Evidence map›Paper›PMID 29581480›Full record

ArticleBone marrow transplantation2018

Late cardiovascular morbidity and mortality following pediatric allogeneic hematopoietic cell transplantation.

Christine N Duncan, Ruta Brazauskas, Jiaxing Huang, Bronwen E Shaw, Navneet S Majhail, Bipin N Savani, Mary E D Flowers, Minoo Battiwalla, Kristen Beebe, Andrew C Dietz and 10 more

Open access · greenAbstract read
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 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 6% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Prevalence of Ototoxicity Following Hematopoietic Stem Cell Transplantation in Pediatric Patients.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2020
    Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Coronary atherosclerosis and chemotherapy: From bench to bedside.Frontiers in cardiovascular medicine · 2023
    Review
  13. Review
  14. Microbiota and Hematological Diseases.International journal of hematology-oncology and stem cell research · 2022
    Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. Cardiotoxicity of mediastinal radiotherapy.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology
    Review
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

20 authors at 15 institutions in 1 country.

Christine N DuncanDana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, MA, USA. Christine_duncan@dfci.harvard.edu.
Ruta BrazauskasCenter of International Blood and Marrow Transplant Research, Froedtert and the Medical College of Wisconsin, Milwaukee, WI, USA.
Jiaxing HuangDivision of Biostatistics, Institute for Health and Society, Medical College of Wisconsin, Milwaukee, WI, USA.
Bronwen E ShawDivision of Biostatistics, Institute for Health and Society, Medical College of Wisconsin, Milwaukee, WI, USA.
Navneet S MajhailDepartment of Hematology and Oncology, Cleveland Clinic Taussig Cancer Institute, Cleveland, OH, USA.
Bipin N SavaniDivision of Hematology/Oncology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Mary E D FlowersClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Minoo BattiwallaNational Institutes of Health Clinical Center, Bethesda, MD, USA.
Kristen BeebePhoenix Children's Center for Cancer and Blood Disorders, Phoenix, AZ, USA.
Andrew C DietzChildren's Center for Cancer and Blood Diseases, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Christopher C DvorakDivision of Pediatric Allergy, Immunology, and Bone Marrow Transplantation, University of California San Francisco Benioff Children's Hospital, San Francisco, CA, USA.
Roger GillerUniversity of Colorado Cancer Center, Aurora, CO, USA.
David A JacobsohnDivision of Blood and Marrow Transplantation, Center for Cancer and Blood Disorders, Children's National Health System, Washington, DC, USA.
Morris KletzelDivision of Hematology, Oncology, and Stem Cell Transplantation, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.ORCID http://orcid.org/0000-0002-9862-510X
Paul L MartinPediatric Division of Blood and Marrow Transplantation, Duke School of Medicine, Durham, NC, USA.
Eneida R NemecekOregon Health & Science University, Knight Cancer Institute, Portland, OR, USA.
Brandon NuechterleinUniversity of Colorado Cancer Center, Aurora, CO, USA.
Julie-An TalanoDepartment of Pediatric Hematology Oncology, Medical College of Wisconsin, Milwaukee, WI, USA.
Michael A Pulsipher *Children's Center for Cancer and Blood Diseases, Children's Hospital Los Angeles, Los Angeles, CA, USA.
K Scott Baker *Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Medical College of Wisconsin · USChildren's Hospital of Los Angeles · USFred Hutch Cancer Center · USUniversity of Colorado Cancer Center · USCenter for Cancer and Blood Disorders · USChildren's National · USCleveland Clinic · USDana-Farber/Boston Children's Cancer and Blood Disorders Center · USDuke University · USFroedtert Hospital · USLurie Children's Hospital · USNational Institutes of Health Clinical Center · USOregon Health & Science University · USUniversity of California, San Francisco · USVanderbilt University Medical Center · US

Funding

Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
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 U24 CA076518NHLBI NIH HHS U10 HL069294
6 · The paper itself

Abstract

We analyzed late cardiovascular outcomes of 661 patients who survived at least 2 years from hematopoietic cell transplantation for childhood hematologic malignancy between 1995 and 2008. Center for International Blood and Marrow Transplant Research data was supplemented with surveys focused on cardiotoxicity and potential risk factors. The median duration of follow-up was 97 months (range 24-230). 4.2% of survivors experienced at least one of the primary outcomes including coronary artery disease (0.2%), cerebrovascular accident (0.6%), cardiomyopathy (3%), and cardiac-related death (0.5%). Patients who received anthracycline chemotherapy (HR 4.67, p = 0.036) or cranial or chest radiation (HR 5.58, p < 0.0001; HR 2.18, p = 0.0087) were at increased risk for developing one of the primary outcomes. Dyslipidemia was diagnosed in 18% of survivors. Pre-transplant anthracycline (HR 1.74, p < 0.0001) and chest radiation (HR 1.34, p = 0.0371) were risk factors for dyslipidemia. Overweight/obese body mass status was present in 63% of patients at baseline, 65% at 2 years, and 52% at most recent evaluation. Diabetes was diagnosed in 7% of subjects. In conclusion, severe cardiovascular complications were infrequently reported. The incidence of risk factors including obesity and dyslipidemia were significant and will likely increase the risk of cardiovascular disease over time in transplant survivors.

Indexed as

Cardiovascular DiseasesCombined Modality TherapyHematologic NeoplasmsHematopoietic Stem Cell TransplantationAdolescentAdultAllograftsChildChild, PreschoolDisease-Free SurvivalFemaleFollow-Up StudiesHumansIncidenceMaleObesity

Identifiers

PMID29581480
PMCPMC6158112
OpenAlexW2793429115

What OpenQuestion holds

Textmetadata
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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.