Evidence map›Paper›PMID 31493541›Full record

Trial reportBiology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation2020

Functional Status as Measured by Geriatric Assessment Predicts Inferior Survival in Older Allogeneic Hematopoietic Cell Transplantation Recipients.

Li-Wen Huang, Ying Sheng, Charalambos Andreadis, Aaron C Logan, Gabriel N Mannis, Catherine C Smith, Karin M L Gaensler, Thomas G Martin, Lloyd E Damon, Michael A Steinman and 2 more

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% 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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. A systematic review of physical function tests as predictors of key clinical outcomes for adults with blood cancers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Allogeneic Transplantation for Older Adults.Advances in experimental medicine and biology · 2025
    Review
  10. Article
  11. Health professionals' perceptions of prehabilitation before haematopoietic cell transplantation to optimise candidacy in older adults.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  12. Article
  13. Review
  14. Review
  15. How old is too old? Frailty and geriatric assessments of older patients undergoing allogeneic HCT.Hematology. American Society of Hematology. Education Program · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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 at 4 institutions in 1 country.

Li-Wen HuangHelen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, California.
Ying ShengDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California.
Charalambos AndreadisHelen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, California.
Aaron C LoganHelen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, California.
Gabriel N MannisDivision of Hematology, Department of Medicine, Stanford University, Stanford, California.
Catherine C SmithHelen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, California.
Karin M L GaenslerHelen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, California.
Thomas G MartinHelen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, California.
Lloyd E DamonHelen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, California.
Michael A SteinmanDivision of Geriatrics, Department of Medicine, University of California San Francisco, and the San Francisco VA Medical Center, San Francisco, California.
Chiung-Yu HuangDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California.
Rebecca L OlinHelen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, California. Electronic address: rebecca.olin@ucsf.edu.
University of California, San Francisco · USUCSF Helen Diller Family Comprehensive Cancer Center · USSan Francisco VA Medical Center · USStanford University · US

Funding

VARC CoreP30AG044281 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI REBECCA L SUDORE · 2013 to 2026
$19.9M
RESEARCH TRAINING IN GERIATRIC MEDICINET32AG000212 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Alexander Keliimoeanu Smith · 1991 to 2026
$7.7M
Prescribing cascades in older adults with and without dementiaK24AG049057 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEINMAN, MICHAEL A. · 2015 to 2025
$1.8M
NIA NIH HHS K24 AG049057NIA NIH HHS P30 AG044281NIA NIH HHS T32 AG000212
6 · The paper itself

Abstract

Allogeneic hematopoietic cell transplantation (alloHCT) has been increasingly offered to older adults with hematologic malignancies. However, optimal methods to determine fitness for alloHCT have yet to be defined. We evaluated the ability of a comprehensive geriatric assessment (CGA) to predict post-alloHCT outcomes in a single-center prospective cohort study of patients age 50 years and older. Outcomes included overall survival (OS), progression-free survival (PFS), and nonrelapse mortality (NRM). A total of 148 patients were included, with a median age of 62 years (range, 50 to 76 years). In multivariate regression analysis, several CGA measures of functional status were predictive of post-alloHCT outcomes, after adjusting for traditional prognostic factors. Any deficit in instrumental activities of daily living (IADL) was associated with inferior OS (hazard ratio [HR], 1.81, 95% confidence interval [CI], 1.07 to 3.08; P = .03) and PFS (HR, 1.85; 95% CI, 1.15 to 2.99; P = .01). A Medical Outcomes Study Physical Health scale (MOS-PH) score <85 was associated with inferior OS (HR, 1.96; 95% CI, 1.13 to 3.40; P = .02), PFS (HR, 1.75; 95% CI, 1.07 to 2.88; P = .03), and increased NRM (subdistribution HR, 2.57; 95% CI, 1.12 to 5.92; P = .03). MOS-PH score was also associated with the number of non-hematologic grade ≥3 adverse events within the first 100 days after alloHCT (rate ratio, 1.61; 95% CI, 1.04 to 2.49; P = .03). These findings support previous work suggesting that IADL is an important prognostic tool prior to alloHCT. MOS-PH is newly identified as an additional metric to identify older patients at higher risk of poor post-alloHCT outcomes, including toxicity and NRM.

Indexed as

Activities of Daily LivingGeriatric AssessmentHematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteAgedAllograftsDisease-Free SurvivalFemaleHumansMaleMiddle AgedProspective StudiesSurvival RateAllogeneic transplantationFunctional statusGeriatric assessment

Identifiers

PMID31493541
PMCPMC6942208
OpenAlexW2971610944

What OpenQuestion holds

Textmetadata
LicenceTDM
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.