Evidence map›Paper›PMID 27821187›Full record

ArticleJournal of hematology & oncology2016

Long-term survival and late events after allogeneic stem cell transplantation from HLA-matched siblings for acute myeloid leukemia with myeloablative compared to reduced-intensity conditioning: a report on behalf of the acute leukemia working party of European group for blood and marrow transplantation.

Avichai Shimoni, Myriam Labopin, Bipin Savani, Liisa Volin, Gerhard Ehninger, Jurgen Kuball, Donald Bunjes, Nicolaas Schaap, Stephane Vigouroux, Andrea Bacigalupo and 6 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of hematology & oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% 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, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Propensity Score Analysis of Conditioning Intensity in Peripheral Blood Haploidentical Hematopoietic Cell Transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2018
    Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Influence of Housing Temperature and Genetic Diversity on Allogeneic T Cell-Induced Tissue Damage in Mice.Pathophysiology : the official journal of the International Society for Pathophysiology · 2023
    Article
  11. Article
  12. Article
  13. Article
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  16. Article
  17. Review
  18. Review
  19. Cost-effectiveness of gilteritinib for relapsed/refractoryJournal of managed care & specialty pharmacy · 2021
    Article
  20. 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

16 authors at 14 institutions in 7 countries.

Avichai ShimoniDepartment of Bone Marrow Transplantation, Chaim Sheba Medical Center, Tel HaShomer and Tel-Aviv University, Tel Aviv, Israel. ashimoni@sheba.health.gov.il.
Myriam LabopinHôpital Saint Antoine, ALWP office, Service d'Hématologie et de Thérapie cellulaire, Paris, France.
Bipin SavaniVanderbilt University Hematology and Transplantation, Nashville, USA.
Liisa VolinStem Cell Transplantation Unit, HUCH Comprehensive Cancer Center, Helsinki, Finland.
Gerhard EhningerUniversitaetsklinikum Dresden, Medizinische Klinik und Poliklinik I, Dresden, Germany.
Jurgen KuballDepartment of Haematology, University Medical Centre, Utrecht, The Netherlands.
Donald BunjesKlinik fuer Innere Medzin III, Universitätsklinikum Ulm, Ulm, Germany.
Nicolaas SchaapDepartment of Hematology, Nijmegen Medical Centre, Nijmegen, The Netherlands.
Stephane VigourouxCHU Bordeaux, Hôpital Haut-leveque, Pessac, France.
Andrea BacigalupoDepartment of Haematology II, Ospedale San Martino, Genoa, Italy.
Hendrik VeelkenLeiden University Hospital, BMT Centre Leiden, Leiden, The Netherlands.
Jorge SierraHematology Department, IIB Sant Pau and Josep Carreras Leukemia Research Institutes, Hospital Santa Creu i Sant Pau, Barcelona, Spain.
Matthias EderDepartment of Haematology, Hemostasis, Oncology, and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.
Dietger NiederwieserUniversity Hospital Leipzig, Division of Haematology and Oncology, Leipzig, Germany.
Mohamad MohtyHôpital Saint Antoine, ALWP office, Service d'Hématologie et de Thérapie cellulaire, Paris, France.
Arnon NaglerDepartment of Bone Marrow Transplantation, Chaim Sheba Medical Center, Tel HaShomer and Tel-Aviv University, Tel Aviv, Israel.
Hôpital Cardiologique du Haut-Lévêque · FRHôpital Saint-Antoine · FRJosep Carreras Leukaemia Research Institute · ESLeiden University · NLMedizinische Hochschule Hannover · DEOspedale Policlinico San Martino · ITRadboud University Medical Center · NLSheba Medical Center · ILSorbonne Université · FRTel Aviv University · ILUniversity Hospital Leipzig · DEUniversity Hospital Ulm · DEUniversity Medical Center Utrecht · NLVanderbilt University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMyeloablative (MAC) and reduced-intensity conditioning (RIC) are established approaches for allogeneic stem cell transplantation (SCT) in acute myeloid leukemia (AML). Most deaths after MAC occur within the first 2 years after SCT, while patients surviving leukemia-free for 2 years can expect a favorable long-term outcome. However, there is paucity of data on the long-term outcome (beyond 10 years) and the pattern of late events following RIC due to the relative recent introduction of this approach.

methodsWe analyzed long-term outcomes in a cohort of 1423 AML patients, age ≥50 years, after SCT from HLA-matched siblings, during the years 1997-2005, median follow-up 8.3 years (0.1-17).

resultsThe 10-year leukemia-free survival (LFS) was 31 % (95CI, 27-35) and 32 % (28-35) after MAC and RIC, respectively (P = 0.57). The 10-year GVHD/ relapse-free survival (GRFS), a surrogate for quality of life was 22 % (18-25) and 21 % (18-24), respectively (P = 0.79). The 10-year non-relapse mortality (NRM) was higher and relapse rate was lower after MAC, throughout the early and late post-transplant course. The 10-year LFS among 584 patients surviving leukemia-free 2 years after SCT was 71 % (65-76) and 73 % (67-78) after MAC and RIC, respectively (P = 0.76). Advanced leukemia at SCT was the major predictor of LFS subsequent to the 2-year landmark. Relapse was the major cause of late death after both regimens; however, NRM and in particular chronic graft-versus-host disease and second cancers were more common causes of late death after MAC.

conclusionsLong-term LFS and GRFS are similar after RIC and MAC. Most events after RIC or MAC occur within the first 2 years after SCT. Patients who are leukemia-free 2 years after SCT can expect similar good subsequent outcome after both approaches.

Indexed as

AgedBlood DonorsCohort StudiesDisease-Free SurvivalFemaleFollow-Up StudiesHematopoietic Stem Cell TransplantationHumansLeukemia, Myeloid, AcuteMaleMiddle AgedMyeloablative AgonistsRecurrenceRetrospective StudiesSiblingsTransplantation ConditioningMyeloablative AgonistsAcute myeloid leukemiaAllogeneic stem cell transplantationLong-term outcomeMyeloablative conditioningReduced-intensity conditioning

Identifiers

PMID27821187
PMCPMC5100212
OpenAlexW2549962409

What OpenQuestion holds

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LicenceCC BY
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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.