Evidence map›Paper›PMID 35661248›Full record

ArticleAnnals of hematology2022

A multicentre trial of intensive immunosuppressive therapy combined with umbilical cord blood for the treatment of severe aplastic anaemia.

Fang Zhou, Fengkui Zhang, Li Zhang, Qian Wu, Junjie Ma, Chunting Zhao, Ling Wang, Guitao Jie, Haiyan Zhang, Hao Zhang and 2 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Annals of hematology, 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
0.3field-weighted citation impact, top 40% 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, 3 citations in OpenAlex.

  1. Article
  2. Article
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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

12 authors at 7 institutions in 1 country.

Fang ZhouDepartment of Hematology, PLA 960Th Hospital, No. 25 Normal Road, Tianqiao District, Jinan, 250000, Shandong, China. zhoufang1@medmail.com.cn.ORCID http://orcid.org/0000-0003-0189-3392
Fengkui ZhangDepartment of Hematology, Institute of Hematology and Blood Diseases Hospital, Tianjin, 300000, China.
Li ZhangDepartment of Hematology, Institute of Hematology and Blood Diseases Hospital, Tianjin, 300000, China.
Qian WuDepartment of Hematology, PLA 960Th Hospital, No. 25 Normal Road, Tianqiao District, Jinan, 250000, Shandong, China.
Junjie MaDepartment of Hematology, Yantai Yuhuangding Hospital, Yantai, 264000, China.
Chunting ZhaoDepartment of Hematology, The Affiliated Hospital of Qingdao University, Qingdao, 266000, China.
Ling WangDepartment of Hematology, Qingdao Central Hospital, Qingdao, 266042, Shandong, China.
Guitao JieDepartment of Hematology, Linyi Central Hospital, Linyi, 276000, Shandong, China.
Haiyan ZhangDepartment of Hematology, Linyi People's Hospital, Linyi, 276000, Shandong, China.
Hao ZhangDepartment of Hematology, Affiliated Hospital of Jining Medical University, Jining, 610000, Sichuan, China.
Shunqing WangDepartment of Hematology, Guangzhou First People's Hospital, Guangzhou, 510000, Guangdong, China.
Qingliang TengDepartment of Hematology, Taian City Central Hospital, Taian, 271000, Shandong, China.
Linyi People's Hospital · CNInstitute of Hematology & Blood Diseases Hospital · CNQingdao University · CNGuangzhou First People's Hospital · CNShandong Normal University · CNTaian City Central Hospital · CNYuhuangding Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immunosuppressive therapy (IST) is an effective treatment regimen for severe aplastic anaemia (SAA) patients without HLA-identical donors. This study further compared the outcomes between IST and IIST-UCB in SAA on the basis of research shown that IST combined with umbilical cord blood infusion (IIST-UCB) treated effectively. A total of 123 patients from 11 hospitals in China were enrolled. Sixty-nine patients in IIST-UCB group were treated with ATG + CsA + CTX combined with cord blood, while 54 patients in IST group with ATG + CsA. The overall remission rates (ORRs), complete remission (CR) rates and partial response (PR) rates of IIST-UCB group and IST group at 3 months were 69.67% vs 51.85% (P = .045), 21.74% vs 3.7% (P = .004) and 47.83% vs 48.15% (P = .972), respectively. After 6 months of treatment, they were 76.81% vs 57.41% (P = .022), 37.68% vs 11.11% (P = .001) and 39.13% vs 46.30% (P = .425), respectively. After 1 year of treatment, they were 85.51% vs 61.11% (P = .002), 59.42% vs 25.93% (P = .000) and 26.09% vs 35.19% (P = .275), respectively. The ORRs and CR rates of IIST-UCB group were both significantly higher than IST group after 3 months, 6 months and 1 year of treatment. The neutrophil granulocyte, platelet and haemoglobin recovery times of IIST-UCB group were significantly shorter than IST group. Compared with standard IST, IIST-UCB as an effective therapy for SAA patients without HLA-identical donors accelerated the haematopoietic reconstitution, resulting in higher early CR rates.

Indexed as

Anemia, AplasticAntilymphocyte SerumCyclophosphamideCyclosporineFetal BloodHumansImmunosuppression TherapyImmunosuppressive AgentsTreatment OutcomeAntilymphocyte SerumCyclophosphamideCyclosporineImmunosuppressive AgentsHaematopoietic recoveryIntensive immunosuppressive therapySevere aplastic anaemiaUmbilical cord blood

Identifiers

PMID35661248
PMCPMC9279261
OpenAlexW4281870516

What OpenQuestion holds

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LicenceCC BY
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.