Evidence map›Paper›PMID 32343795›Full record

ArticleBlood advances2020

Favorable outcomes of hematopoietic stem cell transplantation in children and adolescents with Diamond-Blackfan anemia.

Brigitte Strahm, Felicia Loewecke, Charlotte M Niemeyer, Michael Albert, Marc Ansari, Peter Bader, Yves Bertrand, Birgit Burkhardt, Lydie M Da Costa, Alina Ferster and 13 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

23 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
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  5. Preclinical development of lentiviral vector gene therapy for Diamond-Blackfan anemia syndrome.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
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  7. Review
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  20. Diamond-Blackfan anemia.Hematology. American Society of Hematology. Education Program · 2021
    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

23 authors at 13 institutions in 4 countries.

Brigitte StrahmDivision of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Felicia LoeweckeDivision of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Charlotte M NiemeyerDivision of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Michael AlbertDr. von Hauner University Children's Hospital, Munich, Germany.
Marc AnsariHôpital Universitaire de Genève, Geneva, Switzerland.
Peter BaderDivision for Stem Cell Transplantation, Immunology and Intensive Care Medicine, Hospital for Children and Adolescents, University Hospital Frankfurt, Johann Wolfgang Goethe University, Frankfurt, Germany.
Yves BertrandInstitut d'Hématologie et Oncologie Pédiatrique, Hôpitaux Civils de Lyon et Université de Lyon, Lyon, France.
Birgit BurkhardtDepartment of Pediatric Hematology and Oncology, Children's University Hospital, Münster, Germany.
Lydie M Da CostaAssistance Publique-Hôpitaux de Paris, Hematology Diagnostic Laboratory, Robert Debré Hospital, Paris University, Laboratory of Excellence GR-Ex, Paris, France.
Alina FersterHôpital Universitaire des Enfants Reine Fabiola, Université Libre de Bruxelles, Brussels, Belgium.
Alexandra FischerDivision of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Tayfun GüngörDepartment of Immunology, Hematology, Oncology and Stem Cell Transplantation, University Children's Hospital Zurich, Zurich, Switzerland.
Bernd GruhnDepartment of Pediatrics, Jena University Hospital, Jena, Germany.
Ina HainmannDepartment of Pediatric Haematology and Oncology, Bonn University Hospital, Bonn, Germany.
Friedrich KappDivision of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Peter LangDepartment of Pediatric Hematology and Oncology, University Hospital Tübingen, Tübingen, Germany.
Ingo MüllerDivision for Pediatric Stem Cell Transplantation and Immunology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Ansgar SchulzDepartment of Pediatrics, University Medical Center Ulm, Ulm, Germany; and.
Amina SzvetnikDivision of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Marcin WlodarskiDivision of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Peter NoellkeDivision of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Thierry LeblancRobert Debré Hospital, Groupe Hospitalier, Assistance Publique-Hôpitaux de Paris Nord, Université de Paris, Paris, France.
Jean-Hugues DalleRobert Debré Hospital, Groupe Hospitalier, Assistance Publique-Hôpitaux de Paris Nord, Université de Paris, Paris, France.
University of Freiburg · DEUniversité Paris Cité · FRGoethe University Frankfurt · DEHôpital Beau-Séjour · CHJena University Hospital · DELaboratory of Excellence GR-Ex · FRUniversität Hamburg · DEUniversité Claude Bernard Lyon 1 · FRUniversité Libre de Bruxelles · BEUniversity Children's Hospital Tübingen · DEUniversity Children's Hospital Zurich · CHUniversity Hospital Bonn · DEUniversity Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diamond-Blackfan anemia (DBA) is a congenital pure red cell aplasia associated with congenital abnormalities and cancer predisposition. Allogeneic hematopoietic stem cell transplantation (HSCT) can correct the hematological phenotype and is indicated in transfusion-dependent patients. In 70 children reported to the German DBA and French HSCT registries, HSCT was performed from 1985 to 2017. Median age at HSCT was 5.5 years (range, 0.9-17.3 years). Two-thirds of patients (64%) were transplanted from a matched sibling donor (MSD), and most procedures were performed after the year 1999 (73%). Primary engraftment was achieved in all patients. One patient developed secondary graft failure. Cumulative incidence of acute graft-versus-host disease (GVHD) was 24% for °II-IV (95% confidence interval [CI], 16% to 37%) and 7% for °III-IV (95% CI, 3% to 17%); cumulative incidence of chronic GVHD was 11% (95% CI, 5% to 22%). The probability of chronic GVHD-free survival (cGFS) was 87% (95% CI, 79% to 95%) and significantly improved over time (<2000: 68% [95% CI, 47% to 89%] vs ≥2000: 94% [95% CI, 87% to 100%], P < .01). cGFS was comparable following HSCT from a MSD and an unrelated donor (UD). Of note, no severe chronic GVHD or deaths were reported following MSD-HSCT after 1999. The difference of cGFS in children transplanted <10 years of age compared with older patients did not reach statistical significance (<10 years: 90% [95% CI, 81% to 99%] vs 10-18 years 78% [95% CI, 58% to 98%]). In summary, these data indicate that HSCT is efficient and safe in young DBA patients and should be considered if a MSD or matched UD is available. HSCT for transfusion dependency only must be critically discussed in older patients.

Indexed as

Anemia, Diamond-BlackfanGraft vs Host DiseaseHematopoietic Stem Cell TransplantationAdolescentAgedChildHumansRetrospective StudiesUnrelated Donors

Identifiers

PMID32343795
PMCPMC7189291
OpenAlexW3020215182

What OpenQuestion holds

Textmetadata
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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.