Evidence map›Paper›PMID 31114441›Full record

ArticleCentral-European journal of immunology2019

Higher response rates in patients with severe chronic skin graft-versus-host disease treated with extracorporeal photopheresis.

Gabriel Afram, Emma Watz, Mats Remberger, Ulla Axdorph Nygell, Mikael Sundin, Hans Hägglund, Jonas Mattsson, Michael Uhlin

Open access · goldAbstract read
In one paragraph

Article in Central-European journal of immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Article
  4. Review
  5. Article
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

8 authors at 3 institutions in 1 country.

Gabriel AframHematology Centre, Karolinska University Laboratory, Stockholm, Sweden.
Emma WatzDepartment of Clinical Immunology and Transfusion Medicine, Karolinska University Laboratory, Stockholm, Sweden.
Mats RembergerCentre for Allogeneic Stem Cell Transplantation, Karolinska University Hospital, Stockholm, Sweden.
Ulla Axdorph NygellHematology Centre, Karolinska University Laboratory, Stockholm, Sweden.
Mikael SundinHematology/Immunology/SCT Section, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden.
Hans HägglundDepartment of Hematology, Uppsala University Hospital, Uppsala, Sweden.
Jonas MattssonCentre for Allogeneic Stem Cell Transplantation, Karolinska University Hospital, Stockholm, Sweden.
Michael UhlinDepartment of Clinical Immunology and Transfusion Medicine, Karolinska University Laboratory, Stockholm, Sweden.
Karolinska Institutet · SEKarolinska University Hospital · SEUppsala University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDifferent forms of graft-versus-host disease (GVHD) remain a major cause of morbidity and mortality after allogeneic hematopoietic stem cell transplantation (HSCT). The prognosis for steroid-refractory chronic GVHD (cGVHD) remains poor. Our aim was to evaluate extracorporeal photopheresis (ECP) treatment in cGVHD patients with different organ involvement to detect subgroups of patients with the best response. MATERIAL AND

methodsThirty-four patients who underwent HSCT and developed moderate (n = 7) or severe (n = 27) steroid-refractory or steroid-dependent cGVHD treated with ECP were included in the analysis. A matched cGVHD control patient group untreated with ECP was collected for comparison.

resultsCompared to the control group and the stable/progressive disease (SD/PD) patients, individuals with complete/partial remission have higher overall survival and lower transplant-related mortality. Furthermore, patients with complete and partial remission (CR/PR) had significantly higher levels of albumin and platelets after ECP treatment compared to patients with stable or progressive cGVHD (SD/PD). Corticosteroid treatment and other immunosuppressive agents could successfully be tapered in the CR/PR group compared to the SD/PD patients. In this study patients with skin cGVHD are those with the highest rate of CR/PR after ECP treatment.

conclusionsOur results suggest that ECP treatment is safe and effective for patients with predominantly skin, oral and liver cGVHD.

Indexed as

cGVHDECPtreatment

Identifiers

PMID31114441
PMCPMC6526584
OpenAlexW2936863130

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.