Evidence map›Paper›PMID 28107815›Full record

ArticleJournal of hematology & oncology2017

Upfront haploidentical transplant for acquired severe aplastic anemia: registry-based comparison with matched related transplant.

Lan-Ping Xu, Song Jin, Shun-Qing Wang, Ling-Hui Xia, Hai Bai, Su-Jun Gao, Qi-Fa Liu, Jian-Min Wang, Xin Wang, Ming Jiang and 3 more

Open access · goldAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Journal of hematology & oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 110 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
110citing papers in PubMed, 4 pooled it
14.0field-weighted citation impact, top 1% 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

110 citing papers in PubMed, 4 syntheses or guidelines pooled it, 198 citations in OpenAlex.

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  17. Towards graft-Haematologica · 2025
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50 more citing papers are in PubMed but not listed here.

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

13 authors at 12 institutions in 1 country.

Lan-Ping XuPeking University Institute of Hematology, Peking University People's Hospital, No. 11 Xizhimen South Street, Xicheng District, Beijing, 100044, People's Republic of China.
Song JinThe First Affiliated Hospital of Soochow University, Soochow, China.
Shun-Qing WangGuangzhou First People's Hospital, Guangzhou, China.
Ling-Hui XiaXiehe Hospital affiliated to Huazhong University of Science and Technology, Wuhan, China.
Hai BaiLanzhou Military Area General Hospital, Lanzhou, China.
Su-Jun GaoThe First Hospital of Jilin University, Changchun, China.
Qi-Fa LiuNanfang Hospital Affiliated to Southern Medical University, Guangzhou, China.
Jian-Min WangChanghai Hospital affiliated to Second Military Medical University, Shanghai, China.
Xin WangShandong Provincial Hospital, Jinan, China.
Ming JiangThe First Affiliated Hospital of Xinjiang Medical University, Urumchi, China.
Xi ZhangXinqiao Hospital Affiliated to Third Military Medical University, Chongqing, China.
De-Pei WuThe First Affiliated Hospital of Soochow University, Soochow, China.
Xiao-Jun HuangPeking University Institute of Hematology, Peking University People's Hospital, No. 11 Xizhimen South Street, Xicheng District, Beijing, 100044, People's Republic of China. huangxiaojun@bjmu.edu.cn.
Soochow University · CNCenter for Life Sciences · CNChanghai Hospital · CNFirst Affiliated Hospital of Xinjiang Medical University · CNGuangzhou Medical University · CNHuazhong University of Science and Technology · CNJilin University · CNLanzhou Army General Hospital · CNNanfang Hospital · CNPeking University People's Hospital · CNShandong Provincial Hospital · CNXinqiao Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHaploidentical donor (HID) hematopoietic stem cell transplantation (HSCT) is an alternative treatment method for severe aplastic anemia (SAA) patients lacking suitable identical donors and those who are refractory to immunosuppressive therapy (IST). The current study evaluated the feasibility of upfront haploidentical HSCT in SAA patients.

methodsWe conducted a multicenter study based on a registry database. One hundred fifty-eight SAA patients who underwent upfront transplantation between June 2012 and September 2015 were enrolled.

resultsEighty-nine patients had haploidentical donors (HIDs), and 69 had matched related donors (MRDs) for HSCT. The median times for myeloid engraftment in the HID and MRD cohorts were 12 (range, 9-20) and 11 (range, 8-19) days, with a cumulative incidence of 97.8 and 97.1% (P = 0.528), respectively. HID recipients had an increased cumulative incidence of grades II-IV acute graft-versus-host disease (aGVHD) (30.3 vs. 1.5%, P < 0.001), grades III-IV aGVHD (10.1 vs. 1.5%, P = 0.026), and chronic GVHD (cGVHD) (30.6 vs. 4.4%, P < 0.001) at 1 year but similar extensive cGVHD (3.4 vs. 0%, P = 0.426). The three-year estimated overall survival (OS) rates were 86.1 and 91.3% (P = 0.358), while the three-year estimated failure-free survival (FFS) rates were 85.0 and 89.8% (P = 0.413) in the HID and MRD cohorts, respectively. In multivariate analysis, survival outcome for the entire population was significantly adversely associated with increased transfusions and poor performance status pre-SCT. We did not observe differences in primary engraftment and survival outcomes by donor type.

conclusionsHaploidentical SCT as upfront therapy was an effective and safe option for SAA patients, with favorable outcomes in experienced centers.

Indexed as

AdolescentAdultAnemia, AplasticChildChild, PreschoolFemaleGraft SurvivalGraft vs Host DiseaseHaploidyHematopoietic Stem Cell TransplantationHistocompatibilityHumansMaleMiddle AgedRegistriesSurvival RateAcquired severe aplastic anemiaHaploidentical transplantationUpfront

Identifiers

PMID28107815
PMCPMC5251320
OpenAlexW2575158420

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.