Evidence map›Paper›PMID 36623245›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2023

Secondary Neoplasms After Hematopoietic Cell Transplant for Sickle Cell Disease.

Mary Eapen, Ruta Brazauskas, David A Williams, Mark C Walters, Andrew St Martin, Benjamin L Jacobs, Joseph H Antin, Kira Bona, Sonali Chaudhury, Victoria H Coleman-Cowger and 15 more

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
12.9field-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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Guideline
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  10. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
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  16. Gene Therapy-Related Malignancy and the Risk of Cancer Exceptionalism.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
    Article
  17. Transformative therapies for sickle cell disease.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  18. Review
  19. The Molecular Pathology of Non-Malignant Haematological Disease.British journal of biomedical science · 2026
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 15 institutions in 1 country.

Mary EapenDivision of Hematology and Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI.ORCID 0000-0001-6193-4243
Ruta BrazauskasDivision of Biostatistics, Institute for Health and Equity, Medical College of Wisconsin, Milwaukee, WI.ORCID 0000-0002-9239-5884
David A WilliamsDana-Farber/Boston Children's Cancer and Blood Disorders Center, Harvard Medical School, Boston, MA.ORCID 0000-0001-7057-6863
Mark C WaltersUniversity of California San Francisco Benioff Children's Hospital, Oakland, CA.
Andrew St MartinDivision of Hematology and Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI.
Benjamin L JacobsDivision of Hematology and Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI.
Joseph H AntinDana-Farber Cancer Center, Harvard Medical School, Boston, MA.
Kira BonaDana-Farber Cancer Center, Harvard Medical School, Boston, MA.ORCID 0000-0001-5602-7059
Sonali ChaudhuryAnn and Robert H. Lurie Children's Hospital, Chicago, IL.
Victoria H Coleman-CowgerThe Emmes Company LLC, Rockville, MD.ORCID 0000-0002-7745-7223
Nancy L DiFronzoNational Heart Lung and Blood Institute, Bethesda, MD.
Erica B EsrickDana-Farber/Boston Children's Cancer and Blood Disorders Center, Harvard Medical School, Boston, MA.
Joshua J FieldDivision of Hematology and Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI.
Courtney D FitzhughCellular and Molecular Therapeutics Branch, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, MD.ORCID 0000-0002-5306-7167
Julie KanterUniversity of Alabama Birmingham, Birmingham, AL.ORCID 0000-0001-7002-8891
Neena KapoorChildren's Hospital of Los Angeles, Los Angeles, CA.
Donald B KohnDavid Geffen School of Medicine, University of California, Los Angeles, CA.ORCID 0000-0003-1840-6087
Lakshmanan KrishnamurtiDavid Geffen School of Medicine, University of California, Los Angeles, CA.ORCID 0000-0003-3242-0037
Wendy B LondonDana-Farber/Boston Children's Cancer and Blood Disorders Center, Harvard Medical School, Boston, MA.ORCID 0000-0003-3571-6538
Michael A PulsipherSpencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT.ORCID 0000-0003-3030-8420
Sohel TalibCalifornia Institute for Regenerative Medicine, San Francisco, CA.
Alexis A ThompsonChildren's Hospital of Philadelphia, Philadelphia, PA.ORCID 0000-0003-4961-8103
Edmund K WallerEmory University, Atlanta, GA.ORCID 0000-0003-0816-6729
Ted WunUniversity of California Davis School of Medicine, Davis, CA.ORCID 0000-0001-6383-7172
Mary M HorowitzDivision of Hematology and Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI.ORCID 0000-0002-9502-785X
Medical College of Wisconsin · USHarvard University · USUniversity of California, Los Angeles · USCalifornia Institute for Regenerative Medicine · USChildren's Hospital of Los Angeles · USChildren's Hospital of Philadelphia · USEmmes (United States) · USEmory University · USLurie Children's Hospital · USNational Heart Lung and Blood Institute · USNational Institutes of Health · USUniversity of Alabama at Birmingham · USUniversity of California, Davis · USUniversity of California, San Francisco · USUniversity of Utah · US

Funding

Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
Cure Sickle CellOT3HL147741 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI MARY EAPEN, Mary Maresca Horowitz · 2018 to 2026
$37.7M
Nonmyeloablative haploidentical peripheral blood stem cell transplantation in congenital anemiasZIAHL006211 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI FITZHUGH, COURTNEY · 2016 to 2025
$19.4M
Using donor dendritic cells to optimize GvHD and GvL in allogeneic stem cell transplantationR01AI145231 · NIAID · EMORY UNIVERSITY · PI WALLER, EDMUND K · 2020 to 2024
$3.6M
NCI NIH HHS U24 CA076518NHLBI NIH HHS OT3 HL147741NIAID NIH HHS R01 AI145231
6 · The paper itself

Abstract

purposeTo report the incidence and risk factors for secondary neoplasm after transplantation for sickle cell disease.

methodsIncluded are 1,096 transplants for sickle cell disease between 1991 and 2016. There were 22 secondary neoplasms. Types included leukemia/myelodysplastic syndrome (MDS; n = 15) and solid tumor (n = 7). Fine-Gray regression models examined for risk factors for leukemia/MDS and any secondary neoplasm.

resultsThe 10-year incidence of leukemia/MDS was 1.7% (95% CI, 0.90 to 2.9) and of any secondary neoplasm was 2.4% (95% CI, 1.4 to 3.8). After adjusting for other risk factors, risks for leukemia/MDS (hazard ratio, 22.69; 95% CI, 4.34 to 118.66;

conclusionLow-intensity regimens rely on tolerance induction and establishment of mixed-donor chimerism. Persistence of host cells exposed to low-dose radiation triggering myeloid malignancy is one plausible etiology. Pre-existing myeloid mutations and prior inflammation may also contribute but could not be studied using our data source. Choosing conditioning regimens likely to result in full-donor chimerism may in part mitigate the higher risk for leukemia/MDS.

Indexed as

Anemia, Sickle CellGraft vs Host DiseaseHematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteNeoplasms, Second PrimaryCyclophosphamideHumansTransplantation ConditioningWhole-Body IrradiationCyclophosphamide

Identifiers

PMID36623245
PMCPMC10448940
OpenAlexW4313892771

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.