Evidence map›Paper›PMID 34078971›Full record

Trial reportScientific reports2021

Mortality and microbial diversity after allogeneic hematopoietic stem cell transplantation: secondary analysis of a randomized nutritional intervention trial.

Kristin J Skaarud, Johannes R Hov, Simen H Hansen, Martin Kummen, Jørgen Valeur, Ingebjørg Seljeflot, Asta Bye, Vemund Paulsen, Knut E A Lundin, Marius Trøseid and 2 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01181076 (Individualized Nutrition for Adult Recipients of Allogeneic Stem Cell Transplants - Effect on Quality of Life), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 29% 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.

NCT01181076 nacompletednot on this map

Individualized Nutrition for Adult Recipients of Allogeneic Stem Cell Transplants - Effect on Quality of Life

TypeinterventionalSponsorOslo University HospitalRan2010 to 2017Enrolled119ConditionsEffect of Individualized Nutrition on Quality of LifeArmsIndividualized Nutrition
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 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

12 authors at 4 institutions in 1 country.

Kristin J SkaarudDepartment of Haematology, Oslo University Hospital, P.O. Box 4950 Nydalen, 0424, Oslo, Norway. kskaarud@ous-hf.no.
Johannes R HovSection of Gastroenterology, Department of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.
Simen H HansenInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Martin KummenInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Jørgen ValeurDepartment of Gastroenterology, Oslo University Hospital, Oslo, Norway.
Ingebjørg SeljeflotInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Asta ByeRegional Advisory Unit for Palliative Care, Department of Oncology, Oslo University Hospital, Oslo, Norway.
Vemund PaulsenSection of Gastroenterology, Department of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.
Knut E A LundinSection of Gastroenterology, Department of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.
Marius TrøseidInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Geir E TjønnfjordDepartment of Haematology, Oslo University Hospital, P.O. Box 4950 Nydalen, 0424, Oslo, Norway.
Per Ole IversenDepartment of Haematology, Oslo University Hospital, P.O. Box 4950 Nydalen, 0424, Oslo, Norway.
Oslo University Hospital · NOUniversity of Oslo · NOLovisenberg Diakonale Sykehus · NOOsloMet – Oslo Metropolitan University · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gut mucosal barrier injury is common following allogeneic hematopoietic stem cell transplantation (allo-HSCT) and associated with poor clinical outcomes. Diet is critical for microbial diversity, but whether nutritional support affects microbiota and outcome after allo-HSCT is unknown. We present a secondary analysis of a randomized controlled nutritional intervention trial during allo-HSCT. We investigated if the intervention influenced gut microbiota, short-chain fatty acids (SCFAs), and markers of gut barrier functions, and if these parameters were associated with clinical outcomes. Fecal specimens were available from 47 recipients, and subjected to 16S rRNA gene sequencing. We found no significant differences between the intervention group and controls in investigated parameters. We observed a major depletion of microbiota, SCFAs, and altered markers of gut barrier function from baseline to 3 weeks post-transplant. One-year mortality was significantly higher in patients with lower diversity at 3 weeks post-HSCT, but not related to diversity at baseline. The relative abundance of Blautia genus at 3 weeks was higher in survivors. Fecal propionic acid was associated with survival. Markers of gut barrier functions were less strongly associated with clinical outcomes. Possibly, other strategies than dietary intervention are needed to prevent negative effects of gut microbiota and clinical outcomes after allo-HSCT.ClinicalTrials.gov (NCT01181076).

Indexed as

Gastrointestinal MicrobiomeHematopoietic Stem Cell TransplantationNutritional SupportAdultFecesFemaleHumansMaleMiddle AgedTransplantation, HomologousYoung Adult

Identifiers

PMID34078971
PMCPMC8172574
OpenAlexW3164296304

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.