Evidence map›Paper›PMID 26460822›Full record

ArticleOncotarget2015

Primary CNS lymphoproliferative disease, mycophenolate and calcineurin inhibitor usage.

Genevieve M Crane, Helen Powell, Rumen Kostadinov, Patrick Tim Rocafort, Dena E Rifkin, Peter C Burger, Richard F Ambinder, Lode J Swinnen, Michael J Borowitz, Amy S Duffield

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Immunosuppressants/Immunomodulators and Malignancy.Journal of clinical medicine · 2025
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Systemic Sclerosis Association with Malignancy.Clinical reviews in allergy & immunology · 2022
    Review
  14. Article
  15. Primary CNS lymphoma in scleroderma: a case series.Journal of scleroderma and related disorders · 2021
    Article
  16. Review
  17. CNS Post-Transplant Lymphoproliferative Disorder in a Heart Recipient: A Case Report.International journal of organ transplantation medicine · 2021
    Article
  18. Article
  19. Review
  20. Cancer and Scleroderma.Rheumatic diseases clinics of North America · 2020
    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

10 authors at 4 institutions in 1 country.

Genevieve M CraneDepartment of Pathology, The Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Helen PowellDepartment of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Rumen KostadinovDepartment of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Patrick Tim RocafortDepartment of Pharmacy Practice and Science, University of Maryland School of Pharmacy, Baltimore, MD, USA.
Dena E RifkinVeterans' Affairs Healthcare System and Division of Nephrology, Department of Medicine, University of California-San Diego, San Diego, CA, USA.
Peter C BurgerDepartment of Pathology, The Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Richard F AmbinderDivision of Hematologic Malignancies, Sidney Kimmel Comprehensive Cancer Center (SKCCC) at Johns Hopkins, Baltimore, MD, USA.
Lode J SwinnenDivision of Hematologic Malignancies, Sidney Kimmel Comprehensive Cancer Center (SKCCC) at Johns Hopkins, Baltimore, MD, USA.
Michael J BorowitzDepartment of Pathology, The Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Amy S DuffieldDepartment of Pathology, The Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Johns Hopkins University · USSidney Kimmel Comprehensive Cancer Center · USUniversity of California, San Diego · USUniversity of Maryland, Baltimore · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
Ambulatory BP, kidney function, cognitive & physical function in older adultsK23DK091521 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI RIFKIN, DENA EVETTE · 2011 to 2015
$891k
NCI NIH HHS P30 CA006973NIDDK NIH HHS K23 DK091521PHS HHS 234-2005-370011C
6 · The paper itself

Abstract

Immunosuppression for solid organ transplantation increases lymphoproliferative disease risk. While central nervous system (CNS) involvement is more rare, we noticed an increase in primary CNS (PCNS) disease. To investigate a potential association with the immunosuppressive regimen we identified all post-transplant lymphoproliferative disease (PTLD) cases diagnosed over a 28-year period at our institution (174 total, 29 PCNS) and all similar cases recorded in a United Network for Organ Sharing-Organ Procurement and Transplant Network (UNOS-OPTN) datafile. While no PCNS cases were diagnosed at our institution between 1986 and 1997, they comprised 37% of PTLD cases diagnosed from 2011-2014. PCNS disease was more often associated with renal vs. other organ transplant, Epstein-Barr virus, large B-cell morphology and mycophenolate mofetil (MMF) as compared to PTLD that did not involve the CNS. Calcineurin inhibitors were protective against PCNS disease when given alone or in combination with MMF. A multivariate analysis of a larger UNOS-OPTN dataset confirmed these findings, where both MMF and lack of calcineurin inhibitor usage were independently associated with risk for development of PCNS PTLD. These findings have significant implications for the transplant community, particularly given the introduction of new regimens lacking calcineurin inhibitors. Further investigation into these associations is warranted.

Indexed as

AdultAgedB-LymphocytesCalcineurin InhibitorsCentral Nervous SystemDatabases, FactualFemaleHerpesvirus 4, HumanHumansImmunosuppression TherapyImmunosuppressive AgentsKidney TransplantationLymphomaLymphoproliferative DisordersMaleMiddle AgedCalcineurin InhibitorsImmunosuppressive AgentsMycophenolic Acidcalcineurin inhibitorsEpstein-Barr virusmycophenolate mofetilpost-transplant lymphoproliferative disorderprimary central nervous system lymphoma

Identifiers

PMID26460822
PMCPMC4741807
OpenAlexW1937974758

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.