Evidence map›Paper›PMID 34079042›Full record

ArticleLeukemia2021

COVID-19 and stem cell transplantation; results from an EBMT and GETH multicenter prospective survey.

Per Ljungman, Rafael de la Camara, Malgorzata Mikulska, Gloria Tridello, Beatriz Aguado, Mohsen Al Zahrani, Jane Apperley, Ana Berceanu, Rodrigo Martino Bofarull, Maria Calbacho and 20 more

Abstract readMulticenter Study
In one paragraph

Article in Leukemia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 136 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
136citing papers in PubMed, 7 pooled it
–field-weighted citation impact
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

136 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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76 more citing papers are in PubMed but not listed here.

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

30 authors.

Per Ljungman *Department of Cellular Therapy and Allogeneic Stem Cell Transplantation, Karolinska Comprehensive Cancer Center, Karolinska University Hospital Huddinge, Stockholm, Sweden. Per.Ljungman@ki.se.ORCID http://orcid.org/0000-0002-8281-3245
Rafael de la Camara *Department of Hematology, Hospital de la Princesa, Madrid, Spain.ORCID http://orcid.org/0000-0002-8189-5779
Malgorzata MikulskaDivision of Infectious Diseases, University of Genoa and Ospedale Policlinico San Martino, Genova, Italy.ORCID http://orcid.org/0000-0002-5535-4602
Gloria TridelloPediatric Hematology Oncology, Verona, Italy.
Beatriz AguadoDepartment of Hematology, Hospital de la Princesa, Madrid, Spain.
Mohsen Al ZahraniKing Abdul - Aziz Medical City, Riyadh, Saudi Arabia.ORCID http://orcid.org/0000-0002-9174-5803
Jane ApperleyCentre for Haematology, Imperial College, London, UK.
Ana BerceanuHopital Jean Minjoz, Besancon, France.
Rodrigo Martino BofarullHospital Santa Creu i Sant Pau, Barcelona, Spain.
Maria CalbachoHospital Universitario 12 de Octubre, Madrid, Spain.
Fabio CiceriOspedale San Raffaele s.r.l., Milan, Italy.
Lucia Lopez-CorralHematology Department, Complejo Asistencial Universitario de Salamanca-IBSAL; Centro de Investigación del Cáncer-IBMCC, Salamanca, Spain.
Claudia CrippaSpedali Civili, Brescia, Italy.
Maria Laura FoxServei d'Hematologia, Vall d'Hebron Hospital Universitari, Experimental Hematology, Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.
Anna GrassiASST Papa Giovanni XXIII, Bergamo, Italy.
Maria-Jose JimenezICO-Hospital Germans Trias i Pujol. Josep Carreras Research Institute, Badalona, Spain.
Safiye Koçulu DemirHSCT unit, Demiroglu Bilim University, Istanbul, Turkey.ORCID http://orcid.org/0000-0003-4918-2258
Mi KwonHospital General Universitario Gregorio Marañon, Instituto de Investigación sanitaria Gregorio Marañon, Madrid, Spain.ORCID http://orcid.org/0000-0002-3855-7774
Carlos Vallejo LlamasHospital Universitario Donostia, San Sebastian, Spain.
José Luis López LorenzoFundación Jiménez Díaz, Madrid, Spain.
Stephan MielkeDepartment of Cellular Therapy and Allogeneic Stem Cell Transplantation, Karolinska Comprehensive Cancer Center, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Kim OrchardSouthampton General Hospital, Southampton, UK.
Rocio Parody PorrasICO - Hospital Duran i Reynals, Barcelona, Spain.
Daniele VallisaHospital Guglielmo da Saliceto, Piacenza, Italy.
Alienor XhaardHôpital St. Louis, Paris, France.ORCID http://orcid.org/0000-0002-4449-989X
Nina Simone KnelangeEBMT Data Office, Department of Medical Statistics & Bioinformatics, Leiden, Netherlands.
Angel CedilloGETH Spanish Registry, Madrid, Spain.
Nicolaus KrögerDepartment of Stem cell Transplantation, University Hospital Eppendorf, Hamburg, Germany.ORCID http://orcid.org/0000-0001-5103-9966
José Luis PiñanaDepartment of Hematology, Hospital Clinico Universitario de Valencia. Fundación de investigación INCLIVA, Hospital Clinico Universitario de Valencia, Valencia, Spain.ORCID http://orcid.org/0000-0001-8533-2562
Jan StyczynskiPediatric Hematology and Oncology, University Hospital, Collegium Medicum, Nicolaus Copernicus University Torun, Bydgoszcz, Poland.ORCID http://orcid.org/0000-0002-3158-119X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study reports on 382 COVID-19 patients having undergone allogeneic (n = 236) or autologous (n = 146) hematopoietic cell transplantation (HCT) reported to the European Society for Blood and Marrow Transplantation (EBMT) or to the Spanish Group of Hematopoietic Stem Cell Transplantation (GETH). The median age was 54.1 years (1.0-80.3) for allogeneic, and 60.6 years (7.7-81.6) for autologous HCT patients. The median time from HCT to COVID-19 was 15.8 months (0.2-292.7) in allogeneic and 24.6 months (-0.9 to 350.3) in autologous recipients. 83.5% developed lower respiratory tract disease and 22.5% were admitted to an ICU. Overall survival at 6 weeks from diagnosis was 77.9% and 72.1% in allogeneic and autologous recipients, respectively. Children had a survival of 93.4%. In multivariate analysis, older age (p = 0.02), need for ICU (p < 0.0001) and moderate/high immunodeficiency index (p = 0.04) increased the risk while better performance status (p = 0.001) decreased the risk for mortality. Other factors such as underlying diagnosis, time from HCT, GVHD, or ongoing immunosuppression did not significantly impact overall survival. We conclude that HCT patients are at high risk of developing LRTD, require admission to ICU, and have increased mortality in COVID-19.

Indexed as

AdolescentAdultAgedAged, 80 and overChildChild, PreschoolCOVID-19FemaleFollow-Up StudiesHematologic NeoplasmsHematopoietic Stem Cell TransplantationHumansInfantMaleMiddle AgedPrognosis

Identifiers

PMID34079042
PMCPMC8171362

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Registered trials

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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.