Evidence map›Paper›PMID 30952678›Full record

ArticleBlood advances2019

The influence of stem cell source on transplant outcomes for pediatric patients with acute myeloid leukemia.

Amy K Keating, Jurgen Langenhorst, John E Wagner, Kristin M Page, Paul Veys, Robert F Wynn, Heather Stefanski, Reem Elfeky, Roger Giller, Richard Mitchell and 7 more

Erratum issuedAbstract readMulticenter Study
In one paragraph

Article in Blood advances, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Cryopreservation and Thawing ofJournal of hematology · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Amy K KeatingBlood and Marrow Transplantation, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO.ORCID 0000-0002-4187-8456
Jurgen LangenhorstLaboratory of Translational Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.
John E WagnerBlood and Marrow Transplantation, Department of Pediatrics, University of Minnesota, Minneapolis, MN.
Kristin M PagePediatric Blood and Marrow Transplant Division, Duke University Medical Center, Durham, NC.
Paul VeysInstitute of Child Health, Great Ormond Street Hospital for Children, London, United Kingdom.
Robert F WynnDepartment of Blood and Marrow Transplant, Royal Manchester Children's Hospital, Manchester, United Kingdom.
Heather StefanskiBlood and Marrow Transplantation, Department of Pediatrics, University of Minnesota, Minneapolis, MN.
Reem ElfekyInstitute of Child Health, Great Ormond Street Hospital for Children, London, United Kingdom.
Roger GillerBlood and Marrow Transplantation, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO.
Richard MitchellBlood and Marrow Transplant Program, Kids Cancer Centre, Sydney Children's Hospital, Randwick, Australia.
Filippo MilanoClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Tracey A O'BrienBlood and Marrow Transplant Program, Kids Cancer Centre, Sydney Children's Hospital, Randwick, Australia.
Ann DahlbergClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Colleen DelaneyClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Joanne KurtzbergPediatric Blood and Marrow Transplant Division, Duke University Medical Center, Durham, NC.
Michael R VernerisBlood and Marrow Transplantation, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO.
Jaap Jan BoelensLaboratory of Translational Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0003-2232-6952

Funding

Trial Design and Biostatistical Support CoreP01CA065493 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Mark J Osborn · 1995 to 2026
$48.2M
NCI NIH HHS P01 CA065493
6 · The paper itself

Abstract

When hematopoietic stem cell transplant (HSCT) is necessary for children with acute myeloid leukemia (AML), there remains debate about the best stem cell source. Post-HSCT relapse is a common cause of mortality, and complications such as chronic graft versus host disease (cGVHD) are debilitating and life-threatening. To compare post-HSCT outcomes of different donor sources, we retrospectively analyzed consecutive transplants performed in several international centers from 2005 to 2015. A total of 317 patients were studied: 19% matched sibling donor (MSD), 23% matched unrelated donor (MUD), 39% umbilical cord blood (UCB), and 19% double UCB (dUCB) recipients. The median age at transplant was 10 years (range, 0.42-21 years), and median follow-up was 4.74 years (range, 4.02-5.39 years). Comparisons were made while controlling for patient, transplant, and disease characteristics. There were no differences in relapse, leukemia-free survival, or nonrelapse mortality. dUCB recipients had inferior survival compared with matched sibling recipients, but all other comparisons showed similar overall survival. Despite the majority of UCB transplants being HLA mismatched, the rates of cGVHD were low, especially compared with the well-matched MUD recipients (hazard ratio, 0.3; 95% confidence interval, 0.14-0.67;

Indexed as

Tissue DonorsAdolescentChildChild, PreschoolCord Blood Stem Cell TransplantationFemaleGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHistocompatibilityHumansInfantLeukemia, Myeloid, AcuteMalePediatricsQuality of LifeRetrospective Studies

Identifiers

PMID30952678
PMCPMC6457227

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.