Evidence map›Paper›PMID 26527676›Full record

Observational studyBlood2016

Predictors of survival, nonrelapse mortality, and failure-free survival in patients treated for chronic graft-versus-host disease.

Jeanne Palmer, Xiaoyu Chai, Joseph Pidala, Yoshihiro Inamoto, Paul J Martin, Barry Storer, Iskra Pusic, Mary E D Flowers, Mukta Arora, Steven Z Pavletic and 1 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Blood, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00637689 (Improving Outcomes Assessment in Chronic GVHD), which is not on this map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
–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.

NCT00637689 active not recruitingnot on this map

Improving Outcomes Assessment in Chronic GVHD

TypeobservationalSponsorFred Hutchinson Cancer CenterRan2007 to 2027Enrolled601ConditionsChronic Graft Versus Host Disease
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Observational
  8. Review
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  11. Article
  12. Article
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  14. Review
  15. Novel Topical Treatments for Itch.Dermatology and therapy · 2024
    Review
  16. Article
  17. Observational
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Jeanne PalmerDivision of Hematology/Oncology, Mayo Clinic, Phoenix, AZ;ORCID http://orcid.org/0000-0002-2185-1504
Xiaoyu ChaiClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA;
Joseph PidalaBlood and Marrow Transplantation, Moffitt Cancer Center, Tampa, FL;
Yoshihiro InamotoClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA; Division of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan;
Paul J MartinClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA;
Barry StorerClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA;
Iskra PusicDivision of Hematology/Oncology, Washington University, St. Louis, MO;
Mary E D FlowersClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA;
Mukta AroraBlood and Marrow Transplant Program, University of Minnesota, Minneapolis, MN; and.
Steven Z PavleticNational Cancer Institute, National Institutes of Health, Bethesda, MD.
Stephanie J LeeClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA;

Funding

NIH Chronic GVHD Study GroupZIABC011743 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI PAVLETIC, STEVEN · 2016 to 2025
$10.2M
Improving Outcomes Assessment in Chronic GVHDR01CA118953 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI LEE, STEPHANIE J · 2011 to 2025
$8.3M
Training and Career Development CoreU54CA163438 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI LEE, STEPHANIE J · 2011 to 2014
$3.7M
Improving Outcomes Assessment in Chronic GVHDU01CA118953 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI LEE, STEPHANIE J · 2007 to 2010
$3.1M
NCI NIH HHS CA118953NCI NIH HHS R01 CA118953NCI NIH HHS U01 CA118953NCI NIH HHS U54 CA163438
6 · The paper itself

Abstract

Chronic graft-versus-host disease (GVHD) is a pleotropic syndrome that lacks validated methods of measuring response in clinical trials, although several end points have been proposed. To investigate the prognostic significance of these proposed end points, such as the 2005 National Institutes of Health (NIH) response measures, 2014 NIH response measures, clinician-reported response, and patient-reported response, we tested their ability to predict subsequent overall survival (OS), nonrelapse mortality (NRM), and failure-free survival (FFS). Patients (n = 575) were enrolled on a prospective chronic GVHD observational trial. At 6 months, clinician-reported response (P = .004) and 2014 NIH-calculated response (P = .001) correlated with subsequent FFS, and clinician-reported response predicted OS (P = .007). Multivariate models were used to identify changes in organ involvement, laboratory values, and patient-reported outcomes that were associated with long-term outcomes. At 6 months, a change in the 2005 NIH 0 to 3 clinician-reported skin score and 0 to 10 patient-reported itching score predicted subsequent FFS. Change in the Lee skin symptom score and Functional Assessment of Cancer Therapy-Bone Marrow Transplant score predicted subsequent OS. Change in the Lee skin symptom score predicted subsequent NRM. This study provides evidence that clinician-reported response and patient-reported outcomes are predictive of long-term survival. The trial was registered at www.clinicaltrials.gov as #NCT00637689.

Indexed as

Patient Outcome AssessmentSelf ReportSeverity of Illness IndexAdultAgedChronic DiseaseFemaleFollow-Up StudiesGraft vs Host DiseaseHematologic NeoplasmsHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedNational Institutes of Health (U.S.)Prognosis

Identifiers

PMID26527676
PMCPMC4705606

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.