Evidence map›Paper›PMID 33575424›Full record

ArticleOpen forum infectious diseases2021

Mucormycosis in Hematopoietic Cell Transplant Recipients and in Patients With Hematological Malignancies in the Era of New Antifungal Agents.

Matthew A Miller, Kyle C Molina, Jonathan A Gutman, Sias Scherger, Jessica M Lum, Sherif B Mossad, Mary Burgess, Matthew P Cheng, Sally T Chuang, Samantha E Jacobs and 8 more

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 22% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Review
  5. Article
  6. Mucormycosis.Infectious disease clinics of North America · 2025
    Review
  7. Article
  8. Coinfection byClinical case reports · 2025
    Article
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  10. Review
  11. Article
  12. Article
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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 12 institutions in 2 countries.

Matthew A MillerDepartment of Pharmacy-Infectious Diseases, University of Colorado Hospital, Denver, Colorado, USA.
Kyle C MolinaDepartment of Pharmacy-Infectious Diseases, University of Colorado Hospital, Denver, Colorado, USA.
Jonathan A GutmanDivision of Hematology and Oncology, University of Colorado Denver, Denver, Colorado, USA.
Sias SchergerDivision of Infectious Diseases, University of Colorado Denver, Denver, Colorado, USA.
Jessica M LumDepartment of Infectious Diseases, Respiratory Institute and Transplant Center, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Sherif B MossadDepartment of Infectious Diseases, Respiratory Institute and Transplant Center, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Mary BurgessDivision of Infectious Diseases, University of Arkansas, Fayetteville, Arkansas, USA.
Matthew P ChengDivision of Infectious Diseases, McGill University Health Centre, Montreal, Canada.
Sally T ChuangDivision of Infectious Diseases, University of Rochester, Rochester, New York, USA.
Samantha E JacobsDivision of Infectious Diseases, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Dante P MelendezDivision of Infectious Diseases, University of Utah, Salt Lake City, Utah, USA.
Dimpy P ShahDivision of Infectious Diseases, University of San Antonio, San Antonio, Texas, USA.
Andrea ZimmerDivision of Infectious Diseases, University of Nebraska, Lincoln, Nebraska, USA.
M Rizwan SohailDivision of Infectious Diseases, Baylor College of Medicine, Houston, Texas, USA.
Sadia SyedDivision of Infectious Diseases, Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA.
Randall C WalkerDivision of Infectious Diseases, Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA.
Eric M PoeschlaDivision of Infectious Diseases, University of Colorado Denver, Denver, Colorado, USA.
Maheen Z AbidiDivision of Infectious Diseases, University of Colorado Denver, Denver, Colorado, USA.ORCID 0000-0003-1096-1043
University of Colorado Denver · USCleveland Clinic · USMayo Clinic · USUniversity of Colorado Hospital · USBaylor College of Medicine · USIcahn School of Medicine at Mount Sinai · USMcGill University Health Centre · CAThe University of Texas at San Antonio · USUniversity of Arkansas at Fayetteville · USUniversity of Nebraska–Lincoln · USUniversity of Rochester · USUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe survival benefit of combination antifungal therapy for invasive mucormycosis (IM) in patients with hematologic malignancy (HM) and hematopoietic cell transplant (HCT) is not well defined.

methodsThis multicenter, retrospective study included HM and HCT recipients with proven or probable IM between January 1, 2007 and December 31, 2017 from 10 transplant centers across North America.

resultsSixty-four patients with proven (n = 47) or probable (n = 17) IM defined by 2008 European Organization for Research and Treatment of Cancer/Mycoses Study Group (EORTC/MSG) consensus definitions were included. Thirty-nine (61%) were HCT recipients (95% allogeneic). Sites of infection included rhino-orbital-cerebral (33), pulmonary (30%), disseminated (19%), gastrointestinal (3%), and cutaneous (3%). Surgical debridement was performed in 66%. Initial antifungal treatment consisted of the following: lipid formulation of amphotericin B (AmB) alone (44%), AmB + posaconazole (25%), AmB + echinocandin (13%), AmB + isavuconazole (8%), posaconazole alone (5%), and isavuconazole alone (3%). All-cause mortality at 30 days and 1 year were 38% and 66%, respectively. Initial treatment with AmB plus posaconazole or isavuconazole (n = 28) was associated with a trend toward lower treatment failure compared with AmB (n = 21) (42% vs 64%,

conclusionsLong-term survival with IM among HM and HCT populations remains poor. However, initial use of AmB + azole in conjunction with surgery may result in less treatment failure. More evidence from prospective controlled studies is needed to confirm this observation.

Indexed as

Hematopoeitic cell TransplantIsavuconazoleMucormycosis

Identifiers

PMID33575424
PMCPMC7863870
OpenAlexW3116621216

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.