Evidence map›Paper›PMID 29899572›Full record

ArticleBone marrow transplantation2019

Hematopoietic stem cell transplantation for isolated extramedullary relapse of acute lymphoblastic leukemia in children.

Maria Gabelli, Marco Zecca, Chiara Messina, Elisa Carraro, Barbara Buldini, Attilio Maria Rovelli, Franca Fagioli, Alice Bertaina, Edoardo Lanino, Claudio Favre and 10 more

Open access · bronzeAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Bone marrow transplantation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.3field-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.

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

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
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  8. Role of Autophagy and Apoptosis in Acute Lymphoblastic Leukemia.Cancer control : journal of the Moffitt Cancer Center
    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.

Maria GabelliOncoematologia Pediatrica, Università di Padova, Padova, Italy. maria.gabelli@aopd.veneto.it.ORCID 0000-0002-6226-9895
Marco ZeccaOncoematologia Pediatrica, Fondazione I.R.C.C.S. Policlinico San Matteo, Pavia, Italy.
Chiara MessinaOncoematologia Pediatrica, Università di Padova, Padova, Italy.
Elisa CarraroOncoematologia Pediatrica, Università di Padova, Padova, Italy.
Barbara BuldiniOncoematologia Pediatrica, Università di Padova, Padova, Italy.
Attilio Maria RovelliEmatologia Pediatrica, Ospedale San Gerardo, Monza, Italy.
Franca FagioliOncoematologia Pediatrica, Ospedale Regina Margherita, Azienda Ospedaliero Universitaria, Torino, Italy.
Alice BertainaOncoematologia Pediatrica, I.R.C.C.S. Ospedale Pediatrico Bambino Gesù, Roma, Italy.
Edoardo LaninoCentro Trapianti Midollo Osseo, I.R.C.C.S. Giannina Gaslini, Genova, Italy.
Claudio FavreOncoematologia Pediatrica, Azienda Ospedaliero Universitaria Meyer, Firenze, Italy.
Marco RabusinOncoematologia Pediatrica, I.R.C.C.S. Materno Infantile Burlo Garofalo, Trieste, Italy.
Arcangelo PreteOncologia ed Ematologia Pediatrica "Lalla Seragnoli", Policlinico Sant'Orsola Malpighi, Bologna, Italy.
Mimmo RipaldiTrapianto di Midollo Osseo, Azienda Ospedaliera Santobono Pausilipon, Napoli, Italy.
Walter BarberiDivisione di Ematologia, Università La Sapienza, Roma, Italy.
Fulvio PortaOncoematologia Pediatrica e Trapianto di Midollo Osseo Pediatrico, Spedali Civili di Brescia, Brescia, Italy.
Maurizio CanigliaOncoematologia Pediatrica, Azienda Ospedaliera di Perugia, Perugia, Italy.
Stella SantaroneDipartimento di Ematologia, Ospedale di Pescara, Pescara, Italy.
Paolo D'AngeloOncoematologia Pediatrica, A.R.N.A.S. Civico, Di Cristina e Benfratelli, Palermo, Italy.
Giuseppe BassoOncoematologia Pediatrica, Università di Padova, Padova, Italy.
Franco LocatelliOncoematologia Pediatrica, I.R.C.C.S. Ospedale Pediatrico Bambino Gesù, Roma, Italy.
University of Padua · ITAzienda di Rilievo Nazionale ed Alta Specializzazione · ITAzienda Ospedaliera di Perugia · ITAzienda Ospedaliera San Gerardo · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITAzienda USL di Pescara · ITBambino Gesù Children's Hospital · ITGruppo Italiano per il Trapianto di Midollo Osseo · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITIRCCS Materno Infantile Burlo Garofolo · ITMeyer Children's Hospital · ITOspedale Regina Margherita · ITPoliclinico San Matteo Fondazione · ITSapienza University of Rome · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Relapse of acute lymphoblastic leukemia (ALL) may occur in extramedullary sites, mainly central nervous system (CNS) and testis. Optimal post-remissional treatment for isolated extramedullary relapse (IEMR) is still controversial. We collected data of children treated with hematopoietic stem cell transplantation (HSCT) for ALL IEMR from 1990 to 2015 in Italy. Among 281 patients, 167 had a relapse confined to CNS, 73 to testis, 14 to mediastinum, and 27 to other organs. Ninety-seven patients underwent autologous HSCT, 79 received allogeneic HSCT from a matched family donor, 75 from a matched unrelated donor, and 30 from an HLA-haploidentical donor. The 10-year overall survival was 56% and was not influenced by gender, ALL blast immune-phenotype, age, site of relapse, duration of first remission, and type of HSCT. In multivariable analysis, the only prognostic factors were disease status at HSCT and year of transplantation. Patients transplanted in third or subsequent complete remission (CR) had a risk of death 2.3 times greater than those in CR2. Children treated after 2000 had half the risk of death than those treated before that year. Our results suggest that both autologous and allogeneic HSCT may be considered for the treatment of pediatric ALL IEMR after the achievement of CR2.

Indexed as

AdolescentChildChild, PreschoolFemaleHematopoietic Stem Cell TransplantationHumansInfantItalyMalePrecursor Cell Lymphoblastic Leukemia-LymphomaRecurrenceRemission InductionRetrospective StudiesSurvival AnalysisTransplantation, AutologousTransplantation, Homologous

Identifiers

PMID29899572
OpenAlexW2808340452

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.