Evidence map›Paper›PMID 34758064›Full record

ArticleBlood advances2022

Hematologic complications with age in Shwachman-Diamond syndrome.

Elissa Furutani, Shanshan Liu, Ashley Galvin, Sarah Steltz, Maggie M Malsch, Sara K Loveless, Leann Mount, Jordan H Larson, Kelan Queenan, Alison A Bertuch and 15 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
6.6field-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.

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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Molecular surprises in evaluations of red cell disorders.Hematology. American Society of Hematology. Education Program · 2025
    Review
  4. Review
  5. Genetic Predisposition to Hematologic Malignancies.Cold Spring Harbor perspectives in medicine · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Constitutive systemic inflammation in Shwachman-Diamond Syndrome.Molecular medicine (Cambridge, Mass.) · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Closing the gap: Solving complex medically relevant genes at scale.medRxiv : the preprint server for health sciences · 2024
    Article
  18. Clonal evolution in inherited marrow failure syndromes predicts disease progression.Hematology. American Society of Hematology. Education Program · 2023
    Review
  19. Review
  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

25 authors at 12 institutions in 1 country.

Elissa FurutaniDana-Farber and Boston Children's Cancer and Blood Disorders Center, Harvard Medical School, Boston, MA.
Shanshan LiuBiostatistics and Research Design Center, and.
Ashley GalvinPediatric Hematology Oncology, Institutional Centers for Clinical and Translational Research, Boston Children's Hospital, Boston, MA.ORCID 0000-0002-6036-1591
Sarah SteltzBiostatistics and Research Design Center, and.
Maggie M MalschPediatric Hematology Oncology, Institutional Centers for Clinical and Translational Research, Boston Children's Hospital, Boston, MA.
Sara K LovelessDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
Leann MountDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
Jordan H LarsonPediatric Hematology Oncology, Institutional Centers for Clinical and Translational Research, Boston Children's Hospital, Boston, MA.
Kelan QueenanPediatric Hematology Oncology, Institutional Centers for Clinical and Translational Research, Boston Children's Hospital, Boston, MA.
Alison A BertuchDepartment of Pediatrics, Hematology/Oncology, Baylor College of Medicine and Texas Children's Hospital, Houston, TX.
Mark D FlemingDepartment of Pathology, Boston Children's Hospital, Harvard Medical School, Boston, MA.ORCID 0000-0003-0948-4024
John M GansnerDepartment of Hematology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.ORCID 0000-0002-4030-3044
Amy E GeddisDepartment of Pediatric Hematology, Seattle Children's Hospital, Cancer and Blood Disorders Clinic, Seattle, WA.
Rabi HannaDepartment of Pediatric Hematology, Oncology, and Bone Marrow Transplantation, Cleveland Clinic Children's, Cleveland, OH.
Sioban B KeelDivision of Hematology, University of Washington School of Medicine, Seattle, WA.
Bonnie W LauThe Norris Cotton Cancer Center, Department of Pediatrics, Geisel School of Medicine at Dartmouth College, Lebanon, NH.ORCID 0000-0003-2688-437X
Jeffrey M LiptonDivision of Hematology Oncology and Stem Cell Transplantation, Cohen Medical Center, Zucker School of Medicine at Hofstra Northwell, New Hyde Park, NY.
Robert LorsbachDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
Taizo A NakanoCenter for Cancer and Blood Disorders, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO; and.
Adrianna VlachosDivision of Hematology Oncology and Stem Cell Transplantation, Cohen Medical Center, Zucker School of Medicine at Hofstra Northwell, New Hyde Park, NY.ORCID 0000-0003-4068-5406
Winfred C WangDepartment of Hematology, St. Jude Children's Research Hospital, Memphis, TN.
Stella M DaviesDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
Edie WellerBiostatistics and Research Design Center, and.
Kasiani C MyersDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.ORCID 0000-0002-5528-4405
Akiko ShimamuraDana-Farber and Boston Children's Cancer and Blood Disorders Center, Harvard Medical School, Boston, MA.ORCID 0000-0002-4683-9958
Boston Children's Hospital · USCincinnati Children's Hospital Medical Center · USHarvard University · USHofstra University · USBaylor College of Medicine · USBrigham and Women's Hospital · USChildren's Hospital Colorado · USCleveland Clinic · USDartmouth College · USSeattle Children's Hospital · USSt. Jude Children's Research Hospital · USUniversity of Washington · US

Funding

PATHOPHYSIOLOGY OF HUMAN BLOOD CELLST32HL007574 · NHLBI · CHILDREN'S HOSPITAL BOSTON · PI Daniel Evan Bauer · 1985 to 2026
$18.4M
Translational Studies of Inherited Marrow Failure and Myelodysplastic SyndromesR24DK099808 · NIDDK · FRED HUTCHINSON CANCER RESEARCH CENTER · PI ABKOWITZ, JANIS L, EBERT, BENJAMIN LEVINE · 2013 to 2017
$8.2M
Systems Biology of Bone Marrow Failure and MDS for Precision MedicineRC2DK122533 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI FIGUEROA, MARIA EUGENIA, FLEMING, MARK D · 2019 to 2023
$6.4M
NHLBI NIH HHS T32 HL007574NIDDK NIH HHS R24 DK099808NIDDK NIH HHS RC2 DK122533
6 · The paper itself

Abstract

Shwachman-Diamond syndrome (SDS) is an inherited bone marrow failure syndrome with leukemia predisposition. An understanding of the hematologic complications of SDS with age could guide clinical management, but data are limited for this rare disease. We conducted a cohort study of 153 subjects from 143 families with confirmed biallelic SBDS mutations enrolled on the North American Shwachman Diamond Registry or Bone Marrow Failure Registry. The SBDS c.258 + 2T>C variant was present in all but 1 patient. To evaluate the association between blood counts and age, 2146 blood counts were analyzed for 119 subjects. Absolute neutrophil counts were positively associated with age (P < .0001). Hemoglobin was also positively associated with age up to 18 years (P < .0001), but the association was negative thereafter (P = .0079). Platelet counts and marrow cellularity were negatively associated with age (P < .0001). Marrow cellularity did not correlate with blood counts. Severe marrow failure necessitating transplant developed in 8 subjects at a median age of 1.7 years (range, 0.4-39.5), with 7 of 8 requiring transplant prior to age 8 years. Twenty-six subjects (17%) developed a myeloid malignancy (16 myelodysplasia and 10 acute myeloid leukemia) at a median age of 12.3 years (range, 0.5-45.0) and 28.4 years (range, 14.4-47.3), respectively. A lymphoid malignancy developed in 1 patient at the age of 16.9 years. Hematologic complications were the major cause of mortality (17/20 deaths; 85%). These data inform surveillance of hematologic complications in SDS.

Indexed as

Bone Marrow DiseasesExocrine Pancreatic InsufficiencyHematologic DiseasesAdolescentAdultChildChild, PreschoolCohort StudiesHumansInfantMiddle AgedShwachman-Diamond SyndromeYoung Adult

Identifiers

PMID34758064
PMCPMC8753194
OpenAlexW3213613710

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.