Evidence map›Paper›PMID 34920451›Full record

Trial reportBlood advances2022

The day 100 score predicts moderate to severe cGVHD, transplant mortality, and survival after hematopoietic cell transplantation.

Elisabetta Metafuni, Irene Maria Cavattoni, Teresa Lamparelli, Anna Maria Raiola, Anna Ghiso, Federica Galaverna, Francesca Gualandi, Carmen Di Grazia, Alida Dominietto, Riccardo Varaldo and 8 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Blood advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 48% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Review
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

18 authors at 6 institutions in 1 country.

Elisabetta MetafuniDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.ORCID 0000-0002-4780-1273
Irene Maria CavattoniDivisione di Ematologia, Ospedale di Bolzano, Italy.
Teresa LamparelliEmatologia e Trapianto di Cellule Staminali, Ospedale Policlinico San Martino IRCCS, Genova, Italy.
Anna Maria RaiolaEmatologia e Trapianto di Cellule Staminali, Ospedale Policlinico San Martino IRCCS, Genova, Italy.
Anna GhisoEmatologia e Trapianto di Cellule Staminali, Ospedale Policlinico San Martino IRCCS, Genova, Italy.
Federica GalavernaOncologia Pediatrica, Ospedale Pediatrico Bambino Gesù, Rome, Italy.
Francesca GualandiEmatologia e Trapianto di Cellule Staminali, Ospedale Policlinico San Martino IRCCS, Genova, Italy.
Carmen Di GraziaEmatologia e Trapianto di Cellule Staminali, Ospedale Policlinico San Martino IRCCS, Genova, Italy.
Alida DominiettoEmatologia e Trapianto di Cellule Staminali, Ospedale Policlinico San Martino IRCCS, Genova, Italy.ORCID 0000-0001-9143-3714
Riccardo VaraldoEmatologia e Trapianto di Cellule Staminali, Ospedale Policlinico San Martino IRCCS, Genova, Italy.
Alessio SignoriIstituo di Statistica Medica, Universita' di Genova, Genova, Italy; and.
Patrizia ChiusoloDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.ORCID 0000-0002-1355-1587
Federica Sora'Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Sabrina GiammarcoDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Luca LaurentiDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.ORCID 0000-0002-8327-1396
Simona SicaDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Emanuele AngelucciEmatologia e Trapianto di Cellule Staminali, Ospedale Policlinico San Martino IRCCS, Genova, Italy.
Andrea BacigalupoDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Ospedale Policlinico San Martino · ITUniversità Cattolica del Sacro Cuore · ITAgostino Gemelli University Polyclinic · ITBambino Gesù Children's Hospital · ITOspedale di Bolzano · ITUniversity of Genoa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to develop a predictive score for moderate-severe chronic graft-versus-host disease (cGVHD) on day +100 after allogeneic stem cell transplantation (HSCT). We studied 1292 patients allografted between 1990 and 2016, alive on day +100 after transplant, without cGVHD, and with full biochemistry laboratory values available. Patients were randomly assigned to a training and a validation cohort (ratio 1:1). In the training cohort, a multivariate analysis identified 4 independent predictors of moderate-severe cGVHD: gamma-glutamyl transferase ≥75 UI/l, creatinine ≥1 mg/dl, cholinesterase ≤4576 UI/l, and albumin ≤4 g/dl. A score of 1 was assigned to each variable, producing a low (0 to 1), intermediate (2 to 3), and high (4) score. The cumulative incidence of moderate-severe cGVHD was 12%, 20%, and 52% (P < .0001) in the training cohort, and 13%, 24%, and 33% (P = .002) in the validation cohort, respectively. The 5-year cumulative incidence of transplant-related mortality (TRM) was 5%, 14%, 27% (P < .0001) and 5%, 16%, 31% (P < .0001), respectively. The 5-year survival was 64%, 57%, 54% (P = .009) and 70%, 59%, 42% (P = .0008) in the 2 cohorts, respectively. In conclusion, Day100 score predicts cGVHD, TRM, and survival and, if validated in a separate group of patients, could be considered for trials of preemptive therapy.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansIncidenceTransplantation ConditioningTransplantation, Homologous

Identifiers

PMID34920451
PMCPMC9006267
OpenAlexW4200047381

What OpenQuestion holds

Textmetadata
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.