Evidence map›Paper›PMID 32203266›Full record

ArticleBone marrow transplantation2020

Long-term results of reduced-intensity conditioning allogeneic hematopoietic cell transplantation for older patients with acute myeloid leukemia: a retrospective analysis of 10-year follow-up data.

Masamitsu Yanada, Takahiro Fukuda, Masatsugu Tanaka, Shuichi Ota, Takashi Toya, Takehiko Mori, Naoyuki Uchida, Yukiyasu Ozawa, Hirohisa Nakamae, Yoshinobu Kanda and 3 more

Abstract read
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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. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

7 citing papers in PubMed, 8 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 12 institutions in 1 country.

Masamitsu YanadaAichi Cancer Center, Nagoya, Japan. myanada@aichi-cc.jp.ORCID http://orcid.org/0000-0003-1602-9775
Takahiro FukudaNational Cancer Center Hospital, Tokyo, Japan.
Masatsugu TanakaKanagawa Cancer Center, Yokohama, Japan.
Shuichi OtaSapporo Hokuyu Hospital, Sapporo, Japan.
Takashi ToyaTokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.ORCID http://orcid.org/0000-0002-7436-972X
Takehiko MoriKeio University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0002-8176-4760
Naoyuki UchidaToranomon Hospital, Tokyo, Japan.
Yukiyasu OzawaJapanese Red Cross Nagoya First Hospital, Nagoya, Japan.
Hirohisa NakamaeGraduate School of Medicine, Osaka City University, Osaka, Japan.
Yoshinobu KandaJichi Medical University, Shimotsuke, Japan.
Tatsuo IchinoheResearch Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan.
Yoshiko AtsutaJapanese Data Center for Hematopoietic Cell Transplantation, Nagoya, Japan.
Shingo YanoThe Jikei University School of Medicine, Tokyo, Japan.
Aichi Cancer Center · JPHiroshima University · JPJichi Medical University · JPJikei University School of Medicine · JPKanagawa Prefectural Hospital Organization · JPKeio University · JPOsaka City University · JPSapporo Hokuyu Hospital · JPThe Japanese Data Center for Hematopoietic Cell Transplantation · JPTokyo Metropolitan Komagome Hospital · JPTokyo National Hospital · JPToranomon Hospital · JP

Funding

Aichi Cancer Research Foundation (Aichi Cancer Research for the Promotion of Science Foundation) 2019-8Japan Agency for Medical Research and Development (AMED) 18ek0510023h0002
6 · The paper itself

Abstract

The long-term outcomes of allogeneic hematopoietic cell transplantation (HCT) with reduced-intensity conditioning (RIC) remain inconclusive. To address this issue, we conducted a nationwide registry-based study of patients with acute myeloid leukemia (AML) age 50 years or older who underwent allogeneic HCT in complete remission using RIC (n = 284) or myeloablative conditioning (MAC, n = 190) between 2002 and 2007. The median follow-up period for surviving patients was 10.1 years for RIC recipients and 10.4 years for MAC recipients. The 10-year probabilities of overall survival, relapse, and non-relapse mortality were 36.4%, 30.0%, and 35.7% for RIC recipients, and 39.8%, 26.3%, and 35.5% for MAC recipients, respectively. Multivariate analysis revealed that the conditioning intensity did not affect overall mortality (P = 0.184), relapse (P = 0.904), or non-relapse mortality (P = 0.387). For the 218 patients qualifying for propensity score-matched pairing (109 pairs), RIC was found to be associated with similar survival (P = 0.095) and relapse (P = 0.467), and significantly lower non-relapse mortality (P = 0.046) compared with MAC. Our results confirm the long-term efficacy of RIC allogeneic HCT for older patients with AML and mitigate concerns over an increase in late relapse.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteTransplantation ConditioningFollow-Up StudiesHumansMiddle AgedRetrospective Studies

Identifiers

PMID32203266
OpenAlexW3011521122

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.