioning hematopoietic cell transplant from a MUD (n=310) or a MSD (n=404) in a recent period (2005-2010). The 3-year cumulative incidences (CIs) of non-relapse mortality were 17% and 23% with MSD and MUD, respectively (P=0.17). The 3-year CIs of relapse were 37% and 30%, respectively (P=0.12), resulting in a 3-year CI of leukemia-free survival of 46% and 47%, respectively (P=0.51). The 3-year overall survival was 49% with both MSD and MUD. In conclusion, HLA-identical sibling donors aged 55 years or more should not be excluded because of age for patients aged 55 years and older with AML in CR1.

Indexed as

Hematopoietic Stem Cell TransplantationLiving DonorsTissue and Organ ProcurementAgedAge FactorsAllograftsDisease-Free SurvivalFemaleFilgrastimFollow-Up StudiesGraft SurvivalGraft vs Host DiseaseHistocompatibilityHumansImmunosuppressive AgentsKaplan-Meier EstimateFilgrastimImmunosuppressive Agents

Identifiers

PMID26367237

What OpenQuestion holds

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Registered trials

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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.