Evidence map›Paper›PMID 33864020›Full record

ArticleBone marrow transplantation2021

Autologous stem cell transplantation for post-transplant lymphoproliferative disorders after solid organ transplantation: a retrospective analysis from the Lymphoma Working Party of the EBMT.

Toby A Eyre, Sophie Caillard, Herve Finel, Ariane Boumendil, Jaimal Kothari, Heiner Zimmermann, Ralf Ulrich Trappe, Virginie De Wilde, Eleni Tholouli, Edward Kanfer and 11 more

Open access · hybridAbstract read
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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

6 citing papers in PubMed, 9 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

21 authors at 18 institutions in 6 countries.

Toby A EyreDepartment of Haematology, Cancer and Haematology Centre, Churchill Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK. toby.eyre@ouh.nhs.uk.ORCID http://orcid.org/0000-0002-6631-9749
Sophie CaillardNephrology Transplantation Department, Strasbourg University Hospitals, Strasbourg, France.
Herve FinelLymphoma Working Party EBMT, Paris, France.
Ariane BoumendilLymphoma Working Party EBMT, Paris, France.
Jaimal KothariDepartment of Haematology, Cancer and Haematology Centre, Churchill Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Heiner ZimmermannDepartment of Hematology and Oncology, DIAKO Ev. Diakonie-Krankenhaus Bremen, Bremen, Germany.
Ralf Ulrich TrappeDepartment of Hematology and Oncology, DIAKO Ev. Diakonie-Krankenhaus Bremen, Bremen, Germany.
Virginie De WildeErasmus Hospital, Route de Lennik 808, 1070, Bruxelles, Belgium.
Eleni TholouliManchester Royal Infirmary, Oxford Road, Manchester, UK.
Edward KanferDepartment of Haematology, Hammersmith Hospital, London, UK.
Angus BroomDepartment of Haematology, Western General Hospital, Edinburgh, UK.
Gandhi DamajDepartment of Haematology, Hospital Center University of Caen, Caen, Normandy, France.ORCID http://orcid.org/0000-0002-4689-3882
Mario BargetziDepartment of Haematology, Kantonsspital, Aarau, Switzerland.
Tomáš KozákDepartment of Haematology, Charles University Hospital, Prague, Czech Republic.
Inken HilgendorfDepartment of Haematology, Jena University Hospital, Jena, Germany.ORCID http://orcid.org/0000-0003-2038-9730
Charles CrawleyDepartment of Haematology, Addenbrookes Hospital, Cambridge, UK.
Tessa KerreDepartment of Haematology, Ghent University Hospital, Ghent, Belgium.
Marek TrněnýDepartment of Haematology, Charles University Hospital, Prague, Czech Republic.
Emmanuel BachyDepartment of Haematology, Hospices Civils, Lyon, France.
Stephen RobinsonLymphoma Working Party EBMT, Paris, France.
Silvia MontotoLymphoma Working Party EBMT, Paris, France.
Charles University · CZChurchill Hospital · GBSorbonne Université · FRAddenbrooke's Hospital · GBCentre Hospitalier Universitaire Amiens-Picardie · FRDIAKO · DEErasmus Hospital · BEGhent University Hospital · BEHammersmith Hospital · GBHôpitaux Universitaires de Strasbourg · FRJena University Hospital · DEKantonsspital Aarau · CHManchester Royal Infirmary · GBSt Bartholomew's Hospital · GBUniversité Claude Bernard Lyon 1 · FRUniversity Hospitals Bristol NHS Foundation Trust · GBUniversity Hospital Schleswig-Holstein · DEWestern General Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Published data describing the efficacy and safety of autologous stem-cell transplantation (autoSCT) in post-transplant lymphoproliferative disorders (PTLD) is limited to case reports. This is a retrospective analysis of 21 patients reported to the EBMT registry who received an autoSCT for PTLD post solid organ transplant (SOT). Median age at autoSCT was 47 (range: 22-71) years. The commonest SOTs were kidney (48%) and liver (24%). Commonest histologies included DLBCL-type PTLD (14/21) and plasmacytoma-like PTLD (3/21). Patients received a median of two lines of therapy (range: 1-4) pre-autoSCT. ECOG performance status pre-autoSCT was 0 in 14% and 1 in 86%. Remission status pre-autoSCT was CR 47% and PR 38%. BEAM conditioning was used in 57% and high-dose melphalan in 10%. The median follow-up post-autoSCT was 64 months for alive patients. 3-year PFS was 62% [95% confidence interval (CI) 44-87%] and 3-year OS was 61% [95% CI:43-86]. There were 12 deaths, including four related to autoSCT. 100-day non-relapse-mortality (NRM) was 14% and 1-year NRM was 24%. This study suggests that autoSCT, although feasible and with potential therapeutic activity, is associated with a high NRM, primarily driven by infectious toxicity. A multi-disciplinary approach, expert microbiological input and stringent patient selection are required to optimise outcomes.

Indexed as

Hematopoietic Stem Cell TransplantationLymphoma, Large B-Cell, DiffuseLymphoproliferative DisordersOrgan TransplantationHumansNeoplasm Recurrence, LocalRetrospective StudiesStem Cell TransplantationTransplantation, Autologous

Identifiers

PMID33864020
PMCPMC8410594
OpenAlexW3156146976

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Registered trials

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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.