Evidence map›Paper›PMID 28698848›Full record

ArticleBlood research2017

Treatment and response of autoimmune cytopenia occurring after allogeneic hematopoietic cell transplantation in children.

Seok Hwang-Bo, Seong-Koo Kim, Jae Wook Lee, Pil-Sang Jang, Nack-Gyun Chung, Dae-Chul Jeong, Bin Cho, Hack-Ki Kim

Open access · diamondAbstract read
In one paragraph

Article in Blood research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

13 citing papers in PubMed, 21 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

8 authors at 1 institution in 1 country.

Seok Hwang-BoDivision of Hematology and Oncology, Department of Pediatrics, The Catholic University of Korea, Seoul, Korea.
Seong-Koo KimDivision of Hematology and Oncology, Department of Pediatrics, The Catholic University of Korea, Seoul, Korea.
Jae Wook LeeDivision of Hematology and Oncology, Department of Pediatrics, The Catholic University of Korea, Seoul, Korea.
Pil-Sang JangDivision of Hematology and Oncology, Department of Pediatrics, The Catholic University of Korea, Seoul, Korea.
Nack-Gyun ChungDivision of Hematology and Oncology, Department of Pediatrics, The Catholic University of Korea, Seoul, Korea.
Dae-Chul JeongDivision of Hematology and Oncology, Department of Pediatrics, The Catholic University of Korea, Seoul, Korea.
Bin ChoDivision of Hematology and Oncology, Department of Pediatrics, The Catholic University of Korea, Seoul, Korea.
Hack-Ki KimDivision of Hematology and Oncology, Department of Pediatrics, The Catholic University of Korea, Seoul, Korea.
Catholic University of Korea · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutoimmune cytopenia (AIC) is a rare complication of allogeneic hematopoietic cell transplantation (HCT). In this study, we reviewed the diagnosis, treatment and response to therapy for pediatric patients with post-HCT AIC at our institution.

methodsOf the 292 allogeneic HCTs performed from January, 2011 to December, 2015 at the Department of Pediatrics, The Catholic University of Korea, seven were complicated by post-HCT AIC, resulting in an incidence of 2.4%.

resultsAll seven patients with post-HCT AIC had received unrelated donor transplant. Six of seven patients had a major donor-recipient blood type mismatch. The subtypes of AIC were as follows: immune thrombocytopenia (ITP) 2, autoimmune hemolytic anemia (AIHA) 2, Evans syndrome 3. Median time from HCT to AIC diagnosis was 3.6 months. All but one patient responded to first line therapy of steroid±intravenous immunoglobulin (IVIG), but none achieved complete response (CR) with this treatment. After a median duration of treatment of 15.3 months, two patients with ITP achieved CR and five had partial response (PR) of AIC. Five patients were treated with rituximab, resulting in the following response: 2 CR, 2 PR, 1 no response (NR). Median time to response to rituximab was 26 days from first infusion. All patients are alive without event.

conclusionPost-HCT AIC is a rare complication that may not resolve despite prolonged therapy. Rapid initiation of second line agents including but not limited to B cell depleting treatment should be considered for those that fail to achieve CR with first line therapy.

Indexed as

Autoimmune cytopeniaAutoimmune hemolytic anemiaHematopoietic cell transplantationImmune thrombocytopeniaRituximab

Identifiers

PMID28698848
PMCPMC5503889
OpenAlexW2694465058

What OpenQuestion holds

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LicenceCC BY-NC
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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.