Evidence map›Paper›PMID 27941764›Full record

Trial reportBone marrow transplantation2017

GvHD after umbilical cord blood transplantation for acute leukemia: an analysis of risk factors and effect on outcomes.

Y-B Chen, T Wang, M T Hemmer, C Brady, D R Couriel, A Alousi, J Pidala, A Urbano-Ispizua, S W Choi, T Nishihori and 33 more

Open access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Bone marrow transplantation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

27 citing papers in PubMed, 51 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Factors Associated with Long-Term Risk of Relapse after Unrelated Cord Blood Transplantation in Children with Acute Lymphoblastic Leukemia in Remission.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2017
    Trial
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Assessment of risk factors for acute graft-Therapeutic advances in hematology · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Umbilical cord blood: The promise and the uncertainty.Stem cells translational medicine · 2020
    Review
  19. Optimal Donor for African Americans with Hematologic Malignancy: HLA-Haploidentical Relative or Umbilical Cord Blood Transplant.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2020
    Article
  20. Article
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

43 authors at 20 institutions in 9 countries.

Y-B ChenMassachusetts General Hospital, Boston, MA, USA.
T WangCenter for International Blood and Marrow Transplant Research, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
M T HemmerCenter for International Blood and Marrow Transplant Research, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
C BradyCenter for International Blood and Marrow Transplant Research, National Marrow Donor Program/Be The Match, Minneapolis, MN, USA.
D R CourielUtah Blood and Marrow Transplant Program, Adults, Salt Lake City, UT, USA.
A AlousiDivision of Cancer Medicine, Department of Stem Cell Transplantation, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
J PidalaH Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
A Urbano-IspizuaDepartment of Hematology, Hospital Clinic, University of Barcelona, IDIBAPS and Institute of Research Josep Carreras, Barcelona, Spain.
S W ChoiThe University of Michigan, Ann Arbor, MI, USA.
T NishihoriDepartment of Blood and Marrow Transplantation, H Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
T TeshimaKyushu University Hospital, Fukuoka, Japan.
Y InamotoDivision of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan.
B WirkDivision of Bone Marrow Transplant, Seattle Cancer Care Alliance, Seattle, WA, USA.
D I MarksAdult Bone Marrow Transplant, University Hospitals Bristol NHS Trust, Bristol, UK.
H Abdel-AzimDivision of Hematology, Oncology and Blood and Marrow Transplantation, Children's Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, CA, USA.
L LehmannDana-Farber Cancer Institute/Boston Children's Hospital, Boston, MA, USA.
L YuDivision of Hematology/Oncology and HSCT, The Center for Cancer and Blood Disorders, Children's Hospital/Louisiana State University Medical Center, New Orleans, LA, USA.
M BitanDepartment of Pediatric Hematology/Oncology, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel.
M S CairoDivision of Pediatric Hematology, Oncology and Stem Cell Transplantation, Department of Pediatrics, New York Medical College, Valhalla, NY, USA.
M QayedDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, Australia.
R SalitFred Hutchinson Cancer Research Center, Seattle, WA, USA.
R P GaleHematology Research Centre, Division of Experimental Medicine, Department of Medicine, Imperial College London, London, UK.
R MartinoDivision of Clinical Hematology, Hospital de la Santa Creu I Sant Pau, Barcelona, Spain.
S JaglowskiDivision of Hematology, The Ohio State University Medical Center, Columbus, OH, USA.
A BajelRoyal Melbourne Hospital City Campus, Melbourne, Victoria, Australia.
B SavaniDivision of Hematology/Oncology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
H FrangoulDivision of Hematology-Oncology, Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN, USA.
I D LewisHaematology and Bone Marrow Transplant Unit, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
J StorekDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada.
M AskarBaylor University Medical Center, Dallas, TX, USA.
M A Kharfan-DabajaDepartment of Blood and Marrow Transplantation, H Lee Mofitt Cancer Center and Research Institute, Tampa, FL, USA.
M AljurfDepartment of Oncology, King Faisal Specialist Hospital Center and Research, Riyadh, Saudi Arabia.
O RingdenDivision of Therapeutic Immunology, Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden.
R ReshefBlood and Marrow Transplantation Program and Columbia Center for Translational Immunology, Columbia University Medical Center, New York, NY, USA.
R F OlssonDivision of Therapeutic Immunology, Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden.
S HashmiMayo Clinic Rochester, Rochester, MN, USA.
S SeoNational Cancer Research Center, East Hospital, Kashiwa, Chiba, Japan.
T R SpitzerMassachusetts General Hospital, Boston, MA, USA.
M L MacMillanUniversity of Minnesota Medical Center, Fairview, Minneapolis, MN, USA.
A LazaryanUniversity of Minnesota Medical Center, Fairview, Minneapolis, MN, USA.
S R SpellmanCenter for International Blood and Marrow Transplant Research, National Marrow Donor Program/Be The Match, Minneapolis, MN, USA.
M AroraDivision of Hematology, Oncology, Transplantation, Department of Medicine, University of Minnesota Medical Center, Minneapolis, MN, USA.
C S CutlerCenter for Hematologic Oncology, Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Moffitt Cancer Center · USUniversity of Minnesota Medical Center · USDana-Farber Cancer Institute · USMassachusetts General Hospital · USMedical College of Wisconsin · USNational Marrow Donor Program · USUniversity of Southern California · USBaylor University Medical Center · USColumbia University Irving Medical Center · USEmory University · USFred Hutch Cancer Center · USHospital de Sant Pau · ESImperial College London · GBKarolinska Institutet · SEKing Faisal Specialist Hospital & Research Centre · SAKyushu University Hospital · JPNational Cancer Center Hospital East · JPNew York Medical College · USRoyal Adelaide Hospital · AUSeattle Cancer Care Alliance · US

