Evidence map›Paper›PMID 29440738›Full record

ArticleBone marrow transplantation2018

Advantages of non-cryopreserved autologous hematopoietic stem cell transplantation against a cryopreserved strategy.

M Sarmiento, P Ramírez, R Parody, M Q Salas, N Beffermann, V Jara, P Bertín, I Pizarro, C Lorca, E Rivera and 5 more

Abstract read
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In one paragraph

Article in Bone marrow transplantation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

15 authors.

M SarmientoPrograma de Trasplante Hematopoyético del Adulto, Pontificia Universidad Católica de Chile, Santiago, Chile. mauriciosarmiento@hotmail.com.ORCID 0000-0003-3715-9886
P RamírezPrograma de Trasplante Hematopoyético del Adulto, Pontificia Universidad Católica de Chile, Santiago, Chile.
R ParodyClinical Hematology Department, Institut Català d'Oncologia, Hospital Duran i Reynals, Barcelona, Spain.
M Q SalasClinical Hematology Department, Institut Català d'Oncologia, Hospital Duran i Reynals, Barcelona, Spain.
N BeffermannPrograma de Trasplante Hematopoyético del Adulto, Pontificia Universidad Católica de Chile, Santiago, Chile.
V JaraPrograma de Trasplante Hematopoyético del Adulto, Pontificia Universidad Católica de Chile, Santiago, Chile.
P BertínPrograma de Trasplante Hematopoyético del Adulto, Pontificia Universidad Católica de Chile, Santiago, Chile.
I PizarroPrograma de Trasplante Hematopoyético del Adulto, Pontificia Universidad Católica de Chile, Santiago, Chile.
C LorcaPrograma de Trasplante Hematopoyético del Adulto, Pontificia Universidad Católica de Chile, Santiago, Chile.
E RiveraPrograma de Trasplante Hematopoyético del Adulto, Pontificia Universidad Católica de Chile, Santiago, Chile.
M GalleguillosPrograma de Trasplante Hematopoyético del Adulto, Pontificia Universidad Católica de Chile, Santiago, Chile.
M OcqueteauPrograma de Trasplante Hematopoyético del Adulto, Pontificia Universidad Católica de Chile, Santiago, Chile.
I Sánchez-OrtegaClinical Hematology Department, Institut Català d'Oncologia, Hospital Duran i Reynals, Barcelona, Spain.
B PatiñoClinical Hematology Department, Institut Català d'Oncologia, Hospital Duran i Reynals, Barcelona, Spain.
A SuredaClinical Hematology Department, Institut Català d'Oncologia, Hospital Duran i Reynals, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autologous stem cell transplantation (auto-HSCT) is an effective treatment strategy for hematological malignancies. The standard mode of handling hematopoietic progenitors for the autologous procedure (CRYO) consists on its collection and freezing with dimethyl sulfoxide (DMSO) and its subsequent thawing and re-infusion. This process is toxic and expensive. Non-cryopreserved (non-CRYO) is a less expensive mode of auto-HSCT. We designed a comparative study between both strategies performed in two different centers to analyze the short-term complications. In total 111 auto-HSCT were performed from January/2015 to October/2016 (42 non-CRYO and 74 CRYO). There were 74 males and 69 (62%) patients had the underlying diagnosis of multiple myeloma. No differences were seen on the characteristics of the apheresis products and their viability. Engraftment was significantly faster in the non-CRYO group (p = 0.001). Febrile neutropenia and severe mucositis were lower in the non-CRYO group (40% vs 92% p = 0.0001 and 11% vs 64%, p = 0.001, respectively). In addition, length of hospitalization was 5 days shorter in the non-CRYO group (p = 0.0001). Overall responses and transplantation outcomes were similar. Our data demonstrate a clear advantage of the non-CRYO over CRYO auto-HSCT with faster engraftment, lower incidence of febrile neutropenia and shorter hospital stay after the transplantation procedure. These data are especially relevant for centers with high transplant activity or with limited resources.

Indexed as

CryopreservationFemaleHematopoietic Stem Cell TransplantationHumansMaleTransplantation, AutologousTransplantation ConditioningTreatment Outcome

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.