Evidence map›Paper›PMID 30287390›Full record

Trial reportBiology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation2019

Characteristics of Late Fatal Infections after Allogeneic Hematopoietic Cell Transplantation.

Maxim Norkin, Bronwen E Shaw, Ruta Brazauskas, Heather R Tecca, Helen L Leather, Juan Gea-Banacloche, Rammurti T Kamble, Zachariah DeFilipp, David A Jacobsohn, Olle Ringden and 42 more

Open access · bronzeAbstract readClinical TrialComparative StudyMulticenter Study
In one paragraph

Trial report in Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

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  9. Modern-Era Challenges in the Clinical Management of Graft-Versus-Host Disease.Advances in experimental medicine and biology · 2025
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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

52 authors at 20 institutions in 7 countries.

Maxim NorkinDivision of Hematology/Oncology, University Florida College of Medicine, Gainesville, Florida.
Bronwen E ShawCenter for International Blood and Marrow Transplant Research, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin. Electronic address: beshaw@mcw.edu.
Ruta BrazauskasCenter for International Blood and Marrow Transplant Research, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin; Division of Biostatistics, Institute for Health and Society, Medical College of Wisconsin, Milwaukee, Wisconsin.
Heather R TeccaCenter for International Blood and Marrow Transplant Research, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Helen L LeatherDivision of Hematology/Oncology, University Florida College of Medicine, Gainesville, Florida.
Juan Gea-BanaclocheExperimental Transplantation and Immunology Branch, National Cancer Institute. Bethesda, Maryland.
Rammurti T KambleDivision of Hematology and Oncology, Center for Cell and Gene Therapy, Baylor College of Medicine, Houston, Texas.
Zachariah DeFilippBlood and Marrow Transplant Program, Massachusetts General Hospital, Boston, Massachusetts.
David A JacobsohnDivision of Blood and Marrow Transplantation, Center for Cancer and Blood Disorders, Children's National Health System, Washington, DC.
Olle RingdenDivision of Therapeutic Immunology, Department of Laboratory Medicine, Karolinska Institute, Stockholm, Sweden.
Yoshihiro InamotoDivision of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan.
Kimberly A KasowDivision of Hematology-Oncology, Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
David BuchbinderDivision of Pediatrics Hematology, Children's Hospital of Orange County, Orange, California.
Peter ShawThe Children's Hospital at Westmead, Westmead, New South Wales, Australia.
Peiman HemattiDivision of Hematology/Oncology/Bone Marrow Transplantation, Department of Medicine, University of Wisconsin Hospital and Clinics, Madison, Wisconsin.
Raquel SchearsMayo Clinic Rochester, Rochester, Minnesota.
Sherif M BadawyAnn and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
Hillard M LazarusSeidman Cancer Center, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio.
Neel BhattCenter for International Blood and Marrow Transplant Research, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Biljana HornUniversity of Florida, Gainesville, Florida.
Saurabh ChhabraMedical College of Wisconsin, Milwaukee, Wisconsin.
Kristin M PageDivision of Pediatric Blood and Marrow Transplantation, Duke University Medical Center, Durham, North Carolina.
Betty HamiltonBlood and Marrow Transplant Program, Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio.
Gerhard C HildebrandtMarkey Cancer Center, University of Kentucky, Lexington, Kentucky.
Jean A YaredBlood and Marrow Transplantation Program, Division of Hematology/Oncology, Department of Medicine, Greenebaum Cancer Center, University of Maryland, Baltimore, Maryland.
Vaibhav AgrawalIndiana University Simon Cancer Center, Indianapolis, Indiana.
Amer M BeitinjanehUniversity of Miami, Miami, Florida.
Navneet MajhailBlood and Marrow Transplant Program, Cleveland Clinic Taussig Cancer Institute, Cleveland, Ohio.
Tamila Kindwall-KellerDivision of Hematology/Oncology, University of Virginia Health System, Charlottesville, Virginia.
Richard F OlssonDivision of Therapeutic Immunology, Department of Laboratory Medicine, Karolinska Institute, Stockholm, Sweden; Centre for Clinical Research Sormland, Uppsala University, Uppsala, Sweden.
Helene SchoemansUniversity Hospital of Leuven, Leuven, Belgium.
Robert Peter GaleHematology Research Centre, Division of Experimental Medicine, Department of Medicine, Imperial College London, London, United Kingdom.
Siddhartha GangulyDivision of Hematological Malignancy and Cellular Therapeutics, University of Kansas Health System, Kansas City, Kansas.
Ibrahim A AhmedDepartment of Hematology Oncology and Bone Marrow Transplantation, The Children's Mercy Hospitals and Clinics, Kansas City, Missouri.
Harry C SchoutenDepartment of Hematology, Academische Ziekenhuis, Maastricht, The Netherlands.
Jane L LiesveldDepartment of Medicine, University of Rochester Medical Center, Rochester, New York.
Nandita KheraDepartment of Hematology/Oncology, Mayo Clinic, Phoenix, Arizona.
Amir SteinbergDepartment of Hematology-Oncology, Mount Sinai Hospital, New York, New York.
Ami J ShahDivision of Stem Cell Transplantation and Regenerative Medicine, Lucille Packard Children's Hospital, Stanford School of Medicine, Palo Alto, California.
Melhem SolhThe Blood and Marrow Transplant Group of Georgia, Northside Hospital, Atlanta, Georgia.
David I MarksAdult Bone Marrow Transplant, University Hospitals Bristol NHS Trust, Bristol, United Kingdom.
Witold RybkaPenn State Hershey Medical Center, Hershey, Pennsylvania.
Mahmoud AljurfDepartment of Oncology, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.
Andrew C DietzDivision of Hematology, Oncology and Blood and Marrow Transplantation, Children's Hospital Los Angeles, University of Southern California, Los Angeles, California.
Usama GergisHematologic Malignancies and Bone Marrow Transplant, Department of Medical Oncology, New York Presbyterian Hospital/Weill Cornell Medical Center, New York, New York.
Biju GeorgeChristian Medical College, Vellore, India.
Sachiko SeoDepartment of Hematology and Oncology, National Cancer Research Center East, Chiba, Japan.
Mary E D FlowersMedical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Minoo BattiwallaHematology Branch, Sarah Cannon, Nashville, Tennessee.
Bipin N SavaniDivision of Hematology/Oncology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Marcie L RichesDivision of Hematology/Oncology, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
John R WingardDivision of Hematology/Oncology, University Florida College of Medicine, Gainesville, Florida.
Medical College of Wisconsin · USFlorida College · USCleveland Clinic · USUniversity of North Carolina at Chapel Hill · USBaylor College of Medicine · USChildren's Hospital at Westmead · AUChildren's Hospital of Orange County · USChildren's Mercy Hospital · USChildren's National · USChristian Medical College, Vellore · INDuke Medical Center · USFred Hutch Cancer Center · USImperial College London · GBIndiana University Health · USKarolinska Institutet · SEKing Faisal Specialist Hospital & Research Centre · SALucile Packard Children's Hospital · USLurie Children's Hospital · USMassachusetts General Hospital · USMayo Clinic · US

