Evidence map›Paper›PMID 31091521›Full record

ArticleActa haematologica2019

Current Treatment Patterns of Aplastic Anemia in China: A Prospective Cohort Registry Study.

Xiao-Fan Zhu, Hai-Long He, Shun-Qing Wang, Jing-Yan Tang, Bing Han, Dong-Hua Zhang, Li-Qiang Wu, De-Pei Wu, Wei Li, Ling-Hui Xia and 12 more

Open access · hybridAbstract read
In one paragraph

Article in Acta haematologica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 8% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Guideline
  2. Trial
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  12. Effect of Stanozolol combined with Cyclosporine A on aplastic anemia.American journal of translational research · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Levamisole Suppresses CD4Frontiers in immunology · 2022
    Article
  20. Review
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

22 authors at 20 institutions in 1 country.

Xiao-Fan ZhuCenter for Pediatric Blood Disease, State Key Laboratory of Experimental Hematology, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Tianjin, China.
Hai-Long HeDepartment of Hematology and Oncology, Soochow University Affiliated Children's Hospital, Suzhou, China.
Shun-Qing WangDepartment of Hematology, Guangzhou First People's Hospital, Guangzhou Medical University, Guangzhou, China.
Jing-Yan TangDepartment of Hematology and Oncology, Shanghai Children's Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Bing HanDepartment of Hematology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.
Dong-Hua ZhangDepartment of Hematology, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology, Wuhan, China.
Li-Qiang WuDepartment of Hematology, Zhejiang Provincial Hospital of Traditional Chinese Medicine, Hangzhou, China.
De-Pei WuDepartment of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Wei LiDepartment of Hematology, The First Hospital of Jilin University, Changchun, China.
Ling-Hui XiaDepartment of Hematology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Huan-Ling ZhuDepartment of Hematology, West China Hospital, Sichuan University, Chengdu, China.
Feng LiuDepartment of Hematology, Xiyuan Hospital, Chinese Academy of Chinese Medicine Sciences, Beijing, China.
Hong-Xia ShiPeking University People's Hospital, Peking University Institute of Hematology, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Beijing, China.
Xi ZhangDepartment of Hematology, Xinqiao Hospital, Third Military Medical University, Chongqing, China.
Fang ZhouDepartment of Hematology, Jinan Military General Hospital, Jinan, China.
Jian-Da HuDepartment of Hematology, Fujian Institute of Hematology, Fujian Provincial Key Laboratory on Hematology, Fujian Medical University Union Hospital, Fuzhou, China.
Jian-Pei FangDepartment of Pediatric Hematology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China.
Xie-Qun ChenDepartment of Hematology, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Tie-Zhen YeDepartment of Pediatric Hematology, Guangzhou Women and Children's Medical Center, Guangzhou, China.
Ying-Min LiangDepartment of Hematology, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Jie JinDepartment of Hematology, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Feng-Kui ZhangDepartment of Anemia Therapeutic Centre, Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Tianjin, China, zhfk@hotmail.com.
Guangzhou Medical University · CNInstitute of Hematology & Blood Diseases Hospital · CNAir Force Medical University · CNArmy Medical University · CNFirst Affiliated Hospital of Soochow University · CNJilin University · CNJinan Military General Hospital · CNPeking Union Medical College Hospital · CNPeking University · CNShanghai Children's Medical Center · CNSichuan University · CNSoochow University · CNSun Yat-sen Memorial Hospital · CNTongji Hospital · CNUnion Hospital · CNUnion Hospital · CNXijing Hospital · CNXiyuan Hospital · CNZhejiang Provincial Hospital of TCM · CNZhejiang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aplastic anemia (AA) is a hematologic disease characterized by pancytopenia and hypocellular bone marrow, potentially leading to chronic anemia, hemorrhage, and infection. The China Aplastic Anemia Committee and British Committee for Standards in Haematology guidelines recommend hematopoietic stem-cell transplantation (HSCT) or immunosuppressive therapy (IST) comprising antithymocyte globulin (ATG) with cyclosporine (CsA) as initial treatment for AA patients. With limited epidemiological data on the clinical management of AA in Asia, a prospective cohort registry study involving 22 AA treatment centers in China was conducted to describe the disease characteristics of newly diagnosed AA patients and investigate real-world treatment patterns and patient outcomes. Of 340 AA patients, 72.9, 12.6, and 3.5% were receiving IST, traditional Chinese medicine, and HSCT, respectively, at baseline; only 22.2% of IST-treated patients received guideline-recommended ATG with CsA initially. Almost all patients received supportive care (95.6%) as blood transfusion (97.8%), antibiotics (63.7%), and/or hematopoietic growth factors (58.2%). Overall, 64.8% achieved a partial or complete response, and 0.9% experienced relapse. No new safety concerns were identified; serious adverse events were largely unrelated to the treatment regimen. These results demonstrate the need to identify and minimize treatment barriers to standardize and align AA management in China with treatment guideline recommendations and further improve patient outcomes.

Indexed as

Anemia, AplasticHematopoietic Stem Cell TransplantationImmunosuppression TherapyMedicine, Chinese TraditionalRegistriesAdolescentAdultAgedAged, 80 and overAllograftsAntilymphocyte SerumChildChild, PreschoolChinaCyclosporineDisease-Free SurvivalAntilymphocyte SerumCyclosporineAplastic anemiaChinaRegistryTreatment

Identifiers

PMID31091521
PMCPMC6878741
OpenAlexW2946533487

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.