Evidence map›Paper›PMID 32796950›Full record

ArticleBone marrow transplantation2021

Predicting non-relapse mortality following allogeneic hematopoietic cell transplantation during first remission of acute myeloid leukemia.

Masamitsu Yanada, Takaaki Konuma, Shohei Mizuno, Masuho Saburi, Akihito Shinohara, Masatsugu Tanaka, Atsushi Marumo, Masashi Sawa, Naoyuki Uchida, Yukiyasu Ozawa and 10 more

Abstract read
PubMed Publisher
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. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
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

20 authors.

Masamitsu YanadaAichi Cancer Center, Nagoya, Japan. myanada@aichi-cc.jp.ORCID http://orcid.org/0000-0003-1602-9775
Takaaki KonumaThe Institute of Medical Science, The University of Tokyo, Tokyo, Japan.ORCID http://orcid.org/0000-0002-1496-376X
Shohei MizunoAichi Medical University, Nagakute, Japan.ORCID http://orcid.org/0000-0002-4405-8808
Masuho SaburiOita Prefectural Hospital, Oita, Japan.
Akihito ShinoharaTokyo Women's Medical University, Tokyo, Japan.ORCID http://orcid.org/0000-0002-5530-6133
Masatsugu TanakaKanagawa Cancer Center, Yokohama, Japan.
Atsushi MarumoTokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.
Masashi SawaAnjo Kosei Hospital, Anjo, Japan.
Naoyuki UchidaToranomon Hospital, Tokyo, Japan.ORCID http://orcid.org/0000-0001-5952-5926
Yukiyasu OzawaJapanese Red Cross Nagoya First Hospital, Nagoya, Japan.
Makoto OnizukaTokai University School of Medicine, Isehara, Japan.
Satoshi YoshiokaKobe City Medical Center General Hospital, Kobe, Japan.
Hirohisa NakamaeGraduate School of Medicine, Osaka City University, Osaka, Japan.
Tadakazu KondoGraduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID http://orcid.org/0000-0002-8959-6271
Takafumi KimuraJapanese Red Cross Kinki Block Blood Center, Osaka, Japan.
Junya KandaGraduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID http://orcid.org/0000-0002-6704-3633
Takahiro FukudaNational Cancer Center Hospital, Tokyo, Japan.
Yoshiko AtsutaJapanese Data Center for Hematopoietic Cell Transplantation, Nagoya, Japan.ORCID http://orcid.org/0000-0003-4404-2870
Hideki NakasoneJichi Medical University Saitama Medical Center, Saitama, Japan.ORCID http://orcid.org/0000-0001-5812-9315
Shingo YanoThe Jikei University School of Medicine, Tokyo, Japan.

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 aim of this study was to develop a comprehensive system for predicting non-relapse mortality after allogeneic hematopoietic cell transplantation (HCT) during first complete remission (CR) of acute myeloid leukemia (AML). After dividing 2344 eligible patients randomly into a training set and a validation set, we first identified and scored five parameters, that is, age, sex, performance status, HCT-comorbidity index (HCT-CI), and donor type, on the basis of their impact on non-relapse mortality for patients in the training set. The non-relapse mortality-J (NRM-J) index using the sum of these scores was then applied to patients in the validation set, resulting in a clear differentiation of non-relapse mortality, with expected 2-year rates of 11%, 16%, 27%, and 33%, respectively (P < 0.001). The estimated c-statistic was 0.67, which was significantly higher than that of the European Society for Blood and Marrow Transplantation score (0.60, P = 0.002) and the HCT-CI (0.57, P < 0.001). The NRM-J index showed a significant association with overall survival, but not with relapse. Our findings demonstrate that the NRM-J index is useful for predicting post-transplant non-relapse mortality for patients with AML in first CR, for whom the decision of whether to perform allogeneic HCT is critical.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteHumansRecurrenceRetrospective StudiesTransplantation ConditioningTransplantation, Homologous

Identifiers

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.