Evidence map›Paper›PMID 32212263›Full record

ArticleJournal of cachexia, sarcopenia and muscle2020

Abnormal body composition is a predictor of adverse outcomes after autologous haematopoietic cell transplantation.

Saro H Armenian, Aleksi Iukuridze, Jennifer Berano Teh, Kristen Mascarenhas, Alex Herrera, Jeannine S McCune, Jasmine M Zain, Sogol Mostoufi-Moab, Shana McCormack, Thomas P Slavin and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 12% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 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

16 authors at 3 institutions in 1 country.

Saro H ArmenianDepartment of Population Sciences, City of Hope, Duarte, CA, USA.ORCID 0000-0003-2604-8603
Aleksi IukuridzeDepartment of Population Sciences, City of Hope, Duarte, CA, USA.
Jennifer Berano TehDepartment of Population Sciences, City of Hope, Duarte, CA, USA.
Kristen MascarenhasDepartment of Population Sciences, City of Hope, Duarte, CA, USA.
Alex HerreraDepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, CA, USA.
Jeannine S McCuneDepartment of Population Sciences, City of Hope, Duarte, CA, USA.
Jasmine M ZainDepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, CA, USA.
Sogol Mostoufi-MoabDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Shana McCormackDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Thomas P SlavinDepartment of Population Sciences, City of Hope, Duarte, CA, USA.
Jessica M ScottDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Lee W JonesDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Can-Lan SunDepartment of Supportive Care Medicine, City of Hope, Duarte, CA, USA.
Stephen J FormanDepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, CA, USA.
F Lennie WongDepartment of Population Sciences, City of Hope, Duarte, CA, USA.
Ryotaro NakamuraDepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, CA, USA.
City of Hope · USChildren's Hospital of Philadelphia · USMemorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Reducing risk of Anthracycline-related heart failure after childhood cancerR01CA196854 · NCI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI ARMENIAN, SARO · 2015 to 2019
$3.2M
NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA196854
6 · The paper itself

Abstract

backgroundThe number of patients undergoing autologous haematopoietic cell transplant (HCT) is growing, but little is known about the factors that predict adverse outcomes. Low muscle mass and obesity are associated with disability and premature mortality in individuals with non-malignant diseases and may predict outcomes after autologous HCT.

methodsThis was a retrospective cohort study of 320 patients who underwent autologous HCT for Hodgkin or non-Hodgkin lymphoma between 2009 and 2014. Sarcopenia {skeletal muscle index male: <43 cm/m

resultsMedian age at HCT was 53.3 years (range, 18.5 to 78.1 years); 26.3% were sarcopenic and an additional 7.8% were sarcopenic obese pre-HCT. Sarcopenic obesity was associated with increased risk of prolonged hospitalization [odds ratio (OR) = 3.6, 95% confidence interval (CI) 1.3-9.8], intensive care unit admission (OR = 4.7, 95% CI 1.5-16.1), and unplanned readmission after HCT (OR = 13.6, 95% CI 2.5-62.8). Patients who were sarcopenic obese also had the highest mortality risk at 1 year [hazard ratio (HR): 3.9, 95% CI 1.1-11.0] and 5 years (HR: 2.5, 95% CI 1.1-5.5), compared with patients with normal body composition. Sarcopenia alone, but not obesity alone, was associated with an increased risk of these outcomes, albeit with a lower magnitude of risk than in patients who were sarcopenic obese.

conclusionsSarcopenic obesity was an important predictor of outcomes in patients undergoing autologous HCT. These findings could inform targeted prevention strategies in patients at highest risk of complications after HCT.

Indexed as

AdolescentAdultAgedBody CompositionCohort StudiesFemaleHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedRetrospective StudiesTransplantation, AutologousTransplantation ConditioningYoung AdultcomplicationsHaematopoietic cell transplantationLymphomaMortalityObesitySarcopenia

Identifiers

PMID32212263
PMCPMC7432567
OpenAlexW3013541104

What OpenQuestion holds

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LicenceCC BY
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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.