Evidence map›Paper›PMID 36002533›Full record

ArticleBone marrow transplantation2022

Survival and late effects of hematopoietic cell transplantation in patients with thalassemia major.

Stella Santarone, Stefano Angelini, Annalisa Natale, Doriana Vaddinelli, Raffaele Spadano, Paola Casciani, Franco Papola, Enza Di Lembo, Giovanni Iannetti, Paolo Di Bartolomeo

Abstract read
In one paragraph

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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

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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

10 authors.

Stella SantaroneBone Marrow Transplant Center, Department of Oncology Hematology, Ospedale Civile, Pescara, Italy. stella.santarone@virgilio.it.ORCID 0000-0002-5037-0515
Stefano AngeliniUOC Ematologia e Terapia Cellulare, Ospedale Mazzoni, Ascoli Piceno, Italy.ORCID 0000-0001-6720-3564
Annalisa NataleBone Marrow Transplant Center, Department of Oncology Hematology, Ospedale Civile, Pescara, Italy.
Doriana VaddinelliBone Marrow Transplant Center, Department of Oncology Hematology, Ospedale Civile, Pescara, Italy.ORCID 0000-0003-4906-5799
Raffaele SpadanoBone Marrow Transplant Center, Department of Oncology Hematology, Ospedale Civile, Pescara, Italy.
Paola CascianiBone Marrow Transplant Center, Department of Oncology Hematology, Ospedale Civile, Pescara, Italy.
Franco PapolaCentro Regionale Immunoematologia, Ospedale San Salvatore, L'Aquila, Italy.
Enza Di LemboUOSD Ecografia Internistica, Ospedale Civile, Pescara, Italy.
Giovanni IannettiUOSD Ecografia Internistica, Ospedale Civile, Pescara, Italy.
Paolo Di BartolomeoBone Marrow Transplant Center, Department of Oncology Hematology, Ospedale Civile, Pescara, Italy.ORCID 0000-0001-9019-1821

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this retrospective study, we evaluated long-term survival and late effects in 137 patients affected by thalassemia major (TM) who received an allogeneic hematopoietic cell transplantation (HCT). Median age at HCT was 10.1 years. After a median follow-up of 30 years, 114 (83.2%) patients are living and 108 (78.8%) are cured. The cumulative incidence of nonrelapse mortality and thalassemia recurrence was 9.5% at 1 year and 10.2% at 39 years respectively. The 39-years cumulative incidence of overall survival and disease-free survival were 81.4% and 74.5%. One hundred twenty-three patients who survived more than 2 years after HCT were evaluated for late effects concerning hematological disorders, iron burden, growth, obesity, diabetes mellitus, thyroid and gonadal function, eye, heart, liver, lung, kidney, gastrointestinal, neurologic and psychiatric system, osteoarticular system, secondary solid cancer (SSC), performance status, and Covid-19 infection. Fertility was preserved in 21 males whose partners delivered 34 neonates and 25 females who delivered 26 neonates. Fifteen cases of SSC were diagnosed for a 39-year cumulative incidence of 16.4%. HCT represents a definitive cure for the majority of TM patients at the price, however, of a non-negligible early and late mortality which in the long run affects survival and disease-free survival.

Indexed as

beta-ThalassemiaCOVID-19Hematopoietic Stem Cell TransplantationNeoplasms, Second PrimaryChildDisease-Free SurvivalDisease ProgressionFemaleHumansInfant, NewbornMaleRetrospective StudiesTransplantation Conditioning

Identifiers

PMID36002533
PMCPMC9400570

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.