Evidence map›Paper›PMID 34059802›Full record

ArticleBone marrow transplantation2021

Severe infections and infection-related mortality in a large series of haploidentical hematopoietic stem cell transplantation with post-transplant cyclophosphamide.

Albert Esquirol, Maria Jesús Pascual, Mi Kwon, Ariadna Pérez, Rocio Parody, Christelle Ferra, Irene Garcia Cadenas, Beatriz Herruzo, Nieves Dorado, Rafael Hernani and 5 more

Open access · greenAbstract 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 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
8.0field-weighted citation impact, top 2% 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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Pooled it
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  12. Adoptive T-cell therapy for virus-associated diseases.Clinical microbiology reviews · 2025
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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

15 authors at 6 institutions in 1 country.

Albert EsquirolHematology Department, Hospital de la Santa Creu i Sant Pau, IIB-Sant Pau and Jose Carreras Leukemia Research Institutes, Universitat Autonoma of Barcelona (Departament de medicina), Barcelona, Spain. aesquirol@santpau.cat.ORCID http://orcid.org/0000-0002-6062-5980
Maria Jesús PascualHematology Department, Hospital Regional Universitario, Malaga, Spain.
Mi KwonHematology Department, Hospital Gregorio Marañón, Madrid, Spain.
Ariadna PérezHematology Department, Hospital Clinico Universitario, Valencia, Spain.
Rocio ParodyHematology Department, Hospital de Bellvitge, Barcelona, Spain.
Christelle FerraHematology Department, Hospital Germans Trias i Pujol, Badalona, Spain.ORCID http://orcid.org/0000-0003-4571-5125
Irene Garcia CadenasHematology Department, Hospital de la Santa Creu i Sant Pau, IIB-Sant Pau and Jose Carreras Leukemia Research Institutes, Universitat Autonoma of Barcelona (Departament de medicina), Barcelona, Spain.ORCID http://orcid.org/0000-0002-2994-9055
Beatriz HerruzoHematology Department, Hospital Regional Universitario, Malaga, Spain.
Nieves DoradoHematology Department, Hospital Gregorio Marañón, Madrid, Spain.
Rafael HernaniHematology Department, Hospital Clinico Universitario, Valencia, Spain.ORCID http://orcid.org/0000-0003-1043-8076
Isabel Sanchez-OrtegaHematology Department, Hospital de Bellvitge, Barcelona, Spain.
Anna TorrentHematology Department, Hospital Germans Trias i Pujol, Badalona, Spain.
Jorge SierraHematology Department, Hospital de la Santa Creu i Sant Pau, IIB-Sant Pau and Jose Carreras Leukemia Research Institutes, Universitat Autonoma of Barcelona (Departament de medicina), Barcelona, Spain.ORCID http://orcid.org/0000-0002-7966-0356
Rodrigo MartinoHematology Department, Hospital de la Santa Creu i Sant Pau, IIB-Sant Pau and Jose Carreras Leukemia Research Institutes, Universitat Autonoma of Barcelona (Departament de medicina), Barcelona, Spain.ORCID http://orcid.org/0000-0001-5143-4042
Spanish Group for Hematopoietic Stem cell Transplantation (GETH)
Universitat Autònoma de Barcelona · ESBellvitge University Hospital · ESHospital Clínico Universitario de Valencia · ESHospital General Universitario Gregorio Marañón · ESHospital Regional Universitario de Málaga · ESHospital Universitari Germans Trias i Pujol · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe infections and their attributable mortality are major complications in recipients of allogeneic hematopoietic stem cell transplantation (alloSCT). We herein report 236 adult patients who received haploSCT with PTCy. The median follow-up for survivors was 37 months. The overall incidence of bloodstream infections by gram-positive and gram-negative bacteria at 37 months was 51% and 46%, respectively. The incidence of cytomegalovirus infection was 69%, while Epstein Barr virus infections occurred in 10% of patients and hemorrhagic cystitis in 35% of cases. Invasive fungal infections occurred in 11% at 17 months. The 3-year incidence of infection-related mortality was 19%. The median interval from transplant to IRM was 3 months (range 1-30), 53% of IRM occurred >100 days post-haploSCT. Risk factors for IRM included age >50 years, lymphoid malignancy, and developing grade III-IV acute GvHD. Bacterial infections were the most common causes of IRM (51%), mainly due to gram-negative bacilli BSI. In conclusion, severe infections are the most common causes of NRM after haploSCT with PTCy, with a reemergence of gram-negative bacilli as the most lethal pathogens. More studies focusing on the severe infections after haploSCT with PTCy and differences with other types of alloSCT in adults are clearly warranted.

Indexed as

Epstein-Barr Virus InfectionsGraft vs Host DiseaseHematopoietic Stem Cell TransplantationAnti-Bacterial AgentsCyclophosphamideGram-Negative BacteriaGram-Positive BacteriaHerpesvirus 4, HumanHumansMiddle AgedTransplantation ConditioningAnti-Bacterial AgentsCyclophosphamide

Identifiers

PMID34059802
PMCPMC8165955
OpenAlexW3165135018

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.