Evidence map›Paper›PMID 30933024›Full record

ArticleJournal of pediatric hematology/oncology2019

Role of Initiating Supportive Care Preceding Veno-occlusive Disease Diagnosis Following Allogeneic Hematopoietic Stem Cell Transplantation in Children.

Patricia Rayner, Jessica L Spruit, Roland Chu, Maxim Yankelevich, Meret Henry, Yaddanapudi Ravindranath, Süreyya Savaşan

Open access · greenAbstract read
In one paragraph

Article in Journal of pediatric hematology/oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 33% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
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

7 authors at 2 institutions in 1 country.

Patricia RaynerPediatric Blood and Marrow Transplantation Program, Division of Hematology/Oncology, Children's Hospital of Michigan.
Jessica L SpruitPediatric Blood and Marrow Transplantation Program, Division of Hematology/Oncology, Children's Hospital of Michigan.
Roland ChuPediatric Blood and Marrow Transplantation Program, Division of Hematology/Oncology, Children's Hospital of Michigan.
Maxim YankelevichPediatric Blood and Marrow Transplantation Program, Division of Hematology/Oncology, Children's Hospital of Michigan.
Meret HenryPediatric Blood and Marrow Transplantation Program, Division of Hematology/Oncology, Children's Hospital of Michigan.
Yaddanapudi RavindranathPediatric Blood and Marrow Transplantation Program, Division of Hematology/Oncology, Children's Hospital of Michigan.
Süreyya SavaşanPediatric Blood and Marrow Transplantation Program, Division of Hematology/Oncology, Children's Hospital of Michigan.
Children's Hospital of Michigan · USThe Barbara Ann Karmanos Cancer Institute · US

Funding

Tumor Biology and Microenvironment (Program 1)P30CA022453 · NCI · WAYNE STATE UNIVERSITY · PI Jennifer L Beebe-Dimmer · 1985 to 2026
$68.4M
NCI NIH HHS P30 CA022453
6 · The paper itself

Abstract

Severe veno-occlusive disease (VOD) following hematopoietic stem cell transplantation has a high mortality rate. The clinical course of VOD, role of preemptive and aggressive supportive care, and outcomes were investigated in a retrospective study from 2007 to 2014. Defibrotide was not available in all but one case with VOD at our center during the study. Forty-nine allogeneic transplants with intravenous busulfan-based or total body irradiation-based myeloablative conditioning were included. The median after hematopoietic stem cell transplantation day for suspicion of developing VOD (pre-VOD phase) was 6 due to weight gain, hepatomegaly, and/or mild increase in total bilirubin without fulfilling the modified Seattle criteria in 22 cases (45%). Despite fluid restriction, aggressive diuresis, and fresh frozen plasma infusions, 16 patients (33%) developed VOD by +10 days. Five cases (31%) had severe, 9 (56%) moderate, and 2 (13%) mild VOD. Eight cases (50%) required transfer to intensive care. One patient was given defibrotide, which was later discontinued due to concerns of adverse effects. Day +100 survival was 100% with complete resolution of VOD. Preemptive and aggressive supportive care could help achieve favorable outcomes in VOD and may have ameliorated the severity. This approach may be combined with other measures in the prevention/treatment of VOD.

Indexed as

AdolescentAdultChildChild, PreschoolFemaleFollow-Up StudiesHematologic DiseasesHematopoietic Stem Cell TransplantationHepatic Veno-Occlusive DiseaseHumansInfantMaleMyeloablative AgonistsPalliative CarePrognosisRetrospective StudiesMyeloablative Agonists

Identifiers

PMID30933024
PMCPMC6855181
OpenAlexW2930325449

What OpenQuestion holds

Textmetadata
LicenceTDM
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.