Evidence map›Paper›PMID 34006823›Full record

ArticleBlood cancer journal2021

High incidence of thromboembolism in patients with chronic GVHD: association with severity of GVHD and donor-recipient ABO blood group.

Najla El Jurdi, Heba Elhusseini, Joan Beckman, Todd E DeFor, Grigori Okoev, John Rogosheske, Aleksandr Lazaryan, Kristen Weiler, Veronika Bachanova, Brian C Betts and 14 more

Open access · goldAbstract read
In one paragraph

Article in Blood cancer journal, 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
1.3field-weighted citation impact, top 20% 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, 12 citations in OpenAlex.

  1. Article
  2. Anticoagulants in hematologic malignancies: what is the data?Hematology. American Society of Hematology. Education Program · 2025
    Review
  3. Article
  4. Dysregulated haemostasis in thrombo-inflammatory disease.Clinical science (London, England : 1979) · 2022
    Review
  5. Review
  6. 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

24 authors at 2 institutions in 1 country.

Najla El JurdiBlood and Marrow Transplant Program, Department of Medicine, University of Minnesota, Minneapolis, MN, USA. neljurdi@umn.edu.ORCID 0000-0002-9268-9655
Heba ElhusseiniBlood and Marrow Transplant Program, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
Joan BeckmanDivision of Hematology, Oncology, and Transplantation, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
Todd E DeForBiostatistics and Informatics, Clinical and Translational Science Institute, University of Minnesota, Minneapolis, MN, USA.
Grigori OkoevDivision of Hematology, Oncology, and Transplantation, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0003-3439-4362
John RogosheskeBlood and Marrow Transplant Program, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
Aleksandr LazaryanBlood and Marrow Transplant Program, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0001-9605-6436
Kristen WeilerBlood and Marrow Transplant Program, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
Veronika BachanovaBlood and Marrow Transplant Program, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0002-9325-432X
Brian C BettsBlood and Marrow Transplant Program, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
Bruce R BlazarBlood and Marrow Transplant Program, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
Claudio G BrunsteinBlood and Marrow Transplant Program, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0002-1997-3799
Fiona HeBlood and Marrow Transplant Program, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0003-0782-1170
Shernan G HoltanBlood and Marrow Transplant Program, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
Murali JanakiramBlood and Marrow Transplant Program, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0001-9323-8007
Radhika GangarajuDepartment of Pediatrics, University of Alabama, Tuscaloosa, AL, USA.
Joseph MaakaronBlood and Marrow Transplant Program, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0002-1732-6694
Margaret L MacMillanBlood and Marrow Transplant Program, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0002-0755-0852
Armin RashidiBlood and Marrow Transplant Program, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
Erica D WarlickBlood and Marrow Transplant Program, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
Smita BhatiaDepartment of Pediatrics, University of Alabama, Tuscaloosa, AL, USA.
Gregory VercellottiDivision of Hematology, Oncology, and Transplantation, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
Daniel J WeisdorfBlood and Marrow Transplant Program, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0001-8078-8579
Mukta AroraBlood and Marrow Transplant Program, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
University of Minnesota · USUniversity of Alabama · US

Funding

Women's CancerP30CA077598 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Jeffrey S. Miller · 1998 to 2026
$100.4M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR002494 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, WEISDORF, DANIEL J · 2018 to 2022
$34.9M
Project 3: Humoral Targets and B Cell Biology in Chronic Graft-vs.-Host DiseaseP01CA142106 · NCI · DANA-FARBER CANCER INST · PI RITZ, JEROME · 2009 to 2019
$17.5M
NCATS NIH HHS UL1 TR002494NCI NIH HHS P01 CA142106NCI NIH HHS P30 CA077598
6 · The paper itself

Abstract

Chronic graft-versus-host disease (cGVHD) after allogeneic hematopoietic cell transplantation (HCT) is associated with systemic inflammation and endothelial dysfunction, increasing risk for thromboembolic events (TEE). In 145 adult recipients who developed cGVHD after a matched sibling or umbilical cord blood donor HCT from 2010 to 2018, 32(22%) developed at least 1 TEE event, and 14(10%) developed 2 TEE events. The 5-year cumulative incidence of TEE was 22% (95% CI, 15-29%) with a median time from cGVHD to TEE of 234 days (range, 12-2050). Median time to the development of LE DVT or PE was 107 (range, 12-1925) compared to 450 days (range, 158-1300) for UE DVT. Cumulative incidence of TEE was 9% (95% CI, 0-20%), 17% (95% CI, 9-25%), and 38% (95% CI, 22-55%) in those with mild, moderate, and severe GVHD, respectively. Higher risk for TEE was associated with cGVHD severity (hazard ratio [HR] 4.9, [95% CI, 1.1-22.0]; p = 0.03), non-O-donor to recipient ABO match compared to O-donor to O-recipient match (HR 2.7, [95% CI, 1.0-7.5]; p = 0.053), and personal history of coronary artery disease (HR 2.4, [95% CI, 1.1-5.3]; p = 0.03). TEE was not associated with 2-year non-relapse mortality or 5-year overall survival.

Indexed as

ABO Blood-Group SystemAdultAgedChronic DiseaseFemaleGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk FactorsSeverity of Illness IndexThromboembolismTissue DonorsABO Blood-Group System

Identifiers

PMID34006823
PMCPMC8131386
OpenAlexW3161422543

What OpenQuestion holds

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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.