Evidence map›Paper›PMID 29284757›Full record

ArticleThe oncologist2018

Autologous Stem Cell Transplantation in Elderly Lymphoma Patients in Their 70s: Outcomes and Analysis.

Lova Sun, Shuli Li, Areej El-Jawahri, Philippe Armand, Bimalangshu R Dey, David C Fisher, Eric D Jacobsen, Caron A Jacobson, Ann S LaCasce, Steven L McAfee and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in The oncologist, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.7field-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

17 citing papers in PubMed, 30 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

13 authors at 2 institutions in 1 country.

Lova SunDepartment of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Shuli LiDepartment of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Areej El-JawahriBlood and Marrow Transplant Program, Massachusetts General Hospital, Boston, Massachusetts, USA.
Philippe ArmandDivision of Hematologic Malignancies, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Bimalangshu R DeyBlood and Marrow Transplant Program, Massachusetts General Hospital, Boston, Massachusetts, USA.
David C FisherDivision of Hematologic Malignancies, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Eric D JacobsenDivision of Hematologic Malignancies, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Caron A JacobsonDivision of Hematologic Malignancies, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Ann S LaCasceDivision of Hematologic Malignancies, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Steven L McAfeeBlood and Marrow Transplant Program, Massachusetts General Hospital, Boston, Massachusetts, USA.
Thomas R SpitzerBlood and Marrow Transplant Program, Massachusetts General Hospital, Boston, Massachusetts, USA.
Yi-Bin ChenBlood and Marrow Transplant Program, Massachusetts General Hospital, Boston, Massachusetts, USA.
Zachariah DeFilippBlood and Marrow Transplant Program, Massachusetts General Hospital, Boston, Massachusetts, USA zdefilipp@mgh.harvard.edu.
Massachusetts General Hospital · USDana-Farber Cancer Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh-dose chemotherapy and autologous stem cell transplantation (ASCT) can offer durable remission in many patients with relapsed or high-risk lymphoma. However, elderly patients are often not considered ASCT candidates based on age alone. SUBJECTS, MATERIALS, AND

methodsA retrospective analysis of patients ≥70 years of age with a diagnosis of Hodgkin or non-Hodgkin lymphoma receiving ASCT between 2000 and 2016 at two partner institutions was performed. Clinical data were extracted from institutional databases and individual medical records. Multivariate analysis was performed to examine the association of clinical variables with transplant outcomes.

resultsOne hundred seven patients were identified. Median age at transplant was 72 years (range, 70-79). The most common lymphoma subtype was diffuse large B-cell (

conclusionEligibility for ASCT should be an individualized decision, and age should not be an absolute contraindication to ASCT in healthy elderly patients with lymphoma. IMPLICATIONS FOR PRACTICE: Although high-dose chemotherapy and autologous stem cell transplantation (ASCT) can offer durable remission in many patients with relapsed or high-risk lymphoma, elderly patients are often not considered candidates due to concern for excess toxicity and mortality. This retrospective study showed favorable transplant outcomes, including survival and toxicity, in a large cohort of lymphoma patients over 70 years of age who underwent ASCT. Eligibility for ASCT should be an individualized decision, and age should not be an absolute contraindication to ASCT in healthy elderly patients with lymphoma.

Indexed as

AgedFemaleHematopoietic Stem Cell TransplantationHumansMaleRetrospective StudiesTransplantation, AutologousTransplantation ConditioningAutologous stem cell transplantationElderlyHigh‐dose chemotherapyLymphoma

Identifiers

PMID29284757
PMCPMC5947447
OpenAlexW2780811566

What OpenQuestion holds

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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.