Evidence map›Paper›PMID 27650829›Full record

ArticleAnnals of hematology2016

Prognostic pre-transplant factors in myelodysplastic syndromes primarily treated by high dose allogeneic hematopoietic stem cell transplantation: a retrospective study of the MDS subcommittee of the CMWP of the EBMT.

E M P Cremers, A van Biezen, L C de Wreede, M Scholten, A Vitek, J Finke, U Platzbecker, D Beelen, R Schwerdtfeger, L Volin and 5 more

Abstract read
In one paragraph

Article in Annals of hematology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

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

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

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Room for Improvement: A 20-Year Single Center Experience with Allogeneic Stem Cell Transplantation for Myelodysplastic Syndromes.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2022
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. 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

15 authors.

E M P CremersVU University Medical Center, Amsterdam, The Netherlands. e.cremers@vumc.nl.
A van BiezenLeiden University Medical Center, Leiden, The Netherlands.
L C de WreedeLeiden University Medical Center, Leiden, The Netherlands.
M ScholtenLeiden University Medical Center, Leiden, The Netherlands.
A VitekInstitute of Hematology and Blood Transfusion, Prague, Czech Republic.
J FinkeUniversity of Freiburg, Freiburg, Germany.
U PlatzbeckerUniversitatsklinikum Dresden, Dresden, Germany.
D BeelenUniversity Hospital, Essen, Germany.
R SchwerdtfegerDeutsche Klinik fur Diagnostik and KMT, Wiesbaden, Germany.
L VolinHelsinki University Central Hospital, Helsinki, Finland.
N HarhalakisEvangelismos Hospital, Athens, Greece.
N BlijlevensRadboud University Medical Centre, Nijmegen, The Netherlands.
A NaglerChaim Sheba Medical Center, Tel-Hashomer, Israel.
N KrögerUniversity Hospital Eppendorf, Hamburg, Germany.
T de WitteRadboud University Medical Centre, Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Many pre-transplant factors are known to influence the outcome of allogeneic stem cell transplantation (SCT) treatment in myelodysplastic syndromes (MDS). However, patient cohorts are often heterogeneous by disease stage and treatment modalities, which complicates interpretation of the results. This study aimed to obtain a homogeneous patient cohort by including only de novo MDS patients who received upfront allogeneic SCT after standard high dose myelo-ablative conditioning. The effect of pre-transplant factors such as age, disease stage, transfusions, iron parameters and comorbidity on overall survival (OS), non-relapse mortality (NRM), and relapse incidence (RI) was evaluated in 201 patients. In this cohort, characterized by low comorbidity and a short interval between diagnosis and transplantation, NRM was the most determinant factor for survival after SCT (47 % after 2-year follow-up). WHO classification and transfusion burden were the only modalities with a significant impact on overall survival after SCT. Estimated hazard ratios (HR) showed a strongly increased risk of death, NRM and RI, in patients with a high transfusion-burden (HR 1.99; P = 0.006, HR of 1.89; P = 0.03 and HR 2.67; P = 0.03). The HR's for ferritin level and comorbidity were not significantly increased.

Indexed as

AdolescentAdultAgedEuropeFemaleHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedMortalityMyelodysplastic SyndromesPrognosisRetrospective StudiesTransplantation, HomologousTreatment OutcomeYoung AdultAllogeneic hematopoietic stem cell transplantationAllogeneic stem cell transplantationComorbidityIron overloadMyelodysplastic syndromesPrognosisRed blood cell transfusion

Identifiers

PMID27650829
PMCPMC5093200

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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.