Evidence map›Paper›PMID 30037802›Full record

Trial reportBlood advances2018

Prediction of cardiovascular disease among hematopoietic cell transplantation survivors.

Saro H Armenian, Dongyun Yang, Jennifer Berano Teh, Liezl C Atencio, Alicia Gonzales, F Lennie Wong, Wendy M Leisenring, Stephen J Forman, Ryotaro Nakamura, Eric J Chow

Abstract readClinical TrialValidation Study
In one paragraph

Trial report in Blood advances, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing 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

47 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

10 authors.

Saro H ArmenianDepartment of Population Sciences and.
Dongyun YangDepartment of Information Sciences, City of Hope, Duarte, CA.
Jennifer Berano TehDepartment of Population Sciences and.
Liezl C AtencioDepartment of Population Sciences and.
Alicia GonzalesDepartment of Population Sciences and.
F Lennie WongDepartment of Population Sciences and.
Wendy M LeisenringClinical Research and Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA; and.
Stephen J FormanDepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, CA.
Ryotaro NakamuraDepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, CA.
Eric J ChowClinical Research and Public Health Sciences Division, Fred Hutchinson Cancer Research Center, Seattle, WA; and.

Funding

VIRUS-MEDIATED MYELOSUPPRESSIONP01CA018029 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Aude Chapuis · 1985 to 2026
$128.4M
Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI John Charles Williams · 1985 to 2026
$86.3M
Improving treatment of cardiovascular risk factors in childhood cancer survivorsR01CA204378 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI CHOW, ERIC JESSEN · 2017 to 2021
$3.7M
Reducing risk of Anthracycline-related heart failure after childhood cancerR01CA196854 · NCI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI ARMENIAN, SARO · 2015 to 2019
$3.2M
Determinants of late cardiovascular morbidity among survivors of hematopoietic ceK07CA151775 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI CHOW, ERIC JESSEN · 2011 to 2015
$755k
Analysis of Morbidity and Mortality Among Hematopoietic Cell Transplantation SurvR03CA167451 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI CHOW, ERIC JESSEN · 2013 to 2014
$173k
NCI NIH HHS K07 CA151775NCI NIH HHS P01 CA018029NCI NIH HHS P30 CA033572NCI NIH HHS R01 CA196854NCI NIH HHS R01 CA204378NCI NIH HHS R03 CA167451
6 · The paper itself

Abstract

Cardiovascular disease (CVD) is a leading cause of late morbidity and mortality in hematopoietic cell transplantation (HCT) survivors. HCT-specific CVD risk prediction models are needed to facilitate early screening and prevention. In the current study, patients who underwent HCT at City of Hope (COH) and survived 1-year free of clinically evident CVD (N = 1828) were observed for the development of heart failure (HF) or coronary artery disease (CAD) by 10-years from index date (1 year from HCT). CVD occurred in 135 individuals (92 HF, 43 CAD). Risk prediction models were developed for overall CVD (HF and/or CAD) using COH-derived integer risk scores. Risk scores based on selected variables (age, anthracycline dose, chest radiation, hypertension, diabetes, smoking) achieved an area under the curve (AUC) and concordance (C) statistic of 0.74 and 0.72 for CVD; these varied from 0.70 to 0.82 according to CVD subtype (HF or CAD). A Fred Hutchinson Cancer Research Center case cohort (N = 580) was used to validate the COH models. Validation cohort AUCs ranged from 0.66 to 0.75. Risk scores were collapsed to form statistically distinct low-, intermediate-, and high-risk groups, corresponding to 10-year cumulative incidences of CVD of 3.7%, 9.9%, and 26.2%, respectively. Individuals in the high- and intermediate-risk groups were at 7.8-fold (95% confidence interval, 5.0-12.2) and 2.9-fold (95% confidence interval, 1.9-4.6) risk of developing CVD (referent group: low risk). These validated models provide a framework on which to modify current screening recommendations and for the development of targeted interventions to reduce the risk of CVD after HCT.

Indexed as

Cardiovascular DiseasesHematopoietic Stem Cell TransplantationModels, BiologicalAdolescentAdultAgedCancer SurvivorsChildChild, PreschoolFemaleFollow-Up StudiesHematologic NeoplasmsHumansInfantMaleMiddle Aged

Identifiers

PMID30037802
PMCPMC6058239

What OpenQuestion holds

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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.