Evidence map›Paper›PMID 33973053›Full record

ArticleAnnals of hematology2021

Reduction of immunosuppression combined with whole-brain radiotherapy and concurrent systemic rituximab is an effective yet toxic treatment of primary central nervous system post-transplant lymphoproliferative disorder (pCNS-PTLD): 14 cases from the prospective German PTLD registry.

Heiner Zimmermann, Mirko Nitsche, Christiane Pott, Petra Reinke, Nina Babel, Robert M Hermann, Ingeborg A Hauser, Dennis Hahn, Matthias Ritgen, Claudia Pietschmann and 4 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Annals of hematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 17% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
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

14 authors at 8 institutions in 1 country.

Heiner ZimmermannDepartment of Haematology and Oncology, DIAKO Ev. Diakonie-Krankenhaus Bremen, Gröpelinger Heerstr. 406-408, 28239, Bremen, Germany.ORCID http://orcid.org/0000-0002-4242-275X
Mirko NitscheCenter of Radiotherapy, Bremen, Germany.
Christiane PottDepartment of Internal Medicine II: Haematology and Oncology, University Medical Centre Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Petra ReinkeDepartment of Nephrology and Intensive Care, Campus Virchow-Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Nina BabelCenter for Translational Medicine and Department of Internal Medicine I, Marien Hospital Herne, Ruhr-University Bochum University Hospital, Herne, Germany.
Robert M HermannCenter of Radiotherapy, Bremen, Germany.
Ingeborg A HauserDepartment of Nephrology, UKF, Goethe University Frankfurt, Frankfurt/Main, Germany.
Dennis HahnDepartment of Haematology, Oncology and Palliative Care, Katharinen hospital, Stuttgart, Germany.
Matthias RitgenDepartment of Internal Medicine II: Haematology and Oncology, University Medical Centre Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Claudia PietschmannRadiologie Bremen, Bremen, Germany.
Wolfram KlapperDepartment of Haematopathology, University Medical Centre Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Ioannis AnagnostopoulosDepartment of Pathology, University of Würzburg, Würzburg, Germany.
Ralf U TrappeDepartment of Haematology and Oncology, DIAKO Ev. Diakonie-Krankenhaus Bremen, Gröpelinger Heerstr. 406-408, 28239, Bremen, Germany. rtrappe@gwdg.de.
German PTLD Study Group and German Lymphoma Alliance
Charité - Universitätsmedizin Berlin · DEDIAKO · DEGoethe University Frankfurt · DEKatharinenhospital · DEMedizinische Hochschule Hannover · DEUniversitätsklinik Marien Hospital Herne · DEUniversity Hospital Schleswig-Holstein · DEUniversity of Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Post-transplant lymphoproliferative disorders (PTLD) exclusively affecting the central nervous system-primary CNS-PTLD (pCNS-PTLD)-are rare. There is no standard therapy, and previous case series have included heterogeneous treatment approaches. We performed a retrospective, multi-centre analysis of 14 patients with pCNS-PTLD after solid organ transplantation (SOT) treated in the prospective German PTLD registry with reduction of immunosuppression (RI), whole-brain radiotherapy (WBRT), and concurrent systemic rituximab between 2001 and 2018. Twelve of fourteen patients were kidney transplant recipients and median age at diagnosis was 65 years. Thirteen of fourteen cases (93%) were monomorphic PTLD of the diffuse large B-cell lymphoma type, and 12/13 were EBV-associated. The median dose of WBRT administered was 40 Gy with a median fraction of 2 Gy. The median number of administered doses of rituximab (375 mg/m

Indexed as

AdultAgedAntineoplastic Agents, ImmunologicalBrainCentral Nervous System DiseasesFemaleGermanyHumansImmunosuppressive AgentsLymphoproliferative DisordersMaleMiddle AgedOrgan TransplantationRegistriesRetrospective StudiesRituximabAntineoplastic Agents, ImmunologicalImmunosuppressive AgentsRituximabCNSEBVLymphomaPTLDWhole-brain radiotherapy

Identifiers

PMID33973053
OpenAlexW3161248702

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.