Evidence map›Paper›PMID 36526806›Full record

ArticleBone marrow transplantation2023

Impact of hematopoietic cell transplant frailty scale on transplant outcome in adults.

Maria Queralt Salas, Eshetu G Atenafu, Ivan Pasic, Eshrak Al-Shaibani, Ora Bascom, Leeann Wilson, Carol Chen, Arjun Datt Law, Wilson Lam, Igor Novitzky-Basso and 8 more

Abstract read
PubMed Publisher
In one paragraph

Article in Bone marrow transplantation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
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

18 authors.

Maria Queralt SalasDepartment of Medicine, Section of Medical Oncology and Hematology, University of Toronto, Toronto, ON, Canada.
Eshetu G AtenafuDepartment of Biostatistics, Princes Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.ORCID 0000-0002-4613-3680
Ivan PasicDepartment of Medicine, Section of Medical Oncology and Hematology, University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-7595-0113
Eshrak Al-ShaibaniDepartment of Medicine, Section of Medical Oncology and Hematology, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-9290-4626
Ora BascomHans Messner Allogeneic Blood and Marrow Transplantation Program, Division of Medical Oncology and Hematology. Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Leeann WilsonHans Messner Allogeneic Blood and Marrow Transplantation Program, Division of Medical Oncology and Hematology. Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Carol ChenDepartment of Medicine, Section of Medical Oncology and Hematology, University of Toronto, Toronto, ON, Canada.
Arjun Datt LawDepartment of Medicine, Section of Medical Oncology and Hematology, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-9251-3609
Wilson LamDepartment of Medicine, Section of Medical Oncology and Hematology, University of Toronto, Toronto, ON, Canada.
Igor Novitzky-BassoDepartment of Medicine, Section of Medical Oncology and Hematology, University of Toronto, Toronto, ON, Canada.
Dennis Dong Hwan KimDepartment of Medicine, Section of Medical Oncology and Hematology, University of Toronto, Toronto, ON, Canada.ORCID 0000-0003-2640-4911
Armin GerbitzDepartment of Medicine, Section of Medical Oncology and Hematology, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-0105-2086
Auro ViswabandyaDepartment of Medicine, Section of Medical Oncology and Hematology, University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-9690-4669
Fotios V MichelisDepartment of Medicine, Section of Medical Oncology and Hematology, University of Toronto, Toronto, ON, Canada.
Jeffrey Howard LiptonDepartment of Medicine, Section of Medical Oncology and Hematology, University of Toronto, Toronto, ON, Canada.
Jonas MattssonDepartment of Medicine, Section of Medical Oncology and Hematology, University of Toronto, Toronto, ON, Canada.
Shabbir AlibhaiDepartment of Medicine, University Health Network, Toronto, ON, Canada.
Rajat KumarDepartment of Medicine, Section of Medical Oncology and Hematology, University of Toronto, Toronto, ON, Canada. rajat.kumar@uhn.ca.ORCID 0000-0002-4786-5699

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This prospective study designs an HCT Frailty Scale to classify alloHCT candidates into groups of frail, pre-frail, and fit, and to be implemented in the first consultation at no additional cost. The present scale is composed of the following eight variables: Clinical Frailty Scale, Instrumental Activities of Daily Living, Timed Up and Go Test, Grip Strength, Self-Health Rated, Falls, Albumin, and C-Reactive Protein. The Frailty score of a patient is the weighted sum of scores for each item, with weights assigned according to the hazard ratios of a multivariable Cox proportional hazards model estimated and validated with data on OS as the dependent variable, and the scores of the eight variables as explanatory ones, from 298 adults split into training (n = 200) and validation (n = 98) sets. For clinical use, the scale scores were transformed into three categories: scale score ≤1: fit; 1<scale score ≤5.5: pre-frail; scale score >5.5 frail. The estimated probabilities of 1-year OS in each group of frailty, were, respectively: 83.7%, 48.5%, and 16.5% (p < 0.001). In the validation cohort, the respective values were 90.3%, 69.5%, and 46.2% (p < 0.001). Pending further external validations, the HCT Frailty Scale is a low cost-highly informative prognostic signal of outcomes at the pre-transplant stage.

Indexed as

FrailtyHematopoietic Stem Cell TransplantationActivities of Daily LivingAdultAgedFrail ElderlyHumansPostural BalanceProspective StudiesTime and Motion Studies

Identifiers

What OpenQuestion holds

Textmetadata
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.