Evidence map›Paper›PMID 27052648›Full record

ArticleAnnals of oncology : official journal of the European Society for Medical Oncology2016

CNS infections in patients with hematological disorders (including allogeneic stem-cell transplantation)-Guidelines of the Infectious Diseases Working Party (AGIHO) of the German Society of Hematology and Medical Oncology (DGHO).

M Schmidt-Hieber, G Silling, E Schalk, W Heinz, J Panse, O Penack, M Christopeit, D Buchheidt, U Meyding-Lamadé, S Hähnel and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Annals of oncology : official journal of the European Society for Medical Oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 6 pooled it
7.9field-weighted citation impact, top 2% 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

40 citing papers in PubMed, 6 syntheses or guidelines pooled it, 78 citations in OpenAlex.

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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

14 authors at 14 institutions in 3 countries.

M Schmidt-HieberDepartment of Hematology, Oncology and Tumor Immunology, HELIOS Clinic Berlin-Buch, Berlin martin.schmidt-hieber@helios-kliniken.de.
G SillingDepartment of Hematology, Oncology and Stem Cell Transplantation, University Hospital, Aachen, Medical Faculty, RWTH Aachen, Aachen.
E SchalkDepartment of Hematology and Oncology, Otto-von-Guericke University Hospital Magdeburg, Magdeburg.
W HeinzDepartment of Internal Medicine II, University Hospital Würzburg, Center of Internal Medicine, Würzburg.
J PanseDepartment of Hematology, Oncology and Stem Cell Transplantation, University Hospital, Aachen, Medical Faculty, RWTH Aachen, Aachen.
O PenackDepartment of Hematology, Oncology and Tumor Immunology, Charité University Medicine, Campus Virchow Clinic, Berlin.
M ChristopeitDepartment of Stem Cell Transplantation, University Medical Center Hamburg Eppendorf, Hamburg.
D BuchheidtDepartment of Hematology and Oncology, Mannheim University Hospital, University of Heidelberg, Mannheim.
U Meyding-LamadéDepartment of Neurology, Hospital Nordwest Frankfurt, Frankfurt/M., Germany Brunei Neuroscience Stroke and Rehabilitation Centre, Jerudong, Brunei Darussalam Department of Neuroinfectiology, Otto-Meyerhof-Centre, University of Heidelberg, Heidelberg.
S HähnelDepartment of Neuroradiology, University Hospital Heidelberg, Heidelberg.
H H WolfDepartment of Hematology and Oncology, University Hospital Halle, Halle.
M RuhnkeParacelsus Clinic Osnabrück, Osnabrück.
S SchwartzDepartment of Hematology and Oncology, Charité University Medicine, Campus Benjamin Franklin, Berlin.
G MaschmeyerDepartment of Hematology, Oncology and Palliative Care, Ernst von Bergmann Clinic, Potsdam, Germany.
Charité - Universitätsmedizin Berlin · DEFranklin University · USHelios Hospital Berlin-Buch · DEKlinikum Ernst von Bergmann · DEParacelsus-Kliniken · DERWTH Aachen University · DEUniversitätsklinikum Aachen · DEUniversitätsklinikum Würzburg · DEUniversiti Brunei Darussalam · BNUniversity Hospital Heidelberg · DEUniversity Hospital in Halle · DEUniversity Hospital Magdeburg · DEUniversity Medical Center Hamburg-Eppendorf · DEUniversity Medical Centre Mannheim · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infections of the central nervous system (CNS) are infrequently diagnosed in immunocompetent patients, but they do occur in a significant proportion of patients with hematological disorders. In particular, patients undergoing allogeneic hematopoietic stem-cell transplantation carry a high risk for CNS infections of up to 15%. Fungi and Toxoplasma gondii are the predominant causative agents. The diagnosis of CNS infections is based on neuroimaging, cerebrospinal fluid examination and biopsy of suspicious lesions in selected patients. However, identification of CNS infections in immunocompromised patients could represent a major challenge since metabolic disturbances, side-effects of antineoplastic or immunosuppressive drugs and CNS involvement of the underlying hematological disorder may mimic symptoms of a CNS infection. The prognosis of CNS infections is generally poor in these patients, albeit the introduction of novel substances (e.g. voriconazole) has improved the outcome in distinct patient subgroups. This guideline has been developed by the Infectious Diseases Working Party (AGIHO) of the German Society of Hematology and Medical Oncology (DGHO) with the contribution of a panel of 14 experts certified in internal medicine, hematology/oncology, infectious diseases, intensive care, neurology and neuroradiology. Grades of recommendation and levels of evidence were categorized by using novel criteria, as recently published by the European Society of Clinical Microbiology and Infectious Diseases.

Indexed as

Central Nervous SystemCommunicable DiseasesGermanyGuidelines as TopicHematologic DiseasesHematologyHematopoietic Stem Cell TransplantationHumansMedical OncologyToxoplasmaVoriconazoleVoriconazolecentral nervous system infectiondiagnosisguidelineimmunocompromised patienttreatment

Identifiers

PMID27052648
PMCPMC4922317
OpenAlexW2330461684

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.