Evidence map›Paper›PMID 31996792›Full record

ArticleBone marrow transplantation2020

Redefining and measuring transplant conditioning intensity in current era: a study in acute myeloid leukemia patients.

Alexandros Spyridonidis, Myriam Labopin, Bipin N Savani, Riitta Niittyvuopio, Didier Blaise, Charles Craddock, Gerard Socié, Uwe Platzbecker, Dietrich Beelen, Noel Milpied and 25 more

Erratum issuedOpen access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Bone marrow transplantation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 105 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
105citing papers in PubMed, 1 pooled it
11.2field-weighted citation impact, top 1% 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

105 citing papers in PubMed, 1 synthesis or guideline pooled it, 193 citations in OpenAlex.

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45 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

35 authors at 20 institutions in 16 countries.

Alexandros SpyridonidisDepartment of Internal Medicine, Bone Marrow Transplantation Unit, University Hospital of Patras, Patras, Greece. spyridonidis@upatras.gr.ORCID http://orcid.org/0000-0003-3097-2532
Myriam LabopinService d' Hématologie Clinique et Thérapie Cellulaire, Hospital Saint-Antoine, Sorbonne Université, Centre de Recherche Saint-Antoine (CRSA), Paris, France.
Bipin N SavaniLong term Transplant Clinic, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID http://orcid.org/0000-0002-3304-9965
Riitta NiittyvuopioHUCH Comprehensive Cancer Center, Stem Cell Transplantation Unit, Helsinki, Finland.
Didier BlaiseCentre de Recherche en Cancérologie de Marseille, Institut Paoli Calmettes, Marseille, France.ORCID http://orcid.org/0000-0002-5684-9447
Charles CraddockUniversity Hospital Birmingham NHS Trust, Birmingham, UK.
Gerard SociéDepartment of Hematology-BMT, Hospital St. Louis, Paris, France.ORCID http://orcid.org/0000-0002-2114-7533
Uwe PlatzbeckerHematology and Cellular Therapy, University Hospital, Leipzig, Germany.
Dietrich BeelenDepartment of Bone Marrow Transplantation, West German Cancer Center, University Hospital of Essen, Essen, Germany.
Noel MilpiedCHU Bordeaux, Hospital Haut-Leveque, Pessac, France.
Jan J CornelissenErasmus MC Cancer Institute, Department of Hematology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Arnold GanserDepartment of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.
Anne HuynhCHU - Institut Universitaire du Cancer Toulouse, Oncopole, I.U.C.T-O, Toulouse, France.
Laimonas GriskeviciusHematology, Oncology & Transfusion Center, Vilnius University Hospital Santaros Klinikos, Vilnius University, Vilnius, Lithuania.
Sebastian GiebelDepartment of Bone Marrow Transplantation and Oncohematology, Maria Sklodowska-Curie Memorial Cencer Center and Institute of Oncology, Gliwice, Poland.
Mahmoud AljurfOncology Center, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.
Eolia BrissotService d' Hématologie Clinique et Thérapie Cellulaire, Hospital Saint-Antoine, Sorbonne Université, Centre de Recherche Saint-Antoine (CRSA), Paris, France.
Florent MalardService d' Hématologie Clinique et Thérapie Cellulaire, Hospital Saint-Antoine, Sorbonne Université, Centre de Recherche Saint-Antoine (CRSA), Paris, France.ORCID http://orcid.org/0000-0002-3474-0002
Jordi EsteveHematology Department, IDIBAPS, Hospital Clinic, Barcelona, Spain.
Zinaida PericDepartment of Internal Medicine, University Hospital Centre Zagreb, School of Medicine, Zagreb, Croatia.
Frédéric BaronGIGA-I3 Hematology, University and CHU of Liège, Liège, Belgium.
Annalisa RuggeriDepartment of Pediatric Hematology and Oncology, IRCCS Bambino Gesù Children's Hospital, Roma, Italy.
Christoph SchmidDepartment of Hematology and Oncology, Universitäts-Klinikum Augsburg, Augsburg, Germany.
Maria GilleeceLeeds Teaching Hospitals Trust, Leeds, UK.ORCID http://orcid.org/0000-0003-0364-3573
Norbert-Claude GorinService d' Hématologie Clinique et Thérapie Cellulaire, Hospital Saint-Antoine, Sorbonne Université, Centre de Recherche Saint-Antoine (CRSA), Paris, France.
Francesco LanzaHematology and Romagna Metropolitan Transplant Network, Hospital of Ravenna, Ravenna, Italy.
Roni ShouvalAdult BMT Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Jurjen VersluisDepartment of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.
Gesine BugDepartment of Medicine 2, Hematology and Oncology, University Hospital, Goethe University, Frankfurt, Germany.
Yngvar FløisandDepartment of Hematology, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Fabio CiceriHematology and BMT Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Jamie SanzHematology Department, University Hospital La Fe, Valencia, Spain.ORCID http://orcid.org/0000-0001-6934-4619
Ali BazarbachiBone Marrow Transplantation Program, American University of Beirut, Medical Center, Beirut, Lebanon.
Arnon NaglerHematology Division, BMT and Cord Blood Bank, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Mohamad MohtyService d' Hématologie Clinique et Thérapie Cellulaire, Hospital Saint-Antoine, Sorbonne Université, Centre de Recherche Saint-Antoine (CRSA), Paris, France.
Sorbonne Université · FRMedizinische Hochschule Hannover · DEAmerican University of Beirut Medical Center · LBAzienda Unità Sanitaria Locale Della Romagna · ITBambino Gesù Children's Hospital · ITCentre de Recherche en Cancérologie de Marseille · FRErasmus MC · NLEssen University Hospital · DEGeneral University Hospital of Patras · GRGoethe University Frankfurt · DEHôpital Cardiologique du Haut-Lévêque · FRHôpital Saint-Louis · FRHospital Clínic de Barcelona · ESHospital Universitari i Politècnic La Fe · ESInstitut universitaire du cancer de Toulouse Oncopole · FRKing Faisal Specialist Hospital & Research Centre · SALeeds Teaching Hospitals NHS Trust · GBMemorial Sloan Kettering Cancer Center · USOslo University Hospital · NOSheba Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To address limitations of the currently used reduced-intensity/myeloablative conditioning (RIC/MAC) classification scheme we aimed to develop a tool that can capture more standardized the conditioning intensity of allogeneic hematopoietic cell transplantation (HCT). We assigned intensity weight scores for frequently used conditioning regimen components and used their sum to generate the transplant conditioning intensity (TCI) score. We retrospectively tested the impact of TCI on 8255 adult (45-65 years) acute myeloid leukemia patients who underwent HCT in first complete remission. A Cox model for early nonrelapse mortality (NRM) yielded a 3-group TCI risk scheme (low, intermediate, high) with respective TCI scores of [1-2], [2.5-3.5] and [4-6]. On multivariate modeling, TCI grouping was highly and better predictive for early (day 100 and 180) NRM, 2-year NRM and relapse (REL) as compared with the RIC/MAC classification. Validation was done on 200 bootstrap samples. Moreover, TCI scoring enabled the identification of a distinct subgroup of RIC and MAC conditioning regimens with an intermediate TCI [2.5-3.5] score that had identical outcomes and which are frequently referred as "reduced toxicity conditioning". TCI scheme provides an improvement of the RIC/MAC classification. We propose TCI as a new tool to define and measure the conditioning regimen intensity.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteAdultHumansRetrospective StudiesTransplantation Conditioning

Identifiers

PMID31996792
OpenAlexW3003528460

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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.