Evidence map›Paper›PMID 34025648›Full record

ArticleFrontiers in immunology2021

Autologous Hematopoietic Stem Cell Transplantation for Behçet's Disease: A Retrospective Survey of Patients Treated in Europe, on Behalf of the Autoimmune Diseases Working Party of the European Society for Blood and Marrow Transplantation.

Mathieu Puyade, Amit Patel, Yeong Jer Lim, Norbert Blank, Manuela Badoglio, Francesca Gualandi, David D Ma, Natalia Maximova, Raffaella Greco, Tobias Alexander and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
1.3field-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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 13 citations in OpenAlex.

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  6. The EBMT-ADWP and the CIBMTR.Handbook of clinical neurology · 2024
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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

11 authors at 11 institutions in 5 countries.

Mathieu PuyadeCHU de Poitiers, Service de Médecine Interne et Maladies Infectieuses, Poitiers, France.
Amit PatelHaematology and Transplant Unit, The Christie NHS Foundation Trust, Manchester, United Kingdom.
Yeong Jer LimHaemato-Oncology Department, Clatterbridge Cancer Centre, University of Liverpool, Liverpool, United Kingdom.
Norbert BlankDepartment of Hematology, Oncology and Rheumatology, Internal Medicine V, University Hospital of Heidelberg, Heidelberg, Germany.
Manuela BadoglioEBMT ADWP Office, Paris, France.
Francesca GualandiU.O. Ematologia Centro Trapianti Midollo - Ospedale Policlinico San Martino, Genova, Italy.
David D MaDepartment of Haematology and BM Transplantation, St Vincent's Hospital Sydney and St Vincent's Clinical School, Faculty of Medicine, University of New South Wales (UNSW) Sydney, Sydney, NSW, Australia.
Natalia MaximovaInstitute for Maternal and Child Health - IRCCS Burlo Garofolo, Trieste, Italy.
Raffaella GrecoHaematology and Bone Marrow Transplant Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Tobias AlexanderDepartment of Rheumatology and Clinical Immunology, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Charité - Universitätsmedizin Berlin, Berlin, Germany.
John A SnowdenSheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom.
Centre Hospitalier Universitaire de Poitiers · FREuropean Society for Blood and Marrow Transplantation · FRFreie Universität Berlin · DEHeidelberg University · DEIRCCS Materno Infantile Burlo Garofolo · ITOspedale Policlinico San Martino · ITSheffield Teaching Hospitals NHS Foundation Trust · GBThe Christie NHS Foundation Trust · GBUniversity of Liverpool · GBUNSW Sydney · AUVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Behçet's Disease (BD) is an autoimmune disease mostly presenting with recurrent oral and genital aphthosis, and uveitis. Patients are rarely refractory to immunosuppressive treatments. Autologous hematopoietic stem cell transplantation (aHSCT) is a standard of care in other autoimmune diseases. Some patients with BD have been treated with aHSCT based on compassionate use. Objectives: Evaluate the outcome of aHSCT in adult patients with BD treated in member centers of the European Society for Blood and Marrow Transplantation (EBMT). Methods: Adults who received aHSCT primarily for BD were identified retrospectively in the EBMT registry and/or in published literature. Data were extracted from either medical records of the patient or from publications. Results: Eight out of 9 cases reported to the registry and extracted data of 2 further patients from literature were analyzed. Four were female, median age at onset of BD was 24y (range 9-50). Median age at aHSCT was 32y (27-51). Patients had received median 4 (2-11) previous lines of therapy (89% corticosteroids, 50% methotrexate, anti-TNFα therapy or cyclophosphamide). All patients had active disease before mobilization. Conditioning regimen was heterogeneous. Median follow-up was 48 months (range 6-240). No treatment-related mortality was reported. This procedure induced complete remission (CR) in 80%, partial remission in 10% and lack of response in 10% of the patients. Relapse rate was 30% (2 relapses in patients in CR and 1 relapse in the patient in PR) with panuveitis (n=1), aphthosis (n=2) and arthralgia (n=1). Six patients were in CR. No late complications were reported. Conclusion: aHSCT has an acceptable safety profile and represents a feasible and relatively effective procedure in severe and conventional treatment-resistant cases of BD and has the potential to stabilize BD in patients with life-threatening involvements.

Indexed as

Hematopoietic Stem Cell TransplantationAdultBehcet SyndromeEuropeFemaleFollow-Up StudiesHumansMaleMiddle AgedRemission InductionRetrospective StudiesSurveys and QuestionnairesSurvival AnalysisTransplantation, AutologousTreatment Outcomeautologous stem cell transplantationBehçet’s diseaseefficacyimmune resettoxicity

Identifiers

PMID34025648
PMCPMC8136432
OpenAlexW3158373793

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.