Evidence map›Paper›PMID 35332305›Full record

ArticleBone marrow transplantation2022

Allogeneic hematopoietic stem cell transplantation for adult HLH: a retrospective study by the chronic malignancies and inborn errors working parties of EBMT.

Rafal Machowicz, Felipe Suarez, Wieslaw Wiktor-Jedrzejczak, Diderik-Jan Eikema, Liesbeth C de Wreede, Henric-Jan Blok, Cecilia Isaksson, Hermann Einsele, Xavier Poiré, Suzanne van Dorp and 25 more

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Article in Bone marrow transplantation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 14 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

35 authors at 20 institutions in 9 countries.

Rafal MachowiczDepartment of Hematology, Transplantation and Internal Medicine, Medical University of Warsaw, Warsaw, Poland. r.machowicz@wp.pl.ORCID 0000-0002-2077-6610
Felipe SuarezService d'hématologie adultes, Hôpital Necker-Enfants Malades - AP-HP. Centre Université de Paris Institut Imagine - INSERM UMR 1163 et CNRS ERL 8254 Université de Paris, Paris, France.ORCID 0000-0002-3537-9052
Wieslaw Wiktor-JedrzejczakDepartment of Hematology, Transplantation and Internal Medicine, Medical University of Warsaw, Warsaw, Poland.ORCID 0000-0002-6813-3331
Diderik-Jan EikemaEBMT Statistical Unit, Leiden, The Netherlands.
Liesbeth C de WreedeDepartment of Biomedical Data Sciences, LUMC, Leiden, The Netherlands.
Henric-Jan BlokEBMT Data Office Leiden, Leiden, The Netherlands.
Cecilia IsakssonUmeå University Hospital, Umeå, Sweden.
Hermann EinseleUniversitätsklinikum Würzburg, Würzburg, Germany.ORCID 0000-0002-7680-0819
Xavier PoiréCliniques Universitaires St. Luc, Brussels, Belgium.ORCID 0000-0003-1897-0227
Suzanne van DorpRadboud University - Medical Centre, Nijmegen, The Netherlands.
Emmanouil NikolousisBirmingham Heartlands Hospital, Birmingham, UK.
Jan-Erik JohanssonSahlgrenska University Hospital, Goeteborg, Sweden.
Guido KobbeUniversity Hospital Düsseldorf, Medical Faculty of the Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Marco ZeccaPediatric Hematology/Oncology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.ORCID 0000-0002-8818-1744
Renate ArnoldCharité Universitätsmedizin Berlin, Berlin, Germany.
Armin GerbitzCharité Universitätsmedizin Berlin, Berlin, Germany.
Jürgen FinkeUniversity of Freiburg, Freiburg, Germany.
Jose Luis Díez-MartínHematology Department, Hospital General Universitario Gregorio Marañon, Instituto de Investigaciónes sanitarias Gregorio Marañon, Medicina, Universidad Complutense, Madrid, Spain.
Francesca BonifaziIRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.ORCID 0000-0003-1544-9911
Grant McQuakerQueen Elizabeth University Hospital, Glasgow, UK.
Stig LenhoffSkanes University Hospital, Lund, Sweden.
Pierre-Simon RohrlichDepartment of Hematology, CHU de Nice, University of Cote d'Azur, Nice, France.ORCID 0000-0001-8801-4164
Matthias TheobaldUniversity Medical Center, University Cancer Center, Department of Hematology, Medical Oncology, and Pneumology, Mainz, Germany.
Per LjungmanDept. of Cellular Therapy and Allogeneic Stem Cell Transplantation, Karolinska University Hospital Huddinge, Stockholm, Sweden.ORCID 0000-0002-8281-3245
Matthew CollinFreeman Hospital, Newcastle-Upon-Tyne, Newcastle upon Tyne, UK.
Michael H AlbertDepartment of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, LMU, Munich, Germany.ORCID 0000-0001-9143-3263
Gerhard EhningerUniversitätsklinikum Dresden, Dresden, Germany.
Kristina CarlsonUniversity Hospital, Uppsala, Sweden.
Kazimierz HalaburdaInstitute of Hematology and Transfusion Medicine, Warsaw, Poland.
Kai LehmbergUniversity Hospital Eppendorf, Hamburg, Germany.
Stefan SchönlandUniversity of Heidelberg, Heidelberg, Germany.ORCID 0000-0002-4853-5579
Ibrahim Yakoub-AghaCHU de Lille, Univ Lille, INSERM U1286, Infinite, 59000, Lille, France.ORCID 0000-0003-4524-8782
Andrew R GenneryTranslational and Clinical Research Institute, Newcastle University and Dept Paediatric Immunology + HSCT, Great North Childrens' Hospital Newcastle upon Tyne, Newcastle upon Tyne, UK.
Arjan C LankesterWillem-Alexander Children's Hospital, Paediatric Stem Cell Transplantation Program, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-6703-2993
Nicolaus KrögerUniversity Hospital Eppendorf, Hamburg, Germany.
Charité - Universitätsmedizin Berlin · DEEuropean Society for Blood and Marrow Transplantation · NLMedical University of Warsaw · PLUniversität Hamburg · DEAzienda USL di Bologna · ITCentre Hospitalier Universitaire de Nice · FRCliniques Universitaires Saint-Luc · BEDüsseldorf University Hospital · DEFreeman Hospital · GBGreat North Children's Hospital · GBHeartlands Hospital · GBHeidelberg University · DEHôpital Necker-Enfants Malades · FRHospital General Universitario Gregorio Marañón · ESInserm · FRInstytut Hematologii i Transfuzjologi · PLJohannes Gutenberg University Mainz · DEKarolinska University Hospital · SEKlinik und Poliklinik für Psychotherapie und Psychosomatik · DELeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hemophagocytic lymphohistiocytosis (HLH; hemophagocytic syndrome) is a rare syndrome of potentially fatal, uncontrolled hyperinflammation. Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is indicated in primary, recurrent or progressive HLH, but information about its outcomes in the adult population is limited. We obtained data about 87 adult (≥18 years of age) patients retrospectively reported to the EBMT. The median survival time was 13.9 months. The three and five-year overall survival (OS) was 44% (95% CI 33-54%). Among 39 patients with a follow-up longer than 15 months, only three died. Relapse rate was 21% (95% CI 13-30%), while NRM reached 36% (95% CI 25-46%). Younger patients (<30 years of age) had better prognosis, with an OS of 59% (95% CI 45-73%) at three and five years vs 23% (95% CI 8-37%) for older ones. No difference in survival between reduced and myeloablative conditioning was found. To our knowledge, this is the largest report of adult HLH patients who underwent allo-HSCT. Patients who survive the first period after this procedure can expect a long disease-free survival. Both reduced intensity and myeloablative conditioning have therapeutic potential in adult HLH.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationLymphohistiocytosis, HemophagocyticNeoplasmsAdultChild, PreschoolHumansRetrospective StudiesTransplantation Conditioning

Identifiers

PMID35332305
OpenAlexW4220744863

What OpenQuestion holds

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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.