Evidence map›Paper›PMID 31171638›Full record

ArticleHaematologica2020

Impact of red blood cell transfusion dose density on progression-free survival in patients with lower-risk myelodysplastic syndromes.

Louise de Swart, Simon Crouch, Marlijn Hoeks, Alex Smith, Saskia Langemeijer, Pierre Fenaux, Argiris Symeonidis, Jaroslav Cermâk, Eva Hellström-Lindberg, Reinhard Stauder and 20 more

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
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  7. Article
  8. Review
  9. Article
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  11. Updates in low/intermediate-risk MDS.Hematology. American Society of Hematology. Education Program · 2025
    Review
  12. Article
  13. Article
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  16. Article
  17. Article
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  19. Review
  20. Treatment of Anemia in Lower-Risk Myelodysplastic Syndrome.Current treatment options in oncology · 2024
    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

30 authors at 20 institutions in 17 countries.

Louise de SwartDepartment of Hematology, Radboud University Medical Center, Nijmegen, the Netherlands.
Simon CrouchEpidemiology and Cancer Statistics Group, Department of Health Sciences, University of York, York, UK.
Marlijn HoeksDepartment of Hematology, Radboud University Medical Center, Nijmegen, the Netherlands.
Alex SmithEpidemiology and Cancer Statistics Group, Department of Health Sciences, University of York, York, UK.
Saskia LangemeijerDepartment of Hematology, Radboud University Medical Center, Nijmegen, the Netherlands.
Pierre FenauxService d'Hématologie, Hôpital Saint-Louis, Assistance Publique des Hôpitaux de Paris and Université Paris 7, Paris, France.
Argiris SymeonidisDepartment of Medicine, Division of Hematology, University of Patras Medical School, Patras, Greece.
Jaroslav CermâkDepartment of Clinical Hematology, Institute of Hematology & Blood Transfusion, Praha, Czech Republic.
Eva Hellström-LindbergDepartment of Medicine, Division of Hematology, Karolinska Institutet, Stockholm, Sweden.
Reinhard StauderDepartment of Internal Medicine V (Hematology and Oncology), Innsbruck Medical University, Innsbruck, Austria.
Guillermo SanzDepartment of Hematology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Moshe MittelmanDepartment of Medicine A, Tel Aviv Sourasky (Ichilov) Medical Center and Sackler Medical Faculty, Tel Aviv University, Tel Aviv, Israel.
Mette Skov HolmDepartment of Hematology, Aarhus University Hospital, Aarhus, Denmark.
Luca MalcovatiDepartment of Hematology Oncology, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy.
Krzysztof MądryDepartment of Hematology, Oncology and Internal Medicine, Warsaw Medical University, Warsaw, Poland.
Ulrich GermingDepartment of Hematology, Oncology and Clinical Immunology, Universitatsklinik Düsseldorf, Düsseldorf, Germany.
Aurelia TaticCenter of Hematology and Bone Marrow Transplantation, Fundeni Clinical Institute, Bucharest, Romania.
Aleksandar SavicClinic of Hematology - Clinical Center of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.
Antonio Medina AlmeidaDepartment of Clinical Hematology, Hospital da Luz, Lisbon, Portugal.
Njetocka Gredelj-SimecDepartment of Internal Medicine, Division of Hematology, Merkur University Hospital, Zagreb, Croatia.
Agnes Guerci-BreslerService d'Hématologie, Centre Hospitalier Universitaire (CHU) Brabois Vandoeuvre, Nancy, France.
Odile Beyne-RauzyService de Médecine Interne, IUCT-Oncopole, CHU Toulouse, Toulouse, France.
Dominic CulliganDepartment of Haematology, Aberdeen Royal Infirmary, Aberdeen, UK.
Ioannis KotsianidisDepartment of Hematology, Democritus University of Thrace Medical School, University Hospital of Alexandroupolis, Alexandroupolis, Greece.
Raphael ItzyksonService d'Hématologie, Hôpital Saint-Louis, Assistance Publique des Hôpitaux de Paris and Université Paris 7, Paris, France.
Corine van MarrewijkDepartment of Hematology, Radboud University Medical Center, Nijmegen, the Netherlands.
Nicole BlijlevensDepartment of Hematology, Radboud University Medical Center, Nijmegen, the Netherlands.
David BowenSt. James's Institute of Oncology, Leeds Teaching Hospitals, Leeds, UK.
Theo de WitteDepartment of Tumor Immunology - Nijmegen Center for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, the Netherlands theo.dewitte@radboudumc.nl.
EUMDS Registry Participants
Radboud University Medical Center · NLRadboud University Nijmegen · NLHôpital Saint-Louis · FRUniversity of York · GBAarhus University Hospital · DKAberdeen Royal Infirmary · GBCentre Hospitalier Régional et Universitaire de Nancy · FRDemocritus University of Thrace · GRDüsseldorf University Hospital · DEHospital da Luz · PTHospital Universitari i Politècnic La Fe · ESInnsbruck Medical University · ATInstitute of Haematology and Blood Transfusion · CZInstitutul Clinic Fundeni · ROInstitut universitaire du cancer de Toulouse Oncopole · FRKarolinska Institutet · SEKlinička bolnica Merkur · HRLeeds Teaching Hospitals NHS Trust · GBMedical University of Warsaw · PLTel Aviv Sourasky Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Progression-free survival (PFS) of patients with lower-risk myelodysplastic syndromes (MDS) treated with red blood cell transfusions is usually reduced, but it is unclear whether transfusion dose density is an independent prognostic factor. The European MDS Registry collects prospective data at 6-monthly intervals from newly diagnosed lower-risk myelodysplastic syndromes patients in 16 European countries and Israel. Data on the transfusion dose density - the cumulative dose received at the end of each interval divided by the time since the beginning of the interval in which the first transfusion was received - were analyzed using proportional hazards regression with time-varying co-variates, with death and progression to higher-risk MDS/acute myeloid leukemia as events. Of the 1,267 patients included in the analyses, 317 died without progression; in 162 patients the disease had progressed. PFS was significantly associated with age, EQ-5D index, baseline World Health Organization classification, bone marrow blast count, cytogenetic risk category, number of cytopenias, and country. Transfusion dose density was inversely associated with PFS (

Indexed as

Myelodysplastic SyndromesErythrocyte TransfusionEuropeHumansIsraelProgression-Free SurvivalProspective Studies

Identifiers

PMID31171638
PMCPMC7049377
OpenAlexW2955181599

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.