Evidence map›Paper›PMID 29804164›Full record

ArticleJournal of cancer research and clinical oncology2018

The value of EBV DNA in early detection of post-transplant lymphoproliferative disorders among solid organ and hematopoietic stem cell transplant recipients.

Neval E Wareham, Amanda Mocroft, Henrik Sengeløv, Caspar Da Cunha-Bang, Finn Gustafsson, Carsten Heilmann, Martin Iversen, Nikolai S Kirkby, Allan Rasmussen, Søren Schwartz Sørensen and 2 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04189835 (EVITA Study - Epstein-Barr Virus Infection moniToring in renAl Transplant Recipients - Early Identification of Increased Risk of Infection and Cancer for Individualised Immunosuppression.), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.7field-weighted citation impact, top 12% 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.

NCT04189835 completednot on this mapstarted 2020, after this paper: background citation

EVITA Study - Epstein-Barr Virus Infection moniToring in renAl Transplant Recipients - Early Identification of Increased Risk of Infection and Cancer for Individualised Immunosuppression.

TypeobservationalSponsorUniversity of AarhusRan2020 to 2024Enrolled509ConditionsEBV Infection, EBV Viremia, Epstein-Barr Virus Associated Lymphoproliferative Disorder, Post-transplant Lymphoproliferative DisorderArmsEBV DNA in whole blood and plasma
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 38 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

12 authors at 2 institutions in 2 countries.

Neval E WarehamCHIP, Department of Infectious Diseases, Section 2100, Rigshospitalet, University of Copenhagen, Finsencentret, Blegdamsvej 9, 2100, Copenhagen Ø, Denmark. neval.ete.wareham@regionh.dk.ORCID http://orcid.org/0000-0001-5746-9385
Amanda MocroftCentre for Clinical Research, Epidemiology, Modelling and Evaluation (CREME), Institute for Global health, University College London, London, UK.
Henrik SengeløvDepartment of Haematology, Rigshospitalet, Copenhagen, Denmark.
Caspar Da Cunha-BangDepartment of Haematology, Rigshospitalet, Copenhagen, Denmark.
Finn GustafssonDepartment of Cardiology, Rigshospitalet, Copenhagen, Denmark.
Carsten HeilmannDepartment of Pediatrics, Rigshospitalet, Copenhagen, Denmark.
Martin IversenDepartment of Cardiology, Rigshospitalet, Copenhagen, Denmark.
Nikolai S KirkbyDepartment of Clinical Microbiology, Rigshospitalet, Copenhagen, Denmark.
Allan RasmussenDepartment of Surgical Gastroenterology, Rigshospitalet, Copenhagen, Denmark.
Søren Schwartz SørensenDepartment of Nephrology, Rigshospitalet, Copenhagen, Denmark.
Jens D LundgrenCHIP, Department of Infectious Diseases, Section 2100, Rigshospitalet, University of Copenhagen, Finsencentret, Blegdamsvej 9, 2100, Copenhagen Ø, Denmark.
MATCH in PERSIMUNE study group
Rigshospitalet · DKUniversity of Copenhagen · DK

Funding

Danmarks Grundforskningsfond 126
6 · The paper itself

Abstract

purposeEmerging EBV DNAemia in plasma is considered an early sign of post-transplant lymphoproliferative disorder (PTLD). The aim of this study was to quantify the extent of benefit from screening for EBV DNAemia to detect emerging PTLD among solid organ (SOT) or hematopoietic stem cell transplant recipients (HSCT).

methodsWe used receiver operating characteristic (ROC) curves for assessing ability of models to predict PTLD. Among 2642 recipients transplanted between January 2004 and December 2014, 79 (3%) developed PTLD.

resultsEBV DNAemia was observed in 331/1784 recipients (18.6%, 95% CI 16.8-20.4) with measured EBV DNA. The area under the curve (AUC) of the ROC of EBV DNAemia to identify persons with subsequent PTLD was 72% (95% CI, 64-79%) among SOT and 59% (51-68%) among HSCT. Including clinical predictors such as age, gender, transplant year and type, high-risk EBV serostatus, and routine biochemistry in addition to EBV DNAemia increased AUC to 83% (75-90%) among SOT and 84% (79-89%) among HSCT. Among HSCT, including additional factors such as T-cell-depleting treatment, acute graft vs. host disease and donor match increased AUC to 85% (78-91%).

conclusionsWe constructed a model to better predict PTLD compared to EBV DNA screening alone which could have clinical implications.

Indexed as

AdolescentAdultCohort StudiesDNA, ViralEpstein-Barr Virus InfectionsFemaleHematopoietic Stem Cell TransplantationHerpesvirus 4, HumanHumansIncidenceLymphoproliferative DisordersMaleMiddle AgedOrgan TransplantationRetrospective StudiesYoung AdultDNA, ViralAUROCDNAEBVPTLDTransplantation

Identifiers

PMID29804164
PMCPMC11813311
OpenAlexW2803664412

What OpenQuestion holds

Textmetadata
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Registered trials

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.