Evidence map›Paper›PMID 34492685›Full record

ReviewBlood advances2022

Clinical features, pathophysiology, and therapy of poor graft function post-allogeneic stem cell transplantation.

Ashvind Prabahran, Rachel Koldej, Lynette Chee, David Ritchie

2 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Blood advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
5.7field-weighted citation impact, top 3% 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.

NCT05669079 phase3not yet recruitingnot on this mapstarted 2023, after this paper: background citation

Decitabine and Umbilical Cord Blood for Poor Graft Function Post Allogenic Hematopoietic Stem Cell Transplantation

TypeinterventionalSponsorThe First Affiliated Hospital of Soochow UniversityRan2023 to 2026Enrolled100ConditionsPoor Graft FunctionArmsdecitabine, umbilical cord blood, Granulocyte-colony stimulating factor, Recombinant human thrombopoietin / thrombopoietin receptor agonist, Recombinant human erythropoietin
NCT05907499 phase3not yet recruitingnot on this mapstarted 2023, after this paper: background citation

Low Dose Decitabine for Poor Graft Function Post Allogenic Hematopoietic Stem Cell Transplantation

TypeinterventionalSponsorThe First Affiliated Hospital of Soochow UniversityRan2023 to 2026Enrolled76ConditionsPoor Graft FunctionArmsDecitabine, Granulocyte Colony-Stimulating Factor, Thrombopoietin Receptor Agonist, Recombinant human erythropoietin
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 57 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. A boost for poor graft function.Blood advances · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

4 authors at 1 institution in 1 country.

Ashvind PrabahranDepartment of Clinical Haematology, Peter MacCallum Cancer Centre/Royal Melbourne Hospital, Parkville, VIC, Australia.ORCID 0000-0003-3135-0401
Rachel KoldejDepartment of Clinical Haematology, Peter MacCallum Cancer Centre/Royal Melbourne Hospital, Parkville, VIC, Australia.ORCID 0000-0002-1627-8934
Lynette CheeDepartment of Clinical Haematology, Peter MacCallum Cancer Centre/Royal Melbourne Hospital, Parkville, VIC, Australia.ORCID 0000-0002-4250-4448
David RitchieDepartment of Clinical Haematology, Peter MacCallum Cancer Centre/Royal Melbourne Hospital, Parkville, VIC, Australia.ORCID 0000-0001-7329-6605
The Royal Melbourne Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Poor graft function (PGF), defined by the presence of multilineage cytopenias in the presence of 100% donor chimerism, is a serious complication of allogeneic stem cell transplant (alloSCT). Inducers or potentiators of alloimmunity such as cytomegalovirus reactivation and graft-versus-host disease are associated with the development of PGF, however, more clinical studies are required to establish further risk factors and describe outcomes of PGF. The pathophysiology of PGF can be conceptualized as dysfunction related to the number or productivity of the stem cell compartment, defects in bone marrow microenvironment components such as mesenchymal stromal cells and endothelial cells, or immunological suppression of post-alloSCT hematopoiesis. Treatment strategies focused on improving stem cell number and function and microenvironment support of hematopoiesis have been attempted with variable success. There has been limited use of immune manipulation as a therapeutic strategy, but emerging therapies hold promise. This review details the current understanding of the causes of PGF and methods of treatment to provide a framework for clinicians managing this complex problem.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationEndothelial CellsHumansTransplantation, Homologous

Identifiers

PMID34492685
PMCPMC8941468
OpenAlexW3196350491

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.