Evidence map›Paper›PMID 34383780›Full record

SynthesisPloS one2021

Hospital and outpatient models for Hematopoietic Stem Cell Transplantation: A systematic review of comparative studies for health outcomes, experience of care and costs.

Marino J González, Elena Urizar, Maider Urtaran-Laresgoiti, Roberto Nuño-Solinís, Esther Lázaro-Pérez, Lourdes Vázquez, Maria Jesús Pascual-Cascón, Carlos Solano, Mi Kwon, Cristina Gallego and 1 more

Abstract readComparative StudySystematic Review
In one paragraph

Synthesis in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
–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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Planning and designing of an inpatient isolation facility for hematopoietic stem cell transplant patients.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2024
    Article
  13. Article
  14. Article
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.

Marino J GonzálezDeusto Business School Health, University of Deusto, Bilbao, Spain.
Elena UrizarDeusto Business School Health, University of Deusto, Bilbao, Spain.ORCID 0000-0002-4829-3231
Maider Urtaran-LaresgoitiDeusto Business School Health, University of Deusto, Bilbao, Spain.ORCID 0000-0002-5924-1015
Roberto Nuño-SolinísDeusto Business School Health, University of Deusto, Bilbao, Spain.
Esther Lázaro-PérezFaculty of Health Sciences, Valencian International University, Valencia, Spain.
Lourdes VázquezHematology Service, Hospital Clínico Universitario de Salamanca, Salamanca, Spain.
Maria Jesús Pascual-CascónHematology Department, BMT Unit. Hospital Regional of Málaga, Málaga, Spain.
Carlos SolanoDepartment of Medicine, Hematology Service, Hospital Clínico Universitario-INCLIVA, School of Medicine, University of Valencia, Valencia, Spain.
Mi KwonDepartment of Hematology, Hospital G. U. Gregorio Marañón, Institute of Health Research Gregorio Marañón, Madrid, Spain.
Cristina GallegoHematology Department, At-home and Stem Cell Transplantation Unit, Institute of Hematology and Oncology, Hospital Clinic, Institut d'Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Barcelona, Spain.
Francesc Fernández-AvilésHematology Department, At-home and Stem Cell Transplantation Unit, Institute of Hematology and Oncology, Hospital Clinic, Institut d'Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The number of Hematopoietic Stem Cell Transplantations has risen in the past 20 years. The practice of outpatient Hematopoietic Stem Cell Transplantation programs is increasing in an attempt to improve the quality of patient care and reduce the demand for hospital admission. A systematic review of 29 comparative studies between in-hospital and outpatient treatment of Hematopoietic Stem Cell Transplantation, with no restriction by outpatient regime was conducted. This study aims to analyse the current evidence on the effects of the outpatient model on patient-centred outcomes, comparing both in-hospital and outpatient models for autologous and allogeneic HSCT using the Triple Aim framework: health outcomes, costs and experience of care. We found evidence on improved health outcomes and quality of life, on enhanced safety and effectiveness and on reduced overall costs and hospital stays, with similar results on overall survival rates comparing both models for autologous and allogeneic patients. We also found that the outpatient Hematopoietic Stem Cell Transplantation is a safe practice as well as less costly, it requires fewer days of hospital stay both for autologous and allogeneic transplantations. Under a situation of an increasing number of transplants, rising healthcare costs and shortages of hospital capacity, incorporating outpatient models could improve the quality of care for people requiring Hematopoietic Stem Cell Transplantation programs.

Indexed as

Models, EconomicQuality of LifeCosts and Cost AnalysisDisease-Free SurvivalHematopoietic Stem Cell TransplantationHumansLength of StaySurvival RateTransplantation, AutologousTransplantation, Homologous

Identifiers

PMID34383780
PMCPMC8360565

What OpenQuestion holds

Textmetadata
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.