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Tasleem J Padamsee · 1985 to 2026
$132.3M
Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
Women's CancerP30CA077598 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Douglas Yee · 1998 to 2026
$100.4M
Easy-to-read Informed Consent for HCT Clinical TrialsU10HL069294 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI HOROWITZ, MARY MARESCA · 2011 to 2016
$43.8M
NCI NIH HHS P30 CA016058NCI NIH HHS P30 CA077598NCI NIH HHS U24 CA076518NHLBI NIH HHS U10 HL069294
6 · The paper itself

Abstract

Using the Center for International Blood and Marrow Transplant Research (CIBMTR) registry, we analyzed 1404 umbilical cord blood transplantation (UCBT) patients (single (<18 years)=810, double (⩾18 years)=594) with acute leukemia to define the incidence of acute GvHD (aGvHD) and chronic GvHD (cGvHD), analyze clinical risk factors and investigate outcomes. After single UCBT, 100-day incidence of grade II-IV aGvHD was 39% (95% confidence interval (CI), 36-43%), grade III-IV aGvHD was 18% (95% CI, 15-20%) and 1-year cGvHD was 27% (95% CI, 24-30%). After double UCBT, 100-day incidence of grade II-IV aGvHD was 45% (95% CI, 41-49%), grade III-IV aGvHD was 22% (95% CI, 19-26%) and 1-year cGvHD was 26% (95% CI, 22-29%). For single UCBT, multivariate analysis showed that absence of antithymocyte globulin (ATG) was associated with aGvHD, whereas prior aGvHD was associated with cGvHD. For double UCBT, absence of ATG and myeloablative conditioning were associated with aGvHD, whereas prior aGvHD predicted for cGvHD. Grade III-IV aGvHD led to worse survival, whereas cGvHD had no significant effect on disease-free or overall survival. GvHD is prevalent after UCBT with severe aGvHD leading to higher mortality. Future research in UCBT should prioritize prevention of GvHD.

Indexed as

Cord Blood Stem Cell TransplantationAcute DiseaseAdolescentAntilymphocyte SerumChildChild, PreschoolChronic DiseaseDisease-Free SurvivalFemaleGraft vs Host DiseaseHumansInfantInfant, NewbornLeukemiaMaleRegistriesAntilymphocyte Serum

Identifiers

PMID27941764
PMCPMC5332289
OpenAlexW2565127003

What OpenQuestion holds

Textmetadata
LicenceTDM
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.