Evidence map›Paper›PMID 34708505›Full record

ArticlePediatric transplantation2022

Hematopoietic stem cell transplant in two pediatric patients testing positive for SARS-CoV-2: A case report.

Jennifer Krajewski, Jing Chen, Juhi Motiani, Aryeh Baer, Burton Appel, Johannes Zakrzewski, Melanie Hankewycz, Nancy Durning, Alfred Gillio

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Pediatric transplantation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 42% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

9 authors at 1 institution in 1 country.

Jennifer KrajewskiPediatric Blood and Marrow Transplantation, Hackensack University Medical Center, Hackensack, New Jersey, USA.ORCID 0000-0002-6226-965X
Jing ChenPediatric Hematology & Oncology, Hackensack University Medical Center, Hackensack, New Jersey, USA.
Juhi MotianiPediatrics, Hackensack University Medical Center, Hackensack, New Jersey, USA.
Aryeh BaerPediatric Infectious Diseases, Hackensack University Medical Center, Hackensack, New Jersey, USA.
Burton AppelPediatric Hematology & Oncology, Hackensack University Medical Center, Hackensack, New Jersey, USA.
Johannes ZakrzewskiPediatric Blood and Marrow Transplantation, Hackensack University Medical Center, Hackensack, New Jersey, USA.
Melanie HankewyczPediatric Blood and Marrow Transplantation, Hackensack University Medical Center, Hackensack, New Jersey, USA.
Nancy DurningPediatric Blood and Marrow Transplantation, Hackensack University Medical Center, Hackensack, New Jersey, USA.
Alfred GillioPediatric Blood and Marrow Transplantation, Hackensack University Medical Center, Hackensack, New Jersey, USA.
Hackensack University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe SARS-CoV-2 pandemic brought challenges to all areas of medicine. In pediatric bone marrow transplant (BMT), one of the biggest challenges was determining how and when to transplant patients infected with SARS-CoV-2 while mitigating the risks of COVID-related complications.

methodsOur joint adult and pediatric BMT program developed protocols for performing BMT during the pandemic, including guidelines for screening and isolation. For patients who tested positive for SARS-CoV-2, the general recommendation was to delay BMT for at least 14 days from the start of infection and until symptoms improved and the patient twice tested negative by polymerase chain reaction (PCR). However, delaying BMT in patients with malignancy increases the risk of relapse.

resultsWe opted to transplant two SARS-CoV-2 persistently PCR positive patients with leukemia at high risk of relapse. One patient passed away early post-BMT of a transplant-related complication. The other patient is currently in remission and doing well.

conclusionThese cases demonstrate that when the risk associated with delaying BMT is high, it may be reasonable to proceed to transplant in pediatric leukemia patients infected with SARS-CoV-2.

Indexed as

AdolescentCOVID-19Fatal OutcomeFemaleHematopoietic Stem Cell TransplantationHumansInfantLeukemia, B-CellLeukemia, Myeloid, AcuteMalePrecursor B-Cell Lymphoblastic Leukemia-LymphomaTime-to-Treatmentallogeneic stem cell transplantationbone marrow transplantationhematopoietic stem cell transplantationHSCTinfectious riskpediatrics

Identifiers

PMID34708505
PMCPMC8646710
OpenAlexW3209060124

What OpenQuestion holds

Textmetadata
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.