Evidence map›Paper›PMID 34438552›Full record

ArticleChildren (Basel, Switzerland)2021

Current Practices on Diagnosis, Prevention and Treatment of Post-Transplant Lymphoproliferative Disorder in Pediatric Patients after Solid Organ Transplantation: Results of ERN TransplantChild Healthcare Working Group Survey.

Alastair Baker, Esteban Frauca Remacha, Juan Torres Canizales, Luz Yadira Bravo-Gallego, Emer Fitzpatrick, Angel Alonso Melgar, Gema Muñoz Bartolo, Luis Garcia Guereta, Esther Ramos Boluda, Yasmina Mozo and 28 more

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Article in Children (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

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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

38 authors.

Alastair BakerPaediatric Liver, Gastrointestinal and Nutrition Centre, School of Medicine, King's College Hospital, King's College London, Denmark Hill, London SE5 9RS, UK.
Esteban Frauca RemachaServicio de Hepatología Pediátrica, Hospital Universitario La Paz, 28046 Madrid, Spain.
Juan Torres CanizalesLymphocyte Pathophysiology in Immunodeficiencies Group, La Paz Institute of Biomedical Research (IdiPAZ), Hospital Universitario La Paz and Center for Biomedical Network Research on Rare Diseases (CIBERER U767), 28046 Madrid, Spain.ORCID 0000-0002-7138-5732
Luz Yadira Bravo-GallegoLymphocyte Pathophysiology in Immunodeficiencies Group, La Paz Institute of Biomedical Research (IdiPAZ), Hospital Universitario La Paz and Center for Biomedical Network Research on Rare Diseases (CIBERER U767), 28046 Madrid, Spain.ORCID 0000-0002-4919-5166
Emer FitzpatrickPaediatric Liver, Gastrointestinal and Nutrition Centre, School of Medicine, King's College Hospital, King's College London, Denmark Hill, London SE5 9RS, UK.
Angel Alonso MelgarServicio de Nefrología Pediátrica, Hospital Universitario La Paz, 28046 Madrid, Spain.
Gema Muñoz BartoloServicio de Hepatología Pediátrica, Hospital Universitario La Paz, 28046 Madrid, Spain.
Luis Garcia GueretaServicio de Cardiología Pediátrica, Hospital Universitario La Paz, 28046 Madrid, Spain.
Esther Ramos BoludaPediatric Gastroenterology Intestinal Rehabilitation Unit, University Hospital La Paz, 28046 Madrid, Spain.ORCID 0000-0001-6743-9198
Yasmina MozoPediatric Hemato-Oncology Department, Hospital Universitario La Paz, 28046 Madrid, Spain.ORCID 0000-0002-5666-1911
Dorota BroniszczakDepartment of Pediatric Surgery and Organ Transplantation, Children's Memorial Health Institute, 04-730 Warsaw, Poland.
Wioletta JarmużekDepartment of Nephrology and Kidney Transplantation, Children's Memorial Health Institute, 04-730 Warsaw, Poland.
Piotr KalicinskiDepartment of Pediatric Surgery and Organ Transplantation, Children's Memorial Health Institute, 04-730 Warsaw, Poland.ORCID 0000-0003-0555-2229
Britta Maecker-KolhoffDepartment of Pediatric Hematology and Oncology, Hannover Medical School, 30625 Hannover, Germany.
Julia CarlensClinic for Paediatric Pneumology, Allergology, and Neonatology, Hannover Medical School, 30625 Hannover, Germany.
Ulrich BaumannDivision of Paediatric Gastroenterology and Hepatology, Children's Hospital, Hannover Medical School, 30625 Hannover, Germany.
Charlotte RoyService de Pneumologie Pédiatrique, Hôpital Necker-Enfants Malades, AP-HP, Université Paris, 75015 Paris, France.ORCID 0000-0001-8274-7180
Christophe ChardotService de Chirurgie Pédiatrique, Hôpital Necker-Enfants Malades, AP-HP, Université Paris Descartes, 75015 Paris, France.ORCID 0000-0002-3248-5650
Elisa BenettiPediatric Nephrology, Dialysis and Transplant Unit, Department of Women's and Children's Health, Azienda Ospedaliera di Padova, 35128 Padova, Italy.
Mara CananziUnit of Paediatric Gastroenterology, Digestive Endoscopy, Hepatology and Care of the Child with Liver Transplantation, Department of Women's and Children's Health, Azienda Ospedaliera di Padova, 35128 Padova, Italy.
Elisabetta CaloreUnit of Paediatric Onco-Haematology, Department of Women's and Children's Health, Azienda Ospedaliera di Padova, 35128 Padova, Italy.
Luca Dello StrologoNephrology Unit, Bambino Gesù Children's Research Hospital, IRCCS, 00165 Rome, Italy.ORCID 0000-0002-8237-852X
Manila CandussoDepartment of Hepatology and Gastroenterology, Bambino Gesù Children Hospital, 00165 Rome, Italy.
Maria Francelina LopesDepartment of Paediatric Surgery, Centro Hospitalar e Universitário de Coimbra, and Faculty of Medicine, University of Coimbra, 3000-075 Coimbra, Portugal.ORCID 0000-0002-7001-7217
Manuel João BritoDepartment of Paediatric Oncology and Centro de Investigação e Formação Clínica, Hospital Pediátrico, Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal.
Cristina GonçalvesPaediatric Liver Transplant Unit, Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal.
Carmen Do CarmoPaediatric Nephrology Unit, Hospital Pediátrico, Centro Hospitalar e Universitário de Coimbra, 3000-075 Coimbra, Portugal.
Xavier StephenneLaboratoire d'Hépatologie Pédiatrique et Thérapie Cellulaire, Unité PEDI, Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain (UCLouvain), 1200 Brussels, Belgium.
Lars WennbergDepartment of Transplantation Surgery, Karolinska University Hospital, 171 76 Stockholm, Sweden.
Rosário StoneUnidade de Nefrologia e Transplantação Renal, Serviço de Pediatria Médica, Departamento de Pediatria, Hospital de Santa Maria, Centro Académico de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal.
Jelena RasconCentre for Paediatric Oncology and Haematology, Vilnius University Hospital Santaros Klinikos, 08406 Vilnius, Lithuania.ORCID 0000-0003-4420-6943
Caroline LindemansPrincess Maxima Center for Pediatric Oncology, Pediatric Blood and Marrow Transplantation Program, University Medical Center Utrecht, Utrecht University, 3584 CS Utrecht, The Netherlands.
Dominik TurkiewiczDepartment of Pediatrics, Skåne University Hospital, 222 42 Lund, Sweden.
Eugenia GiraldiPediatric Oncology, Hospital Papa Giovanni XXIII, 24127 Bergamo, Italy.
Emanuele NicastroPediatric Hepatology, Gastroenterology and Transplantation, Hospital Papa Giovanni XXIII, 24127 Bergamo, Italy.ORCID 0000-0002-4518-9375
Lorenzo D'AntigaPediatric Hepatology, Gastroenterology and Transplantation, Hospital Papa Giovanni XXIII, 24127 Bergamo, Italy.
Oanez AckermannPediatric Hepatology, National Centre for Biliary Atresia, Université París-Saclay, APHP, Hôpital Bicêtre, 94270 Le Kremlin-Bicêtre, France.
Paloma Jara VegaServicio de Hepatología Pediátrica, Hospital Universitario La Paz, 28046 Madrid, Spain.

