Evidence map›Paper›PMID 33839317›Full record

ArticleTransplantation and cellular therapy2021

National Institutes of Health Consensus Development Project on Criteria for Clinical Trials in Chronic Graft-versus-Host Disease: IIa. The 2020 Clinical Implementation and Early Diagnosis Working Group Report.

Carrie L Kitko, Joseph Pidala, Hélène M Schoemans, Anita Lawitschka, Mary E Flowers, Edward W Cowen, Eric Tkaczyk, Nosha Farhadfar, Sandeep Jain, Philipp Steven and 18 more

Abstract readConsensus Statement
In one paragraph

Article in Transplantation and cellular therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 110 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
110citing papers in PubMed, 5 pooled it
–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

110 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Guideline
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  3. Pooled it
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  16. Use of Home Spirometry for Steroid Tapering.Respirology case reports · 2026
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  18. Review
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  20. Article

50 more citing papers are in PubMed but not listed here.

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

28 authors.

Carrie L KitkoDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee. Electronic address: carrie.l.kitko@vumc.org.
Joseph PidalaBlood and Marrow Transplantation and Cellular Immunotherapy, Moffitt Cancer Center, Tampa, Florida.
Hélène M SchoemansDepartment of Hematology, University Hospitals Leuven and KU Leuven, Leuven, Belgium.
Anita LawitschkaSt. Anna Children's Hospital, Children's Cancer Research Institute, Vienna, Austria.
Mary E FlowersClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington; Department of Medicine, University of Washington, Seattle, Washington.
Edward W CowenDermatology Branch, National Institute of Arthritis and Musculoskeletal and Skin Diseases, Bethesda, Maryland.
Eric TkaczykResearch & Dermatology Services, Department of Veterans Affairs, Nashville, Tennessee; Vanderbilt Dermatology Translational Research Clinic, Department of Dermatology, Vanderbilt University Medical Center, Nashville, Tennessee; Vanderbilt-Ingram Cancer Center, Nashville, Tennessee.
Nosha FarhadfarDivision of Hematology/Oncology, University of Florida College of Medicine, Gainesville, Florida.
Sandeep JainDepartment of Ophthalmology, University of Illinois at Chicago, Chicago, Illinois.
Philipp StevenDivision for Dry-Eye Disease and Ocular GVHD, Department of Ophthalmology, Medical Faculty and University Hospital, University of Cologne, Cologne, Germany.
Zhonghui K LuoDepartment of Ophthalmology, Massachusetts Eye and Ear, Harvard University, Boston, Massachusetts.
Yoko OgawaDepartment of Ophthalmology, Keio University School of Medicine, Tokyo, Japan.
Michael SternDepartment of Ophthalmology, University of Illinois at Chicago, Chicago, Illinois; ImmunEyez LLC, Irvine, California.
Greg A YanikDepartment of Pediatrics, University of Michigan, Ann Arbor, Michigan.
Geoffrey D E CuvelierPediatric Blood and Marrow Transplantation, Department of Pediatric Oncology-Hematology-BMT, CancerCare Manitoba, University of Manitoba, Winnipeg, Manitoba, Canada.
Guang-Shing ChengClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington; Department of Medicine, University of Washington, Seattle, Washington.
Shernan G HoltanDivision of Hematology, Oncology, and Transplantation, Department of Medicine, University of Minnesota, Minneapolis, Minnesota.
Kirk R SchultzPediatric Hematology/Oncology/BMT, BC Children's Hospital, Vancouver, British Columbia, Canada.
Paul J MartinClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington; Department of Medicine, University of Washington, Seattle, Washington.
Stephanie J LeeClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington; Department of Medicine, University of Washington, Seattle, Washington.
Steven Z PavleticCenter for Cancer Research, National Cancer Institute, Bethesda, Maryland.
Daniel WolffDepartment of Internal Medicine III, University Hospital of Regensburg, Regensburg, Germany.
Sophie PaczesnyDepartment of Microbiology and Immunology, Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina.
Bruce R BlazarDepartment of Pediatrics, Division of Blood & Marrow Transplantation & Cellular Therapy, University of Minnesota, Minneapolis, Minnesota.
Stephanie SarantopoulosDivision of Hematological Malignancies and Cellular Therapy, Duke University Department of Medicine, Duke Cancer Institute, Durham, North Carolina.
Gerard SocieHematology Transplantation, AP-HP Saint Louis Hospital & University of Paris, INSERM U976, Paris, France.
Hildegard GreinixClinical Division of Hematology, Medical University of Graz, Graz, Austria.
Corey CutlerDivision of Stem Cell Transplantation and Cellular Therapy, Dana-Farber Cancer Institute, Boston, Massachusetts.

Funding

NIH Chronic GVHD Study GroupZIABC011743 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI PAVLETIC, STEVEN · 2016 to 2025
$10.2M
Improving Outcomes Assessment in Chronic GVHDR01CA118953 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI LEE, STEPHANIE J · 2011 to 2025
$8.3M
GVHD quantitative assessment in skin of Veterans post-HCTIK2CX001785 · VA · VETERANS HEALTH ADMINISTRATION · PI TKACZYK, ERIC R · 2019 to 2024
–
CSRD VA IK2 CX001785NCI NIH HHS R01 CA118953
6 · The paper itself

Abstract

Recognition of the earliest signs and symptoms of chronic graft-versus-host disease (GVHD) that lead to severe manifestations remains a challenge. The standardization provided by the National Institutes of Health (NIH) 2005 and 2014 consensus projects has helped improve diagnostic accuracy and severity scoring for clinical trials, but utilization of these tools in routine clinical practice is variable. Additionally, when patients meet the NIH diagnostic criteria, many already have significant morbidity and possibly irreversible organ damage. The goals of this early diagnosis project are 2-fold. First, we provide consensus recommendations regarding implementation of the current NIH diagnostic guidelines into routine transplant care, outside of clinical trials, aiming to enhance early clinical recognition of chronic GVHD. Second, we propose directions for future research efforts to enable discovery of new, early laboratory as well as clinical indicators of chronic GVHD, both globally and for highly morbid organ-specific manifestations. Identification of early features of chronic GVHD that have high positive predictive value for progression to more severe manifestations of the disease could potentially allow for future pre-emptive clinical trials.

Indexed as

Graft vs Host DiseaseChronic DiseaseEarly DiagnosisHumansNational Institutes of Health (U.S.)United StatesAllogeneic hematopoietic cell transplantationChronic graft-versus-host diseaseConsensusEarly diagnosis

Identifiers

PMID33839317
PMCPMC8803210

What OpenQuestion holds

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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.