Evidence map›Paper›PMID 32879430›Full record

ArticleBone marrow transplantation2021

Altered body composition in male long-term survivors of paediatric allogeneic haematopoietic stem cell transplantation: impact of conditioning regimen, chronic graft-versus-host disease and hypogonadism.

Malene Mejdahl Nielsen, Sidsel Mathiesen, Anu Suominen, Kaspar Sørensen, Marianne Ifversen, Christian Mølgaard, Päivi M Lähteenmäki, Anders Juul, Kirsi Jahnukainen, Klaus Müller

Abstract read
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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 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 21% 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, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
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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 3 institutions in 3 countries.

Malene Mejdahl NielsenDepartment of Paediatrics and Adolescent Medicine, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0002-2223-4938
Sidsel MathiesenDepartment of Paediatrics and Adolescent Medicine, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Anu SuominenDivision of Haematology-Oncology and Stem Cell Transplantation, Children's Hospital, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland.
Kaspar SørensenDepartment of Paediatrics and Adolescent Medicine, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Marianne IfversenDepartment of Paediatrics and Adolescent Medicine, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Christian MølgaardDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Päivi M LähteenmäkiDepartment of Paediatrics and Adolescent Medicine, Turku University Hospital and Turku University, Turku, Finland.ORCID http://orcid.org/0000-0002-5500-9606
Anders JuulDepartment of Growth and Reproduction, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Kirsi JahnukainenDivision of Haematology-Oncology and Stem Cell Transplantation, Children's Hospital, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland.
Klaus MüllerDepartment of Paediatrics and Adolescent Medicine, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark. muller@rh.dk.
University of Copenhagen · DKUniversity of Helsinki · FITurku University Hospital · FI

Funding

Barncancerfonden (Swedish Childhood Cancer Foundation) PR2017-0037 and TJ2015-0046Børnecancerfonden (Danish Childhood Cancer Foundation) 2015-15Børnecancerfonden (Danish Childhood Cancer Foundation) 2016-0261Dagmar Marshalls Fond (Dagmar Marshall Fund) NADansk Kræftforsknings Fond (Danish Cancer Research Fund) NAHartmann Fonden (Hartmann Foundation) A30640Kræftens Bekæmpelse (Danish Cancer Society) R165-A10527Lastentautien Tutkimussäätiö (Foundation for Pediatric Research) NARigshospitalet NASyöpäjärjestöt (Cancer Society of Finland) NAUniversity of Helsinki | Helsingin Yliopiston Tiedesäätiö (Helsingin Yliopiston Tiedesaatio) NAVetenskapsrådet (Swedish Research Council) 2016-01296
6 · The paper itself

Abstract

Changes in body composition related to metabolic syndrome are frequent among survivors of haematopoietic stem cell transplantation (HSCT), but insights into predisposing factors are incomplete, and it is unknown to what degree these changes persist at long term. We cross-sectionally investigated body composition by dual-energy X-ray absorptiometry in 98 male survivors of paediatric allogeneic HSCT. Median (range) age at follow-up was 28.1 (18.5-47.0) years and median (range) time from transplant was 18.3 (7.7-34.6) years. Lean Body Mass Index and Skeletal Muscle Mass Index were lower in patients compared to the reference population (mean (SD) standard deviation score (SDS) -1.29 (0.99), p < 0.001 and -1.20 (1.03), p < 0.001). Fat Mass Index was comparable to the reference population, but android/gynoid (AG) fat ratio SDS was higher (mean (SD) 0.46 (1.28), p < 0.001). These changes were found in patients treated with total body irradiation (TBI) as well as non-TBI regimens, although most pronounced in the former. Further, low lean mass was associated with chronic graft-versus-host disease, while high AG ratio was associated with lower testosterone levels. Since the combination of low lean mass and high AG ratio increases the risk of cardio-metabolic disease, these health issues should be monitored at long-term clinical follow-up after paediatric HSCT.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationHypogonadismBody CompositionChildHumansMaleSurvivorsTransplantation Conditioning

Identifiers

PMID32879430
OpenAlexW3082785842

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.