Evidence map›Paper›PMID 35187981›Full record

ArticleThe Journal of international medical research2022

Acute myeloid leukemia relapse after allogeneic hematopoietic stem cell transplantation: a retrospective study from a single institution.

Cheng-Hsien Lin, Tsung-Chih Chen, Yu-Hsuan Shih, Cheng-Wei Chou, Chiann-Yi Hsu, Po-Hsien Li, Chieh-Lin Jerry Teng

Open access · goldAbstract read
In one paragraph

Article in The Journal of international medical research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 12 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

7 authors at 3 institutions in 1 country.

Cheng-Hsien LinDivision of Hematology/Medical Oncology, Department of Medicine, Taichung Veterans General Hospital, Taichung.
Tsung-Chih ChenDivision of Hematology/Medical Oncology, Department of Medicine, Taichung Veterans General Hospital, Taichung.
Yu-Hsuan ShihDivision of Hematology/Medical Oncology, Department of Medicine, Taichung Veterans General Hospital, Taichung.
Cheng-Wei ChouDivision of Hematology/Medical Oncology, Department of Medicine, Taichung Veterans General Hospital, Taichung.
Chiann-Yi HsuBiostatistics Task Force, 40293Taichung Veterans General Hospital, Taichung Veterans General Hospital, Taichung.
Po-Hsien LiDivision of Hematology/Medical Oncology, Department of Medicine, Taichung Veterans General Hospital, Taichung.
Chieh-Lin Jerry TengDivision of Hematology/Medical Oncology, Department of Medicine, Taichung Veterans General Hospital, Taichung.ORCID https://orcid.org/0000-0001-9744-0368
Taichung Veterans General Hospital · TWNational Chung Hsing University · TWNational Taiwan University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe outcomes of patients with acute myeloid leukemia (AML) who relapse after allogeneic hematopoietic stem cell transplantation (allo-HSCT) are poor. However, the risk factors for relapse in this context remain unclear.

methodsWe retrospectively assessed 84 consecutive adult AML patients who underwent allo-HSCT and achieved complete remission (CR). These patients were dichotomized into non-relapse (n = 58) and relapse (n = 26) groups, and the cumulative relapse rates and associated risk factors were examined. We also examined the treatments for and outcomes of patients with AML relapse after allo-HSCT.

resultsNon-CR status before allo-HSCT and high-risk cytogenetics were significant risk factors for AML relapse in univariate analysis, and non-CR status was also identified as a risk factor in multivariate analysis. The cumulative AML relapse rates after allo-HSCT were significantly higher in patients with non-CR (70.0%) compared with patients with CR (25.6%). Only 2 of the 26 relapsed patients remained alive on the study-censored day.

conclusionsNon-CR status before allo-HSCT was a significant risk factor for AML relapse after allo-HSCT. Patients with AML relapse after allo-HSCT had poor outcomes due to a lack of response to salvage remission-induction chemotherapy or treatment-related adverse events.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteHumansRecurrenceRetrospective StudiesTransplantation, HomologousAcute myeloid leukemiaallogeneic hematopoietic stem cell transplantationcomplete remissioncytogeneticsrelapserisk factor

Identifiers

PMID35187981
PMCPMC8864276
OpenAlexW4213159329

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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.