Evidence map›Paper›PMID 33362684›Full record

ReviewFrontiers in neurology2020

Rehabilitation Before and After Autologous Haematopoietic Stem Cell Transplantation (AHSCT) for Patients With Multiple Sclerosis (MS): Consensus Guidelines and Recommendations for Best Clinical Practice on Behalf of the Autoimmune Diseases Working Party, Nurses Group, and Patient Advocacy Committee of the European Society for Blood and Marrow Transplantation (EBMT).

Fiona Roberts, Helen Hobbs, Helen Jessop, Cristina Bozzolini, Joachim Burman, Raffaella Greco, Azza Ismail, Majid Kazmi, Kirill Kirgizov, Gianluigi Mancardi and 8 more

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Review
  4. Article
  5. The EBMT-ADWP and the CIBMTR.Handbook of clinical neurology · 2024
    Review
  6. Article
  7. Review
  8. Article
  9. Article
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 10 institutions in 5 countries.

Fiona RobertsHobbs Rehabilitation, Winchester, United Kingdom.
Helen HobbsHobbs Rehabilitation, Winchester, United Kingdom.
Helen JessopSheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom.
Cristina BozzoliniCareggi University Hospital, Florence, Italy.
Joachim BurmanDepartment of Neuroscience, Uppsala University, Uppsala, Sweden.
Raffaella GrecoHematology and Bone Marrow Transplantation Unit, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), San Raffaele Scientific Hospital, Milan, Italy.
Azza IsmailSheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom.
Majid KazmiKings Health Partners, Department of Haematology, Guys Hospital, London, United Kingdom.
Kirill KirgizovInstitute of Paediatric Oncology and Haematology, N.N. Blokhin National Medical Research Center of Oncology, Moscow, Russia.
Gianluigi MancardiDepartment of Neuroscience, University of Genova and Clinical Scientific Institutes Maugeri, Genoa, Italy.
Susan MawsonSchool of Health and Related Research, University of Sheffield, Sheffield, United Kingdom.
Paolo A MuraroDepartment of Brain Sciences, Imperial College London, London, United Kingdom.
Mathieu PuyadeCHU de Poitiers, Service de Médecine Interne et Maladies Infectieuses, Poitiers, France.
Riccardo SaccardiCareggi University Hospital, Florence, Italy.
Barbara WithersDepartment of Haematology and Blood Stem Cell Transplantation, St Vincent's Health Network Sydney and Senior Lecturer, St Vincent's Clinical School, University of New South Wales Medicine, Sydney, NSW, Australia.
Bregje VerhoevenPatient Advocacy Committee, EBMT Executive Office, Barcelona, Spain.
Basil SharrackSheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom.
John A SnowdenSheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom.
Sheffield Teaching Hospitals NHS Foundation Trust · GBAzienda Ospedaliero-Universitaria Careggi · ITCentre Hospitalier Universitaire de Poitiers · FRGuy's Hospital · GBImperial College London · GBIstituti Clinici Scientifici Maugeri · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITSt Vincent's Clinic · AUUniversity of Sheffield · GBUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autologous haematopoietic stem cell transplantation (AHSCT) is increasingly used to treat people with multiple sclerosis (MS). Supported by an evolving evidence base, AHSCT can suppress active inflammation in the central nervous system and induce long-term changes in immune cell populations, thereby stabilizing, and, in some cases, reversing disability in carefully selected MS patients. However, AHSCT is an intensive chemotherapy-based procedure associated with intrinsic risks, including profound cytopenia, infection, and organ toxicity, accompanied by an on-going degree of immuno-compromise and general deconditioning, which can be associated with a transient increase in functional impairment in the early stages after transplantation. Although international guidelines and recommendations have been published for clinical and technical aspects of AHSCT in MS, there has been no detailed appraisal of the rehabilitation needed following treatment nor any specific guidelines as to how this is best delivered by hospital and community-based therapists and wider multidisciplinary teams in order to maximize functional recovery and quality of life. These expert consensus guidelines aim to address this unmet need by summarizing the evidence-base for AHSCT in MS and providing recommendations for current rehabilitation practice along with identifying areas for future research and development.

Indexed as

autoimmune diseasesautologous haematopoietic stem cell transplantationexercisemultiple sclerosisneurological diseasesphysical therapyrehabilitation

Identifiers

PMID33362684
PMCPMC7759663
OpenAlexW3112042136

What OpenQuestion holds

Textmetadata
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.