Evidence map›Paper›PMID 31160806›Full record

ArticleBone marrow transplantation2019

Use of busulfan in conditioning for allogeneic hematopoietic stem cell transplantation in adults: a survey by the Transplant Complications Working Party of the EBMT.

Tapani Ruutu, Steffie van der Werf, Anja van Biezen, Janne T Backman, Christophe Peczynski, Nicolaus Kröger, Mohamad Mohty, Arnon Nagler, Silvia Montoto, Claudia Langebrake and 5 more

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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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Frontiers in pharmacology · 2020
    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

15 authors.

Tapani RuutuClinical Research Institute, Helsinki University Hospital, Helsinki, Finland. tapani.ruutu@hus.fi.
Steffie van der WerfEBMT Data Office Leiden, Department of Medical Statistics and Bioinformatics, Leiden University Medical Center, Leiden, The Netherlands.
Anja van BiezenEBMT Data Office Leiden, Department of Medical Statistics and Bioinformatics, Leiden University Medical Center, Leiden, The Netherlands.
Janne T BackmanDepartment of Clinical Pharmacology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Christophe PeczynskiEBMT Paris Study Office/ CEREST-TC, Hôpital Saint Antoine, Paris, France.
Nicolaus KrögerDepartment of Stem Cell Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Mohamad MohtyDepartment of Hematology, Hopital Saint-Antoine, Sorbonne Université, and INSERM UMRs 938, Paris, France.
Arnon NaglerHematology Division, Chaim Sheba Medical Center, and EBMT Acute Leukemia Working Party, Tel-Hashomer, Israel.
Silvia MontotoEBMT Lymphoma Working Party and St. Bartholomew's Hospital, Barts Health NHS Trust, London, UK.
Claudia LangebrakeDepartment of Stem Cell Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Dietger NiederwieserDepartment of Hematology/ Oncology and Hemostasiology, University of Leipzig, and European LeukemiaNet Stem Cell Transplantation Work Package, Leipzig, Germany.ORCID http://orcid.org/0000-0002-4737-1103
Zinaida PericDepartment of Hematology, University Hospital Centre Zagreb and School of Medicine, University of Zagreb, Zagreb, Croatia.
Christian KoeneckeClinic for Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.ORCID http://orcid.org/0000-0001-7025-1735
Rafael F DuarteHospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.
Grzegorz BasakDepartment of Hematology, Oncology and Internal Medicine, Medical University of Warsaw, Warsaw, Poland.ORCID http://orcid.org/0000-0003-3858-8180

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A survey was carried out among EBMT centers about the use of busulfan for conditioning in allogeneic stem cell transplantation. Of 109 responding centers, 106 used busulfan for conditioning, 102 in conventional myeloablative doses, and 93 in reduced doses (RIC). The route of administration was mostly intravenous, but ~10% of the centers gave the drug orally. The number of doses in i.v. administration varied and was in myeloablative conditioning mostly one (50 centers) or four (43 centers) doses a day. Seventeen of the 106 centers used pharmacokinetics for dose adjustment in myeloablative conditioning, nine in RIC. The details of pharmacokinetic monitoring varied markedly. Three quarters of the centers reported adjusting the dose based on obesity in myeloablative conditioning and about 60% in RIC. The most common method for dose calculation was ideal body weight + 0.25 × (actual body weight - ideal body weight). In conclusion, the present survey showed marked heterogeneity in the current practices of busulfan administration for conditioning. The impact of the heterogeneity is not well known. Due to this and the scarcity of support from controlled clinical studies, no clear guidelines can be presented, but some prevailing policies to be recommended were identified.

Indexed as

Alkylating AgentsBusulfanFemaleHematopoietic Stem Cell TransplantationHumansMaleSurveys and QuestionnairesTransplantation ConditioningTransplantation, HomologousAlkylating AgentsBusulfan

Identifiers

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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.