Evidence map›Paper›PMID 33268829›Full record

ArticleBone marrow transplantation2021

Relapse of acute myeloid leukemia after allogeneic hematopoietic cell transplantation: clinical features and outcomes.

Masamitsu Yanada, Takaaki Konuma, Satoshi Yamasaki, Tadakazu Kondo, Takahiro Fukuda, Naoki Shingai, Masashi Sawa, Yukiyasu Ozawa, Masatsugu Tanaka, Naoyuki Uchida and 8 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 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.3field-weighted citation impact, top 6% 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

30 citing papers in PubMed, 46 citations in OpenAlex.

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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

18 authors at 17 institutions in 1 country.

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
Satoshi YamasakiNational Hospital Organization Kyusyu Medical Center, Fukuoka, Japan.
Tadakazu KondoGraduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID http://orcid.org/0000-0002-8959-6271
Takahiro FukudaNational Cancer Center Hospital, Tokyo, Japan.
Naoki ShingaiTokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.
Masashi SawaAnjo Kosei Hospital, Anjo, Japan.
Yukiyasu OzawaJapanese Red Cross Nagoya First Hospital, Nagoya, Japan.
Masatsugu TanakaKanagawa Cancer Center, Yokohama, Japan.
Naoyuki UchidaToranomon Hospital, Tokyo, Japan.ORCID http://orcid.org/0000-0001-5952-5926
Hirohisa NakamaeGraduate School of Medicine, Osaka City University, Osaka, Japan.
Yuta KatayamaHiroshima Red Cross Hospital and Atomic-Bomb Survivors Hospital, Hiroshima, Japan.
Ken-Ichi MatsuokaOkayama University Hospital, Okayama, Japan.ORCID http://orcid.org/0000-0001-7955-8266
Takafumi KimuraJapanese Red Cross Kinki Block Blood Center, Osaka, Japan.
Yoshinobu KandaJichi Medical University, Shimotsuke, Japan.ORCID http://orcid.org/0000-0002-4866-9307
Tatsuo IchinoheResearch Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima, Japan.
Yoshiko AtsutaJapanese Data Center for Hematopoietic Cell Transplantation, Nagoya, Japan.ORCID http://orcid.org/0000-0003-4404-2870
Shingo YanoThe Jikei University School of Medicine, Tokyo, Japan.
Aichi Cancer Center · JPAnjo Kosei Hospital · JPHiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital · JPHiroshima University · JPJapanese Red Cross Society, Japan · JPJichi Medical University · JPJikei University School of Medicine · JPKanagawa Prefectural Hospital Organization · JPKyoto University · JPNational Hospital Organization · JPOkayama University Hospital · JPOsaka City University · JPThe Japanese Data Center for Hematopoietic Cell Transplantation · JPThe University of Tokyo · JPTokyo Metropolitan Komagome Hospital · JPTokyo National Hospital · JPToranomon Hospital · JP

Funding

Aichi Cancer Research Foundation (Aichi Cancer Research for the Promotion of Science Foundation) 2020-11Japan Agency for Medical Research and Development (AMED) 18ek0510023h0002
6 · The paper itself

Abstract

Posttransplant relapse represents the greatest obstacle to the success of allogeneic hematopoietic cell transplantation (HCT) for patients with acute myeloid leukemia (AML). This study investigated clinical features and outcomes of posttransplant relapse of AML based on data for 1265 patients with AML suffering relapse after allogeneic HCT conducted during complete remission (CR). Relapse occurred at a median of 6.1 months. The incidence rate of relapse peaked at 29.0 per 100 patient-years during the first 3-6 months period post transplant, after which the rate declined over time, and after 3 years remained consistently at less than 1 per 100 patient-years. The probability of overall survival (OS) after posttransplant relapse was 19% at 2 years, with 68% of deaths being attributed to leukemia. The interval from transplantation to relapse was identified as the strongest indicator for OS. Donor lymphocyte infusion (DLI) and second allogeneic HCT (HCT2) were administered to 152 (12%) and 481 (38%) patients, respectively. Landmark analyses showed some signs of survival benefit when these procedures were performed during CR, but no benefit was gained when performed during non-CR. Our findings clarify clinical features of posttransplant relapse of AML, and indicate the urgent need for developing effective bridging to cellular therapies.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteHumansRecurrenceRemission InductionRetrospective Studies

Identifiers

PMID33268829
OpenAlexW3107440960

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.