Evidence map›Paper›PMID 34853876›Full record

ArticleArchives of gynecology and obstetrics2022

Graft-versus-host disease in the female genital tract: a prospective cohort study.

Andréa Maria Novaes Machado, Morgani Rodrigues, Helena Malvezzi, Carla de Azevedo Piccinato, Nelson Hamerschlak, Sérgio Podgaec

Abstract read
PubMed Publisher
In one paragraph

Article in Archives of gynecology and obstetrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Vulvar and Vaginal Graft-Versus-Host Disease: prevalence and repercussions on vaginal microbiota.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2025
    Observational
  3. 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

6 authors at 1 institution in 1 country.

Andréa Maria Novaes MachadoHospital Israelita Albert Einstein Avenida Albert Einstein, 627/701, Bloco A, 3o Subsolo, São Paulo, SP, 05651901, Brazil. draandreanovaes@gmail.com.ORCID 0000-0002-9490-3221
Morgani RodriguesHospital Israelita Albert Einstein Avenida Albert Einstein, 627/701, Bloco A, 3o Subsolo, São Paulo, SP, 05651901, Brazil.
Helena MalvezziHospital Israelita Albert Einstein Avenida Albert Einstein, 627/701, Bloco A, 3o Subsolo, São Paulo, SP, 05651901, Brazil.
Carla de Azevedo PiccinatoHospital Israelita Albert Einstein Avenida Albert Einstein, 627/701, Bloco A, 3o Subsolo, São Paulo, SP, 05651901, Brazil.
Nelson HamerschlakHospital Israelita Albert Einstein Avenida Albert Einstein, 627/701, Bloco A, 3o Subsolo, São Paulo, SP, 05651901, Brazil.
Sérgio PodgaecHospital Israelita Albert Einstein Avenida Albert Einstein, 627/701, Bloco A, 3o Subsolo, São Paulo, SP, 05651901, Brazil.
Hospital Israelita Albert Einstein · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGraft-versus-host disease (GVHD) is the main complication of allogeneic hematopoietic stem cell transplantation (HSCT). GVHD in the female genital tract can cause sinusorrhagia, dyspareunia, synechia, and even complete vagina occlusion. PURPOSE: This prospective study aimed to evaluate the clinical characteristics and effects of preventive and prompt treatment for genital GVHD in females undergoing HSCT (n = 40).

resultsGenital GVHD was diagnosed in 11 of 40 patients (27.5%), and the most common complaint was vaginal dryness (54.6%). The majority of patients (63.6%) presented mild genital GVHD (clinical score 1), with interlabial fissures and lichen-like lesions, while a minority of patients (9.1%) presented advanced genital GVHD (clinical score 3) with the fusion of the small and large lips. The median time of onset of genital GVHD signs was 10 months after HSCT, concomitant with GVHD in the skin and oral cavity. Personalized and topical therapy was effective in most cases (81.8%), and no patient required surgical intervention.

conclusionWe confirmed that female genital GVHD affects approximately one-third of females undergoing HSCT, highlighting the importance of periodic gynecological monitoring for early detection and treatment to improve care for these females.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationVaginal DiseasesFemaleGenitalia, FemaleHumansProspective StudiesBone marrow transplantationChronic GVHDEstrogen therapyGenital GVHDGraft-versus-host diseaseHematopoietic stem cell transplantationOvarian failure

Identifiers

PMID34853876
OpenAlexW3216007189

What OpenQuestion holds

Textmetadata
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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.