Evidence map›Paper›PMID 30670822›Full record

ArticleBone marrow transplantation2019

Prognosis of relapse after hematopoietic cell transplant (HCT) for treatment of leukemia or myelodysplastic syndrome (MDS) in children.

Ann Dahlberg, Wendy Leisenring, Marie Bleakley, Soheil Meshinchi, K Scott Baker, Corinne Summers, Brandon Hadland, Colleen Delaney, Kanwaldeep Mallhi, Lauri Burroughs and 2 more

Abstract read
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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

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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.

Ann DahlbergFred Hutchinson Cancer Research Center and University of Washington, Seattle, WA, USA. adahlber@fredhutch.org.
Wendy LeisenringFred Hutchinson Cancer Research Center and University of Washington, Seattle, WA, USA.
Marie BleakleyFred Hutchinson Cancer Research Center and University of Washington, Seattle, WA, USA.
Soheil MeshinchiFred Hutchinson Cancer Research Center and University of Washington, Seattle, WA, USA.
K Scott BakerFred Hutchinson Cancer Research Center and University of Washington, Seattle, WA, USA.
Corinne SummersFred Hutchinson Cancer Research Center and University of Washington, Seattle, WA, USA.
Brandon HadlandFred Hutchinson Cancer Research Center and University of Washington, Seattle, WA, USA.
Colleen DelaneyFred Hutchinson Cancer Research Center and University of Washington, Seattle, WA, USA.
Kanwaldeep MallhiFred Hutchinson Cancer Research Center and University of Washington, Seattle, WA, USA.
Lauri BurroughsFred Hutchinson Cancer Research Center and University of Washington, Seattle, WA, USA.
Paul CarpenterFred Hutchinson Cancer Research Center and University of Washington, Seattle, WA, USA.
Ann WoolfreyFred Hutchinson Cancer Research Center and University of Washington, Seattle, WA, USA.

Funding

UNRELATED AND HLA-MISMATCHED RELATED DONOR TRANSPLANTSP01HL036444 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI KIEM, HANS-PETER · 1986 to 2010
$25.9M
Project 3: Gene Therapy for Correction of Blood DisordersP01HL122173 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI KIEM, HANS-PETER · 2015 to 2019
$12.9M
CTRIP:Notch-Mediated Expansion of Cord Blood Progenitors for Cord Blood TransplanRC2HL101844 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI DELANEY, COLLEEN · 2009 to 2010
$3.5M
Naive T cell depletion to prevent graft-versus-host diseaseR01HL121568 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI BLEAKLEY, MARIE, RIDDELL, STANLEY R. · 2014 to 2018
$2.7M
Ex Vivo Expansion of Cord Blood Progenitor CellsK23HL077446 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI DELANEY, COLLEEN · 2004 to 2008
$641k
NHLBI NIH HHS K23 HL077446NHLBI NIH HHS P01 HL036444NHLBI NIH HHS P01 HL122173NHLBI NIH HHS R01 HL121568NHLBI NIH HHS RC2 HL101844
6 · The paper itself

Abstract

We studied 232 consecutive children transplanted between 1990 and 2011 with relapse after first hematopoietic cell transplant (HCT). Kaplan-Meier survival and hazard ratios for mortality were calculated for factors known at time of relapse using Cox proportional hazards models. The median (range) age at time of first HCT was 10.9 (0.5-20.9) years, time to relapse was 6.1 (0.2-89.5) months after HCT, and age at relapse was 11.7 (0.7-23.6) years. The 3-year overall survival (OS) after relapse was 13% (95% confidence interval (CI): 9%, 18%).The median (range) follow-up for the 18 surviving patients was 7.2 (3.0-24.4) years after relapse. The remaining 214 died after a median of 3 months (0.02-190.4). OS was not significantly different for patients with ALL as compared to AML. Fifty-one patients proceeded to second transplant of whom nine survive. Factors associated with improved survival included late relapse (>12 months), ALL in first CR at the time of first transplant and chemotherapy-based first conditioning regimens. These results can be used to counsel patients at the time of relapse after first transplant and as a baseline for comparison as to the effectiveness of newer therapies which are greatly needed for treatment of post-transplant relapse.

Indexed as

ChildFemaleHematopoietic Stem Cell TransplantationHumansLeukemia, Myeloid, AcuteMaleMyelodysplastic SyndromesPrognosisRecurrenceSurvival AnalysisTransplantation Conditioning

Identifiers

PMID30670822
PMCPMC6646113

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.