Funding

Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Easy-to-read Informed Consent for HCT Clinical TrialsU10HL069294 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI HOROWITZ, MARY MARESCA · 2011 to 2016
$43.8M
AHRQ HHS K12 HS023011NCATS NIH HHS UL1 TR001422NCI NIH HHS U24 CA076518NHLBI NIH HHS U10 HL069294
6 · The paper itself

Abstract

We analyzed late fatal infections (LFIs) in allogeneic stem cell transplantation (HCT) recipients reported to the Center for International Blood and Marrow Transplant Research. We analyzed the incidence, infection types, and risk factors contributing to LFI in 10,336 adult and 5088 pediatric subjects surviving for ≥2 years after first HCT without relapse. Among 2245 adult and 377 pediatric patients who died, infections were a primary or contributory cause of death in 687 (31%) and 110 (29%), respectively. At 12 years post-HCT, the cumulative incidence of LFIs was 6.4% (95% confidence interval [CI], 5.8% to 7.0%) in adults, compared with 1.8% (95% CI, 1.4% to 2.3%) in pediatric subjects; P < .001). In adults, the 2 most significant risks for developing LFI were increasing age (20 to 39, 40 to 54, and ≥55 years versus 18 to 19 years) with hazard ratios (HRs) of 3.12 (95% CI, 1.33 to 7.32), 3.86 (95% CI, 1.66 to 8.95), and 5.49 (95% CI, 2.32 to 12.99) and a history of chronic graft-versus-host disease GVHD (cGVHD) with ongoing immunosuppression at 2 years post-HCT compared with no history of GVHD with (HR, 3.87; 95% CI, 2.59 to 5.78). In pediatric subjects, the 3 most significant risks for developing LFI were a history of cGVHD with ongoing immunosuppression (HR, 9.49; 95% CI, 4.39 to 20.51) or without ongoing immunosuppression (HR, 2.7; 95% CI, 1.05 to 7.43) at 2 years post-HCT compared with no history of GVHD, diagnosis of inherited abnormalities of erythrocyte function compared with diagnosis of acute myelogenous leukemia (HR, 2.30; 95% CI, 1.19 to 4.42), and age >10 years (HR, 1.92; 95% CI, 1.15 to 3.2). This study emphasizes the importance of continued vigilance for late infections after HCT and institution of support strategies aimed at decreasing the risk of cGVHD.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteAdolescentAdultAgedAge FactorsAllograftsChildChild, PreschoolChronic DiseaseFemaleHumansImmunosuppression TherapyIncidenceInfantInfant, NewbornAdultsHematopoietic cell transplantationInfectionLate fatal infectionPediatrics

Identifiers

PMID30287390
PMCPMC6339825
OpenAlexW2894916704

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.