Evidence map›Paper›PMID 31502764›Full record

ArticleCancer medicine2019

Autoimmune hemolytic anemia after allogeneic hematopoietic stem cell transplantation in adults: A southern China multicenter experience.

Weiran Lv, Hong Qu, Meiqing Wu, Zhiping Fan, Fen Huang, Na Xu, Li Xuan, Ren Lin, Ke Zhao, Jing Sun and 3 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Cancer medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

10 citing papers in PubMed, 11 citations in OpenAlex.

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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

13 authors at 3 institutions in 1 country.

Weiran LvDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.ORCID 0000-0001-9048-5053
Hong QuDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Meiqing WuHematology, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Zhiping FanDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Fen HuangDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Na XuDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Li XuanDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Ren LinDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Ke ZhaoDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Jing SunDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Yongrong LaiHematology, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Yajing XuHematology, Xiangya Hospital Central South University, Changsha, Hunan, China.
Qifa LiuDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Nanfang Hospital · CNGuangxi Medical University · CNCentral South University · CN

Funding

Guangzhou Science and Technology Program Key Projects 201707010213National Natural Science Foundation of China 81470349National Natural Science Foundation of China 81621001National Natural Science Foundation of China U1401221Natural Science Foundation of Guangdong Province 2014B020226004Natural Science Foundation of Guangdong Province 2016B030230003
6 · The paper itself

Abstract

To investigate the incidence and risk factors as well as prognosis of autoimmune hemolytic anemia (AIHA) following allogeneic hematopoietic stem cell transplantation (allo-HSCT), a total of 1377 adult hematological malignancies at three institutions were enrolled in this study. The 3-year cumulative incidence of AIHA was 2.2 ± 0.4%. Multivariate analysis showed that haploidentical donors (HRDs) and chronic graft vs host disease (cGVHD) were the independent risk factors for AIHA. Patients with AIHA treated initially with corticosteroids combined with cyclosporine A (CsA) had a higher complete response rate than those with corticosteroids monotherapy (66.7% vs 11.1%; P = .013). The 3-year cumulative incidence of malignant diseases relapse was 4.4 ± 4.3% and 28.0 ± 1.3% (P = .013), treatment-related mortality (TRM) was 8.9 ± 6.3% and 17.4 ± 1.2% (P = .431), disease-free survival (DFS) was 56.1 ± 1.5% and 86.7 ± 7.2% (P = .011), and overall survival (OS) was 86.3 ± 7.4% and 64.1 ± 1.5% (P = .054), respectively, in the patients with AIHA and those without AIHA. Our results indicate that HRDs and cGVHD are risk factors for AIHA and corticosteroids combined with CsA are superior to corticosteroids as initial treatment for AIHA. Autoimmune hemolytic anemia does not contribute to increase TRM and could reduce the malignant diseases relapse and increase DFS.

Indexed as

AdolescentAdrenal Cortex HormonesAdultAgedAnemia, Hemolytic, AutoimmuneCyclosporineFemaleGraft vs Host DiseaseHematologic NeoplasmsHematopoietic Stem Cell TransplantationHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk FactorsAdrenal Cortex HormonesCyclosporineautoimmune hemolytic anemiahematopoietic stem cell transplantationrisk factorstreatment

Identifiers

PMID31502764
PMCPMC6825994
OpenAlexW2973166030

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.