Evidence map›Paper›PMID 30050122›Full record

ArticleLeukemia2019

European experience and risk factor analysis of donor cell-derived leukaemias/MDS following haematopoietic cell transplantation.

Nicole Engel, Alicia Rovo, Manuela Badoglio, Myriam Labopin, Grzegorz W Basak, Yves Beguin, Denis Guyotat, Per Ljungman, Arnon Nagler, Anton Schattenberg and 9 more

Open access · bronzeAbstract read
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In one paragraph

Article in Leukemia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
3.9field-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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 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

19 authors at 12 institutions in 10 countries.

Nicole EngelDepartment of Internal Medicine III, Campus Großhadern, University of Munich, Munich, Germany.
Alicia RovoDepartment of Haematology, University hospital of Bern, Bern, Switzerland.
Manuela BadoglioDepartment of Haematology, EBMT Paris study office, Saint Antoine Hospital, Paris, France.ORCID http://orcid.org/0000-0003-3226-2024
Myriam LabopinDepartment of Haematology, EBMT Paris study office, Saint Antoine Hospital, Paris, France.
Grzegorz W BasakDepartment of Haematology, Oncology and Internal Medicine, Medical University of Warsaw, Warsaw, Poland.
Yves BeguinDivision of Haematology, Department of Medicine, University of Liège, Liège, Belgium.
Denis GuyotatL'Institut de Cancérologie de la Loire, Saint-Priest-en-Jarez, France.
Per LjungmanKarolinska Institute, Haematology, Stockholm, Sweden.
Arnon NaglerThe Chaim Sheba Medical Center, Bone Marrow Transplantation Department, Tel Hashomer, Israel.
Anton SchattenbergDepartment of Haematology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Thomas SchroederDepartment of Haematology, Oncology und Clinical Immunology, University of Duesseldorf, Medical Faculty, Duesseldorf, Germany.
Wilfried SchroyensDepartment of Haematology, University of Antwerp, Antwerpen, The Netherlands.
Johanna TischerDepartment of Internal Medicine III, Campus Großhadern, University of Munich, Munich, Germany.
Gerard SocieDepartment of Haematology, Immunology, Oncology, APHP Hospital Saint Louis, Paris, France.
Hans-Jochem KolbUnit for Haematopoietic Cell Transplantation, Campus Großhadern, University of Munich, Munich, Germany.
Andre TichelliDepartment of Haematology, University Hospital, Basel, Switzerland.
Nina Salooja *Centre for Haematology, Imperial College London, London, UK. nina.salooja@imperial.ac.uk.
Rafael F Duarte *Department of Haematology, Hospital Universitario Puerta de Hierro, Madrid, Spain.
Transplant Complications Working Party of the European Society for Blood and Marrow Transplantation
Assistance Publique – Hôpitaux de Paris · FRHospital Universitario Puerta de Hierro Majadahonda · ESLudwig-Maximilians-Universität München · DERadboud University Nijmegen · NLUniversity Hospital of Basel · CHUniversity Hospital of Bern · CHUniversity of Liège · BEHeinrich Heine University Düsseldorf · DEHôpital Saint-Antoine · FRKarolinska Institutet · SEMedical University of Warsaw · PLSheba Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Donor cell leukaemia (DCL) is a rare complication of allogeneic haematopoietic cell transplantation (HCT). We have investigated the prevalence and outcome of donor cell haematology malignancies within centres registered with the European Society of Blood and Marrow transplantation (EBMT). We have sought to identify risk factors to shed light on the pathogenesis of DCL as a model for leukaemogenesis. DCL cases were identified by questionnaire and a follow-up questionnaire requested detailed data. Control subjects from the EBMT registry who had not developed DCL were used for a matched pair analysis to identify risk factors. We identified 38 patients with DCL; the estimated prevalence was 80.5/100,000 transplants. Patients were predominantly treated for haematological malignancy. A clone was retrospectively identified in 7/25 (28%) donors for whom data was available. Overall survival was poor with 29/38 patients dead a median of 11 (range 0-91) months after DCL diagnosis. Matched case-pair analysis identified three factors on multivariate analysis as significantly associated with an increased risk for DCL: use of growth factors within the first 100 days after transplantation, in vivo T-cell depletion and multiple allografts. The risk factors identified, support reduced immune surveillance and replicative stress as pathogenic in the development of DCL.

Indexed as

Factor Analysis, StatisticalAdolescentAdultAgedCase-Control StudiesChildChild, PreschoolCohort StudiesEuropeFemaleFollow-Up StudiesHematopoietic Stem Cell TransplantationHumansLeukemiaMaleMiddle Aged

Identifiers

PMID30050122
OpenAlexW2884151677

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.