Evidence map›Paper›PMID 29654289›Full record

Trial reportBone marrow transplantation2018

Hematopoietic cell transplantation comorbidity index and risk of developing invasive fungal infections after allografting.

Alessandro Busca, Roberto Passera, Enrico Maffini, Moreno Festuccia, Lucia Brunello, Chiara Maria Dellacasa, Semra Aydin, Chiara Frairia, Sara Manetta, Sara Butera and 6 more

Open access · bronzeAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.2field-weighted citation impact, top 23% 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

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. 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

16 authors at 3 institutions in 2 countries.

Alessandro Busca *Department of Oncology, Stem Cell Transplant Center, AOU Città della Salute e della Scienza, Turin, Italy. abusca@cittadellasalute.to.it.
Roberto Passera *Division of Nuclear Medicine, AOU Città della Salute e della Scienza, Turin, Italy.
Enrico MaffiniDepartment of Oncology, Stem Cell Transplant Center, AOU Città della Salute e della Scienza, Turin, Italy.
Moreno Festuccia *Department of Oncology, Stem Cell Transplant Center, AOU Città della Salute e della Scienza, Turin, Italy.
Lucia BrunelloDepartment of Oncology, Stem Cell Transplant Center, AOU Città della Salute e della Scienza, Turin, Italy.
Chiara Maria DellacasaDepartment of Oncology, Stem Cell Transplant Center, AOU Città della Salute e della Scienza, Turin, Italy.
Semra AydinDepartment of Oncology, Division of Hematology, AOU Città della Salute e della Scienza, Turin, Italy.
Chiara FrairiaDepartment of Oncology, Division of Hematology, AOU Città della Salute e della Scienza, Turin, Italy.
Sara ManettaDepartment of Oncology, Stem Cell Transplant Center, AOU Città della Salute e della Scienza, Turin, Italy.
Sara ButeraDepartment of Oncology, Stem Cell Transplant Center, AOU Città della Salute e della Scienza, Turin, Italy.
Giorgia IovinoDepartment of Oncology, Stem Cell Transplant Center, AOU Città della Salute e della Scienza, Turin, Italy.
Luisa GiacconeDepartment of Oncology, Stem Cell Transplant Center, AOU Città della Salute e della Scienza, Turin, Italy.
Mohamed Sorror *Fred Hutchinson Cancer Research Center and University of Washington, Seattle, WA, USA.
Rainer StorbFred Hutchinson Cancer Research Center and University of Washington, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-9343-4099
Francesco Giuseppe De Rosa *Department of Medical Sciences, Infectious Diseases, Amedeo di Savoia Hospital, University of Turin, Turin, Italy.
Benedetto Bruno *Department of Oncology, Stem Cell Transplant Center, AOU Città della Salute e della Scienza, Turin, Italy.
Azienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITUniversity of Washington · USOspedale Amedeo di Savoia · IT

Funding

Project 3: Stem Cell Allografts for Lymphoid MalignanciesP01CA078902 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI SANDMAIER, BRENDA MARIE · 1999 to 2025
$46.1M
NCI NIH HHS P01 CA078902
6 · The paper itself

Abstract

We evaluated the potential correlation of the hematopoietic cell transplantation comorbidity index (HCT-CI) with the risk of developing post-transplant invasive fungal infections (IFIs). Between January 2009 and March 2015, 312 consecutive patients who received a first allograft entered the study. Low/intermediate HCT-CI risk score (0-2) was observed in 172/312 (55%), whereas high HCT-CI score (≥3) was seen in 140/312 (45%). Overall, 51/312 (16%) patients experienced IFI, defined as possible in 19 (6%), probable in 27 (9%), and proven in 5 (2%). Cumulative incidence of probable-proven IFI at 1 year was 8.5% with a significant higher incidence in patients with high HCT-CI (12%) vs. those with low-intermediate HCT-CI (5%; p = 0.006). There was a strong trend for a higher incidence of baseline severe pulmonary comorbidity in patients who developed probable-proven IFI (p = 0.051). One-year cumulative incidence of non-relapse mortality was higher in patients with IFI vs. those without, 49 and 16% (p < 0.001). By multivariate analysis, disease status at transplant and high HCT-CI, when combined with acute GVHD, were independently associated with the risk of post-transplant IFI. This study shows that a high HCT-CI predicts the risk of developing IFI and may indicate the need of mold-active antifungal prophylaxis in high-risk patients.

Indexed as

Hematopoietic Stem Cell TransplantationAdolescentAdultAgedAntifungal AgentsDisease-Free SurvivalFemaleGraft vs Host DiseaseHumansIncidenceInvasive Fungal InfectionsMaleMiddle AgedRetrospective StudiesRisk FactorsSurvival RateAntifungal Agents

Identifiers

PMID29654289
OpenAlexW2796511571

What OpenQuestion holds

Textmetadata
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.