Evidence map›Paper›PMID 31321454›Full record

ArticleAnnals of hematology2019

Age-dependent determinants of infectious complications profile in children and adults after hematopoietic cell transplantation: lesson from the nationwide study.

Krzysztof Czyżewski, Jan Styczyński, Sebastian Giebel, Jowita Frączkiewicz, Małgorzata Salamonowicz, Olga Zając-Spychala, Agnieszka Zaucha-Prażmo, Joanna Drozd-Sokołowska, Anna Waszczuk-Gajda, Jarosław Dybko and 22 more

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in Annals of hematology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

  1. Pooled it
  2. Imaging the efficacy and side effects of CAR T-cell therapy in children and young adults.Cancer imaging : the official publication of the International Cancer Imaging Society · 2026
    Review
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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

32 authors.

Krzysztof CzyżewskiDepartment of Pediatric Hematology and Oncology, Collegium Medicum, Nicolaus Copernicus University Torun, ul. Sklodowskiej-Curie 9, 85-094, Bydgoszcz, Poland.
Jan StyczyńskiDepartment of Pediatric Hematology and Oncology, Collegium Medicum, Nicolaus Copernicus University Torun, ul. Sklodowskiej-Curie 9, 85-094, Bydgoszcz, Poland. jstyczynski@cm.umk.pl.ORCID http://orcid.org/0000-0002-3158-119X
Sebastian GiebelDepartment of Hematology, Cancer Center and Institute of Oncology, Gliwice, Poland.
Jowita FrączkiewiczDepartment of Pediatric Transplantology, Hematology and Oncology, Medical University, Wroclaw, Poland.
Małgorzata SalamonowiczDepartment of Pediatric Transplantology, Hematology and Oncology, Medical University, Wroclaw, Poland.
Olga Zając-SpychalaDepartment of Pediatric Hematology, Oncology and Transplantology, Medical University, Poznan, Poland.
Agnieszka Zaucha-PrażmoDepartment of Pediatric Hematology, Oncology and Transplantology, Medical University, Lublin, Poland.
Joanna Drozd-SokołowskaDepartment of Hematology, Medical University, Warsaw, Poland.
Anna Waszczuk-GajdaDepartment of Hematology, Medical University, Warsaw, Poland.
Jarosław DybkoDepartment of Hematology, Medical University, Wroclaw, Poland.
Joanna MańkoDepartment of Hematology, Medical University, Lublin, Poland.
Patrycja Zalas-WięcekDepartment of Microbiology, Collegium Medicum, Nicolaus Copernicus University Torun, Bydgoszcz, Poland.
Przemysław GałązkaDepartment of Pediatric Surgery, Collegium Medicum, Nicolaus Copernicus University Torun, Bydgoszcz, Poland.
Mariusz WysockiDepartment of Pediatric Hematology and Oncology, Collegium Medicum, Nicolaus Copernicus University Torun, ul. Sklodowskiej-Curie 9, 85-094, Bydgoszcz, Poland.
Jerzy KowalczykDepartment of Pediatric Hematology, Oncology and Transplantology, Medical University, Lublin, Poland.
Jacek WachowiakDepartment of Pediatric Hematology, Oncology and Transplantology, Medical University, Poznan, Poland.
Jolanta GoździkDepartment of Pediatric Transplantology, Clinical Immunology and Transplantology, Collegium Medicum, Jagiellonian University, Krakow, Poland.
Grzegorz W BasakDepartment of Hematology, Medical University, Warsaw, Poland.
Krzysztof KałwakDepartment of Pediatric Transplantology, Hematology and Oncology, Medical University, Wroclaw, Poland.
Monika AdamskaDepartment of Hematology, Poznan University of Medical Sciences, Poznan, Poland.
Marek HusDepartment of Hematology, Medical University, Lublin, Poland.
Agnieszka PiekarskaDepartment of Hematology, Medical University, Gdansk, Poland.
Alicja Sadowska-KlasaDepartment of Hematology, Medical University, Gdansk, Poland.
Patrycja Mensah-GlanowskaDepartment of Hematology, Collegium Medicum, Jagiellonian University, Krakow, Poland.
Sławomira Kyrcz-KrzemieńDepartment of Hematology, Medical University of Silesia, Katowice, Poland.
Monika BiernatDepartment of Hematology, Medical University, Wroclaw, Poland.
Agnieszka WierzbowskaDepartment of Hematology, Medical University, Lodz, Poland.
Piotr RzepeckiDepartment of Hematology, Military Institute of Medicine, Warsaw, Poland.
Agnieszka TomaszewskaDepartment of Hematology, Medical University, Warsaw, Poland.
Kazimierz HałaburdaDepartment of Hematology, Institute of Hematology and Transfusion Medicine, Warsaw, Poland.
Lidia GilDepartment of Hematology, Poznan University of Medical Sciences, Poznan, Poland.
for Polish Society of Pediatric Oncology and Hematology and Polish Society of Hematology and Blood Transfusion

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Incidence and outcome of microbiologically documented bacterial/viral infections and invasive fungal disease (IFD) in children and adults after hematopoietic cell transplantation (HCT) were compared in 650 children and 3200 adults in multicenter cross-sectional nationwide study. Infections were diagnosed in 60.8% children and 35.0% adults, including respectively 69.1% and 63.5% allo-HCT, and 33.1% and 20.8% auto-HCT patients. The incidence of bacterial infections was higher in children (36.0% vs 27.6%; p < 0.0001). Infections with Gram-negative bacteria were more frequent than Gram-positives in adults (64.6% vs 44.8%; p < 0.0001). Outcome of bacterial infections was better in children (95.5% vs 91.4%; p = 0.0011). The IFD incidence (25.3% vs 6.3%; p < 0.0001) and outcome (88.0% vs 74.9%; p < 0.0001) were higher in children. The incidence of viral infections was higher in children after allo-HCT (56.3% vs 29.3%; p < 0.0001), and auto-HCT (6.6% vs 0.8%; p < 0.0001). Outcome of viral infections was better in children (98.6% vs 92.3%; p = 0.0096). Infection-related mortality was 7.8% in children and 18.4% in adults (p < 0.0001). No child after auto-HCT died of infection. Adult age, mismatched transplants, acute leukemia, chronic GVHD, CMV reactivation, infection with Gram-negatives, and duration of infection > 21 days were risk factors for death from infection. In conclusion, pediatric patients have 2.9-fold higher incidence and 2.5-fold better outcome of infections than adults after HCT.

Indexed as

Hematopoietic Stem Cell TransplantationAcute DiseaseAdolescentAdultAgedAge FactorsBacterial InfectionsChildChild, PreschoolChronic DiseaseCross-Sectional StudiesCytomegalovirus InfectionsFemaleGraft vs Host DiseaseHumansIncidenceAdultsBacterial infectionsChildrenHematopoietic cell transplantationIncidenceInvasive fungal diseaseOutcomeViral infections

Identifiers

PMID31321454
PMCPMC6700048

What OpenQuestion holds

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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.