Evidence map›Paper›PMID 32737446›Full record

ArticleBone marrow transplantation2021

Post-transplant multimorbidity index and quality of life in patients with chronic graft-versus-host disease-results from a joint evaluation of a prospective German multicenter validation trial and a cohort from the National Institutes of Health.

Daniel Wolff, Philipp Y Herzberg, Anne Herrmann, Steven Z Pavletic, Pia Heussner, Friederike Mumm, Christina Höfer, Inken Hilgendorf, Philipp G Hemmati, Ernst Holler and 2 more

Erratum issuedOpen access · hybridAbstract readMulticenter Study
In one paragraph

Article in Bone marrow transplantation, 2021. 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 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

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

  1. Guideline
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  6. Increased risk of hip and major osteoporotic fractures in 8463 patients who have undergone stem cell transplantation, a Swedish population-based study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 3 countries.

Daniel WolffDepartment of Internal Medicine III, University Hospital of Regensburg, Regensburg, Germany. daniel.wolff@ukr.de.ORCID http://orcid.org/0000-0001-7015-3190
Philipp Y HerzbergFaculty of Humanities and Social Sciences, Personality Psychology and Psychological Assessment, Helmut Schmidt University of the Federal Armed Forces Hamburg, Hamburg, Germany.
Anne HerrmannDepartment of Internal Medicine III, University Hospital of Regensburg, Regensburg, Germany.
Steven Z PavleticImmune Deficiency Cellular Therapy Program, Center of Cancer Research, National Cancer Institute, Bethesda, MD, USA.
Pia HeussnerDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Friederike MummDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Christina HöferDepartment of Medicine III, University Hospital, LMU Munich, Munich, Germany.
Inken HilgendorfKlinik für Innere Medizin II, Abteilung für Hämatologie und Onkologie, Universitätsklinikum Jena, Jena, Germany.ORCID http://orcid.org/0000-0003-2038-9730
Philipp G HemmatiDepartment of Hematology, Oncology and Tumor Immunology, Campus Virchow Klinikum Charité-University Hospital Berlin, Berlin, Germany.
Ernst HollerDepartment of Internal Medicine III, University Hospital of Regensburg, Regensburg, Germany.
Hildegard GreinixDivision of Hematology, Medical University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0002-2780-3300
Sandra A MitchellOutcomes Research Branch, National Institutes of Health, Bethesda, MD, USA.
LMU Klinikum · DEUniversity Hospital Regensburg · DECharité - Universitätsmedizin Berlin · DEHelmut Schmidt University · DEKlinikum Magdeburg · DEMedical University of Graz · ATNational Cancer Institute · USNational Institutes of Health · US

Funding

NIH Chronic GVHD Study GroupZIABC011743 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI PAVLETIC, STEVEN · 2016 to 2025
$10.2M
Else Kröner-Fresenius-Stiftung (Else Kroner-Fresenius Foundation) 2011_A21
6 · The paper itself

Abstract

Comorbidity after allogeneic hematopoietic stem cell transplantation (alloHSCT) impairs quality of life (QoL), physical functioning, and survival. We developed a new standardized measure to capture comorbidity after transplantation, the Post-transplant Multimorbidity Index (PTMI) in a cohort of 50 long term survivors. We subsequently evaluated the content validity and impact on survival and QoL within a multicenter trial, including 208 patients (pts) after alloHSCT, who were prospectively evaluated applying the FACT-BMT, the Human Activity Profile (HAP), the SF-36 v.2, PTMI and the Hematopoietic Cell Transplantation-Comorbidity Index (HCT-CI). The most prevalent comorbidities were compensated arterial hypertension (28.4%), ambulatory infections (25.5%), iron overload (23%), mild renal function impairment (20%), and osteoporosis (13%). Applying the PTMI 13% of patients had no comorbidity, while 37.1% had 1-3 comorbidities, 27.4% had 4-6 comorbidities, and 13.5% had > 6 comorbidities. Chronic graft-versus-host disease (cGvHD) was significantly associated with the PTMI, while age and prior acute GvHD were not. In contrast, the HCT-CI was not associated with the presence of cGvHD. cGvHD was significantly associated with depression (r = 0.16), neurological disease (r = 0.21), osteoporosis (r = 0.18) and nonmelanoma skin cancer (r = 0.26). The PTMI demonstrated strong measurement properties and compared to the HCT-CI captured a wider range of comorbidities associated with cGvHD.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansMultimorbidityNational Institutes of Health (U.S.)Prospective StudiesQuality of LifeUnited States

Identifiers

PMID32737446
PMCPMC8376641
OpenAlexW3046396770

What OpenQuestion holds

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LicenceCC BY
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.