Evidence map›Paper›PMID 36543999›Full record

ArticleBone marrow transplantation2023

The incidence and impact of clostridioides difficile infection on transplant outcomes in acute leukemia and MDS after allogeneic hematopoietic cell transplant-a CIBMTR study.

Muthalagu Ramanathan, Soyoung Kim, Naya He, Min Chen, Peiman Hematti, Muhammad Bilal Abid, Seth J Rotz, Kirsten M Williams, Hillard M Lazarus, Baldeep Wirk and 7 more

Open access · greenAbstract read
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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Early Discontinuation of Empiric Antibiotics in Pediatric Haploidentical Hematopoietic Cell Transplant Recipients with Febrile Neutropenia.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  3. Management ofEClinicalMedicine · 2025
    Review
  4. Insights into PediatricBiomedicines · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Pre-transplantCell transplantation
    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

17 authors at 13 institutions in 1 country.

Muthalagu RamanathanDivision of Hematology and Oncology, Department of Medicine, UMass Memorial Medical Center, Worcester, MA, USA. Muthalagu.ramanathan@umassmemorial.org.ORCID 0000-0001-8221-3605
Soyoung KimDivision of Biostatistics, Institute for Health and Equity, Medical College of Wisconsin, Milwaukee, WI, USA.ORCID 0000-0003-1404-0575
Naya HeCIBMTR® (Center for International Blood and Marrow Transplant Research), Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Min ChenCIBMTR® (Center for International Blood and Marrow Transplant Research), Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Peiman HemattiDivision of Hematology/Oncology/Bone Marrow Transplantation, Department of Medicine, University of Wisconsin, Madison, WI, USA.
Muhammad Bilal AbidDivisions of Hematology/Oncology & Infectious Diseases, BMT & Cellular Therapy Program, Medical College of Wisconsin, Milwaukee, WI, USA.
Seth J RotzDepartment of Pediatric Hematology, Oncology, and Blood and Marrow Transplantation, Cleveland Clinic Children's Hospital, Cleveland, OH, USA.ORCID 0000-0003-2896-1113
Kirsten M WilliamsChildren's Healthcare of Atlanta, Emory University, Atlanta, GA, USA.
Hillard M LazarusUniversity Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, USA.
Baldeep WirkBone Marrow Transplant Program, Penn State Cancer Institute, Hershey, PA, USA.ORCID 0000-0002-2804-2531
Dwight E YinDivisions of Infectious Diseases and Clinical Pharmacology, Department of Pediatrics, Children's Mercy Kansas City and University of Missouri at Kansas City, Kansas City, MO, USA.ORCID 0000-0002-8599-1004
Christopher G KanakryExperimental Transplantation and Immunotherapy Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Miguel-Angel PeralesAdult Bone Marrow Transplant Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-5910-4571
Roy F ChemalyM.D. Anderson Cancer Center, Houston, TX, USA.ORCID 0000-0002-0277-3088
Christopher E DandoyCincinnati Children's Hospital Medical Center, University of Cincinnati School of Medicine, Cincinnati, OH, USA.ORCID 0000-0002-4001-9203
Marcie RichesCIBMTR® (Center for International Blood and Marrow Transplant Research), Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Celalettin UstunDivision of Hematology/Oncology/Cell Therapy, Rush University, Chicago, IL, USA.ORCID 0000-0001-6896-6213
Medical College of Wisconsin · USCincinnati Children's Hospital Medical Center · USCleveland Clinic · USEmory University · USMemorial Sloan Kettering Cancer Center · USNational Institutes of Health · USPenn State Milton S. Hershey Medical Center · USRush University · USThe University of Texas MD Anderson Cancer Center · USUMass Memorial Health Care · USUniversity Hospitals of Cleveland · USUniversity of Missouri · USUniversity of Wisconsin–Madison · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
Deciphering the efficacy of posttransplant cyclophosphamide in haplo transplantZIABC011659 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI KANAKRY, CHRISTOPHER · 2015 to 2025
$18.5M
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA016672NCI NIH HHS U24 CA076518
6 · The paper itself

Abstract

Clostridioides difficile infection (CDI) is common after allogeneic hematopoietic cell transplantation (alloHCT). The determination of incidence, risk factors, and impact of CDI on alloHCT outcomes is an unmet need. The study examines all patients aged 2 years and older who received first alloHCT for acute myeloid leukemia (AML), acute lymphocytic leukemia (ALL), or myelodysplastic syndrome (MDS) between 2013 and 2018 at US centers and reported to the Center for International Blood and Marrow Transplant Research (CIBMTR) data registry. In total, 826 patients with CDI and 6723 controls from 127 centers were analyzed. The cumulative incidence of CDI by day 100 was 18.7% (99% CI: 15-22.7%) and 10.2% (99% CI: 9.2-11.1%) in pediatric and adult patients, respectively, with a median time to diagnosis at day +13. CDI was associated with inferior overall survival (OS) (p = 0.0018) and a 2.58-fold [99% CI: 1.43-4.66; p < 0.001] increase in infection-related mortality (IRM). There was a significant overlap in the onset of acute graft versus host disease (aGVHD) and CDI. IRM increased to >4 fold when CDI + aGVHD was considered. Despite advances in the management of CDI, increased IRM and decreased OS still results from CDI.

Indexed as

Clostridium InfectionsGraft vs Host DiseaseHematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteMyelodysplastic SyndromesAdultChildHumansIncidenceRetrospective StudiesTransplantation, Homologous

Identifiers

PMID36543999
PMCPMC10079570
OpenAlexW4312094936

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.