Funding

Third Health Programme 847103
6 · The paper itself

Abstract

(1) Background: Post-transplant lymphoproliferative disease (PTLD) is a significant complication of solid organ transplantation (SOT). However, there is lack of consensus in PTLD management. Our aim was to establish a present benchmark for comparison between international centers and between various organ transplant systems and modalities; (2) Methods: A cross-sectional questionnaire of relevant PTLD practices in pediatric transplantation was sent to multidisciplinary teams from 17 European center members of ERN TransplantChild to evaluate the centers' approach strategies for diagnosis and treatment and how current practices impact a cross-sectional series of PTLD cases; (3) Results: A total of 34 SOT programs from 13 European centers participated. The decision to start preemptive treatment and its guidance was based on both EBV viremia monitoring plus additional laboratory methods and clinical assessment (61%). Among treatment modalities the most common initial practice at diagnosis was to reduce the immunosuppression (61%). A total of 126 PTLD cases were reported during the period 2012-2016. According to their histopathological classification, monomorphic lesions were the most frequent (46%). Graft rejection after PTLD remission was 33%. Of the total cases diagnosed with PTLD, 88% survived; (4) Conclusions: There is still no consensus on prevention and treatment of PTLD, which implies the need to generate evidence. This might successively allow the development of clinical guidelines.

Indexed as

Epstein–Barr virusimmunosuppressionpediatricpost-transplant lymphoproliferative disorderPTLDsolid organ transplantation

Identifiers

PMID34438552
PMCPMC8394841

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