Evidence map›Paper›PMID 31284515›Full record

ArticleViruses2019

Hepatitis E and Allogeneic Hematopoietic Stem Cell Transplantation: A French Nationwide SFGM-TC Retrospective Study.

Aliénor Xhaard, Anne-Marie Roque-Afonso, Vincent Mallet, Patricia Ribaud, Stéphanie Nguyen-Quoc, Pierre-Simon Rohrlich, Reza Tabrizi, Johanna Konopacki, Séverine Lissandre, Florence Abravanel and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Viruses, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. [Consensus on prevention and treatment of hepatitis E].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2022
    Article
  5. Observational
  6. 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

12 authors.

Aliénor XhaardService d'hématologie-greffe, Hôpital Saint-Louis, Université Paris-Diderot, 75010 Paris, France. alienor.xhaard@aphp.fr.
Anne-Marie Roque-AfonsoService de virologie, Hôpital Paul-Brousse, 94804 Villejuif, France.
Vincent MalletService d'hépatologie, Hôpital Cochin, Université Paris Descartes, INSERM U1223, Institut Pasteur, 75014 Paris, France.
Patricia RibaudService d'hématologie-greffe, Hôpital Saint-Louis, Université Paris-Diderot, 75010 Paris, France.
Stéphanie Nguyen-QuocService d'hématologie, Hôpital La Pitié-Salpêtrière, 75013 Paris, France.
Pierre-Simon RohrlichService d'hématologie, Centre Hospitalier Universitaire, 06000 Nice, France.
Reza TabriziService d'hématologie, CHU Bordeaux, 33600 Pessac, France.
Johanna KonopackiService d'hématologie, Hôpital Percy, 92140 Clamart, France.
Séverine LissandreService d'hématologie, CHU, 37000 Tours, France.
Florence AbravanelLaboratoire de virologie et CNR hépatite E, CHU, 31000 Toulouse, France.
Régis Peffault de LatourService d'hématologie-greffe, Hôpital Saint-Louis, Université Paris-Diderot, 75010 Paris, France.
Anne HuynhService d'hématologie, CHU, 31000 Toulouse, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Usually self-limited, hepatitis E virus (HEV) infection may evolve to chronicity and cirrhosis in immunosuppressed patients. HEV infection has been described in solid-organ transplantation and hematology patients, but for allogeneic hematopoietic stem cell transplant (alloHSCT) recipients, only small cohorts are available. This retrospective nationwide multi-center series aimed to describe HEV diagnostic practices in alloHSCT French centers, and the course of infection in the context of alloHSCT. Twenty-nine out of 37 centers participated. HEV search in case of liver function tests (LFT) abnormalities was never performed in 24% of centers, occasionally in 55%, and systematically in 21%. Twenty-five cases of active HEV infection were diagnosed in seven centers, all because of LFT abnormalities, by blood nucleic acid testing. HEV infection was diagnosed in three patients before alloHSCT; HEV infection did not influence transplantation planning, and resolved spontaneously before or after alloHSCT. Twenty-two patients were diagnosed a median of 283 days after alloHSCT. Nine patients (41%) had spontaneous viral clearance, mostly after immunosuppressive treatment decrease. Thirteen patients (59%) received ribavirin, with sustained viral clearance in 11/12 evaluable patients. We observed three HEV recurrences but no HEV-related death or liver failure, nor evolution to cirrhosis.

Indexed as

Hematopoietic Stem Cell TransplantationAdultAgedFemaleFranceHepatitis EHepatitis E virusHumansImmunosuppressive AgentsLiverMaleMiddle AgedRetrospective StudiesRibavirinTreatment OutcomeYoung AdultImmunosuppressive AgentsRibavirinallogeneic hematopoietic stem transplantationhepatitis E

Identifiers

PMID31284515
PMCPMC6669459

What OpenQuestion holds

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LicenceCC BY
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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.