Evidence map›Paper›PMID 35662591›Full record

ReviewTransplantation and cellular therapy2022

Toward a Better Understanding of the Atypical Features of Chronic Graft-Versus-Host Disease: A Report from the 2020 National Institutes of Health Consensus Project Task Force.

Geoffrey D E Cuvelier, Michelle Schoettler, Nataliya P Buxbaum, Iago Pinal-Fernandez, Marc Schmalzing, Jörg H W Distler, Olaf Penack, Bianca D Santomasso, Robert Zeiser, Klemens Angstwurm and 18 more

Open access · greenAbstract readCase ReportsReviewConsensus Statement
In one paragraph

Review in Transplantation and cellular therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
8.8field-weighted citation impact, top 1% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Guideline
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  11. Eosinophilic fasciitis.Medicina clinica · 2025
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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

28 authors at 20 institutions in 7 countries.

Geoffrey D E CuvelierManitoba Blood and Marrow Transplant Program, CancerCare Manitoba, University of Manitoba, Winnipeg, Manitoba, Canada. Electronic address: gcuvelier@cancercare.mb.ca.
Michelle SchoettlerChildren's Healthcare of Atlanta/Aflac Cancer Center, Atlanta, Georgia, United States; Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, United States.
Nataliya P BuxbaumDepartment of Pediatrics, Roswell Park Comprehensive Care Center, Buffalo, New York, United States.
Iago Pinal-FernandezNational Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health, Baltimore, Maryland, United States; Johns Hopkins University School of Medicine, Baltimore, Maryland, United States.
Marc SchmalzingRheumatology/Clinical Immunology, Department of Internal Medicine II, University of Wuerzburg, Wuerzburg, Germany.
Jörg H W DistlerDepartment of Internal Medicine 3, University of Erlangen-Nuremberg, Erlangen, Germany.
Olaf PenackDepartment of Hematology, Oncology and Tumorimmunology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Bianca D SantomassoDepartment of Neurology, Memorial Sloan Kettering Cancer Center, New York, New York, United States.
Robert ZeiserDepartment of Medicine I, Medical Center-University of Freiburg, Freiburg, Germany.
Klemens AngstwurmDepartment of Neurology, University Medical Center Regensburg, Regensburg, Germany.
Kelli P A MacDonaldAntigen Presentation and Immunoregulation Laboratory, QIMR Berghofer Medical Research Institute, Brisbane, Australia.
W Taylor KimberlyDivision of Neurocritical Care, Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts, United States.
Naomi TaylorPediatric Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, United States; Institut de Génétique Moléculaire Montpellier (IGMM), Université de Montpellier, CNRS, Montpellier, France.
Ervina BilicDepartment of Neurology, Clinical Hospital Centre Zagreb School of Medicine, University of Zagreb, Zagreb, Croatia.
Bernhard BanasDepartment of Nephrology, University Hospital Regensburg, Regensburg, Germany.
Maike Buettner-HeroldDepartment of Nephropathology, Institute of Pathology, Friedrich-Alexander University Erlangen-Nuremberg (FAU) and University Hospital, Erlangen, Germany.
Namita SinhaDepartment of Pathology, Health Sciences Centre, University of Manitoba, Winnipeg, Manitoba, Canada.
Hildegard T GreinixClinical Division of Hematology, Medical University of Graz, Graz, Austria.
Joseph PidalaDepartment of Blood and Marrow Transplantation and Cellular Immunotherapy. H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, United States.
Kirk R SchultzPediatric Hematology/Oncology/BMT, BC Children's Hospital, Vancouver, British Columbia, Canada.
Kirsten M WilliamsChildren's Healthcare of Atlanta/Aflac Cancer Center, Atlanta, Georgia, United States.
Yoshihiro InamotoDepartment of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan.
Corey CutlerDivision of Stem Cell Transplantation and Cellular Therapy, Dana-Farber Cancer Institute, Boston, Massachusetts, United States.
Linda M GriffithDivision of Allergy Immunology and Transplantation, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, United States. Electronic address: lgriffith@niaid.nih.gov.
Stephanie J LeeClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington; Department of Medicine, University of Washington, Seattle, Washington, United States.
Stefanie SarantopoulosDepartment of Medicine, Division of Hematologic Malignancies and Cellular Therapy, Department of Immunology, Duke Cancer Institute, Duke University Medical Center, Durham, North Carolina, United States.
Steven Z PavleticImmune Deficiency Cellular Therapy Program, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, United States.
Daniel WolffDepartment of Internal Medicine III, University Hospital Regensburg, Regensburg, Germany.
University Hospital Regensburg · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DENational Institutes of Health · USAflac (United States) · USBC Children's Hospital · CACancerCare Manitoba · CACentre National de la Recherche Scientifique · FRCharité - Universitätsmedizin Berlin · DEDana-Farber Cancer Institute · USDuke Medical Center · USEmory University · USFred Hutch Cancer Center · USHealth Sciences Centre · CAMassachusetts General Hospital · USMedical University of Graz · ATMemorial Sloan Kettering Cancer Center · USMoffitt Cancer Center · USNational Institute of Allergy and Infectious Diseases · USQIMR Berghofer Medical Research Institute · AURoswell Park Comprehensive Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NIH Chronic GVHD Study GroupZIABC011743 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI PAVLETIC, STEVEN · 2016 to 2025
$10.2M
Reprogramming hematopoietic stem cell (HSC) differentiation via metabolic conditZIABC011924 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI TAYLOR, NAOMI · 2019 to 2025
$9.0M
Intramural NIH HHS ZIA BC011743NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Alloreactive and autoimmune responses after allogeneic hematopoietic cell transplantation can occur in nonclassical chronic graft-versus-host disease (chronic GVHD) tissues and organ systems or manifest in atypical ways in classical organs commonly affected by chronic GVHD. The National Institutes of Health (NIH) consensus projects were developed to improve understanding and classification of the clinical features and diagnostic criteria for chronic GVHD. Although still speculative whether atypical manifestations are entirely due to chronic GVHD, these manifestations remain poorly captured by the current NIH consensus project criteria. Examples include chronic GVHD impacting the hematopoietic system as immune mediated cytopenias, endothelial dysfunction, or as atypical features in the musculoskeletal system, central and peripheral nervous system, kidneys, and serous membranes. These purported chronic GVHD features may contribute significantly to patient morbidity and mortality. Most of the atypical chronic GVHD features have received little study, particularly within multi-institutional and prospective studies, limiting our understanding of their frequency, pathogenesis, and relation to chronic GVHD. This NIH consensus project task force report provides an update on what is known and not known about the atypical manifestations of chronic GVHD while outlining a research framework for future studies to be undertaken within the next 3 to 7 years. We also provide provisional diagnostic criteria for each atypical manifestation, along with practical investigation strategies for clinicians managing patients with atypical chronic GVHD features.

Indexed as

Graft vs Host DiseaseChronic DiseaseHumansNational Institutes of Health (U.S.)Prospective StudiesUnited StatesAtypicalChronic graft-versus-host diseaseNational Institutes of Health Consensus Project Task Force

Identifiers

PMID35662591
PMCPMC9557927
OpenAlexW4281695451

What OpenQuestion holds

Textmetadata
LicenceTDM
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.