Evidence map›Paper›PMID 32629531›Full record

ArticleTransplant infectious disease : an official journal of the Transplantation Society2021

Severe COVID-19 in a patient with chronic graft-versus-host disease after hematopoietic stem cell transplant successfully treated with ruxolitinib.

Francesco Saraceni, Ilaria Scortechini, Giorgia Mancini, Marianna Mariani, Irene Federici, Mariana Gaetani, Paolo Barbatelli, Maria Luisa Minnucci, Patrizia Bagnarelli, Attilio Olivieri

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Transplant infectious disease : an official journal of the Transplantation Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  6. Review
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  8. Article
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  11. Immune reconstitution and severity of COVID-19 among hematopoietic cell transplant recipients.Transplant infectious disease : an official journal of the Transplantation Society · 2021
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  12. Article
  13. Review
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  15. Are All Patients with Cancer at Heightened Risk for Severe Coronavirus Disease 2019 (COVID-19)?Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
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  19. COVID - 19 post Hematopoietic Cell Transplant, a Report of 11 Cases from a Single Center.Mediterranean journal of hematology and infectious diseases · 2020
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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

10 authors at 2 institutions in 1 country.

Francesco SaraceniHematology and Stem Cell Transplant, Ancona University Hospital, Ancona, Italy.ORCID https://orcid.org/0000-0001-6500-9514
Ilaria ScortechiniHematology and Stem Cell Transplant, Ancona University Hospital, Ancona, Italy.
Giorgia ManciniHematology and Stem Cell Transplant, Ancona University Hospital, Ancona, Italy.
Marianna MarianiHematology and Stem Cell Transplant, Ancona University Hospital, Ancona, Italy.
Irene FedericiHematology and Stem Cell Transplant, Ancona University Hospital, Ancona, Italy.
Mariana GaetaniDepartment of Internal Medicine, Covid-19 Hospital, Civitanova Marche, Italy.
Paolo BarbatelliDepartment of Internal Medicine, Covid-19 Hospital, Civitanova Marche, Italy.
Maria Luisa MinnucciDepartment of Internal Medicine, Covid-19 Hospital, Civitanova Marche, Italy.
Patrizia BagnarelliInstitute of Virology, Ancona University Hospital, Ancona, Italy.
Attilio OlivieriHematology and Stem Cell Transplant, Ancona University Hospital, Ancona, Italy.
Ospedali Riuniti di Ancona · ITL'organizzazione Ospedale di Civitanova M · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Graft-versus-host disease (GVHD) is a common complication of hematopoietic stem cell transplant, which is known to be mediated by cytotoxic T-cell effectors and dysregulated inflammatory cytokines. Similarly, the lung injury observed in severe COVID-19 cases appears to be related to a massive production of pro-inflammatory cytokines. The selective JAK1/2 inhibitor ruxolitinib has shown promising results in the context of GVHD, and different trials are currently underway in patients with severe COVID-19; nevertheless, no clinical observation of safety or efficacy of treatment with ruxolitinib in this context has been published yet. We describe a first case of severe COVID-19 developed after hematopoietic stem cell transplantation in a patient with a concomitant chronic GVHD (cGVHD), in which a treatment with ruxolitinib was administered with good tolerance and positive outcome.

Indexed as

COVID-19Graft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedNitrilesPyrazolesPyrimidinesSARS-CoV-2NitrilesPyrazolesPyrimidinesruxolitinibARDS (acute respiratory distress syndrome)chronic graft-versus-host disease (cGVHD)COVID-19hematopoietic stem cell transplant (SCT)ruxolitinib

Identifiers

PMID32629531
PMCPMC7361240
OpenAlexW3039265579

What OpenQuestion holds

Textmetadata
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.