Evidence map›Paper›PMID 34668661›Full record

ArticleCancer medicine2021

Haploidentical donor transplant is associated with secondary poor graft function after allogeneic stem cell transplantation: A single-center retrospective study.

Wei-Ran Lv, Ya Zhou, Jun Xu, Zhi-Ping Fan, Fen Huang, Na Xu, Li Xuan, Peng-Cheng Shi, Hui Liu, Zhi-Xiang Wang and 2 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 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
2.0field-weighted citation impact, top 12% 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.

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, 21 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 1 institution in 1 country.

Wei-Ran LvDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.ORCID 0000-0001-9048-5053
Ya ZhouDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Jun XuDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Zhi-Ping FanDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Fen HuangDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Na XuDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Li XuanDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.ORCID 0000-0002-6176-7411
Peng-Cheng ShiDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Hui LiuDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Zhi-Xiang WangDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Jing SunDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Qi-Fa LiuDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.ORCID 0000-0003-4015-3952
Nanfang Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSecondary poor graft function (sPGF) is a serious complication after allogeneic hematopoietic stem cell transplantation (allo-HSCT) related to poor outcome. We aimed to retrospectively evaluate the morbidity and hazard elements of sPGF after allo-HSCT.

methodsEight hundred and sixty-three patients who achieved initial engraftment of both neutrophils and platelets were retrospectively reviewed in this study.

resultsFifty-two patients developed sPGF within 180 days post-transplants, with the median onset time was 62 days (range, 34-121 days) post-transplants. The overall cumulative incidence of sPGF within 180 days post-transplantation was 6.0%, with 3.4%, 3.4%, and 10.1%, respectively, in matched sibling donor (MSD), matched unrelated donor (MUD), and haploidentical donor (HID) transplant (p < 0.0001). Multivariable analysis showed that HID (HID vs. MSD: hazard ratio [HR] 2.525, p = 0.004; HID vs. MUD: [HR] 3.531, p = 0.017), acute graft versus host disease (aGVHD) within +30 days ([HR] 2.323, p = 0.003), and cytomegalovirus (CMV) reactivation ([HR] 8.915, p < 0.0001) within +30 days post-transplants were hazard elements of sPGF. The patients with sPGF had poorer survival than good graft function (51.7±8.1% vs. 62.9±1.9%, p < 0.0001). Our results also showed that only CMV reactivation was the hazard element for the development of PGF in HID transplant ([HR] 12.521 p < 0.0001).

conclusionHID transplant is also an independent hazard element of sPGF except for aGVHD and CMV reactivation.

Indexed as

Hematopoietic Stem Cell TransplantationAdolescentAdultFemaleGraft RejectionHaplotypesHematologic NeoplasmsHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk FactorsSurvival AnalysisTransplantation, Homologoushaploidentical donor transplanthazard elementshematopoietic stem cell transplantationsecondary poor graft function

Identifiers

PMID34668661
PMCPMC8633248
OpenAlexW3205085405

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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.