Evidence map›Paper›PMID 36781859›Full record

ArticleScientific reports2023

Incidence and risk factors of opportunistic infections after autologous stem cell transplantation: a nationwide, population-based cohort study in Korea.

Da Jung Kim, Seri Jeong, Seom Gim Kong, Sangjin Lee, Sung-Nam Lim, Sung Yong Oh, Young Rok Do, Won Sik Lee, Mark Hong Lee, Sung Hwa Bae and 4 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

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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

14 authors at 11 institutions in 1 country.

Da Jung KimDepartment of Internal Medicine, Kosin University College of Medicine, 34 Amnam-Dong, Seo-Gu, Busan, 49267, South Korea.
Seri JeongDepartment of Laboratory Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, 07441, South Korea.
Seom Gim KongDepartment of Pediatrics, Kosin University College of Medicine, Busan, 49267, Korea.
Sangjin LeeGraduate School, Department of Statistics, Pusan National University, Busan, 46241, Korea.
Sung-Nam LimDepartment of Internal Medicine, Haeundae Paik Hospital, College of Medicine Inje University, Busan, 48108, Korea.
Sung Yong OhDepartment of Internal Medicine, Dong-A University College of Medicine, Busan, 49201, Korea.
Young Rok DoDivision of Hematology-Oncology, Department of Medicine, Dongsan Medical Center, Keimyung University, Daegu, 41931, Korea.
Won Sik LeeDepartment of Internal Medicine, Busan Paik Hospital, College of Medicine Inje University, Busan, 47392, South Korea.
Mark Hong LeeDivision of Hematology-Oncology, Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, 05030, South Korea.
Sung Hwa BaeDepartment of Internal Medicine, Daegu Catholic University Medical Center, Daegu, 42472, South Korea.
Se Hyung KimDepartment of Internal Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, 14584, South Korea.
Min Kyoung KimDepartment of Hematology-Oncology, Yeungnam University Medical Center, Yeungnam University School of Medicine, Daegu, 42415, South Korea.
Ho Sup LeeDepartment of Internal Medicine, Kosin University College of Medicine, 34 Amnam-Dong, Seo-Gu, Busan, 49267, South Korea. hs52silver@gmail.com.
Consortium for Improving Survival of Lymphoma (CISL)
Kosin University · KRDaegu Catholic University Medical Center · KRDong-A University · KRHallym University Kangnam Sacred Heart Hospital · KRInje University Busan Paik Hospital · KRInje University Haeundae Paik Hospital · KRKeimyung University Dongsan Medical Center · KRKonkuk University Medical Center · KRPusan National University · KRSoonchunhyang University · KRYeungnam University Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several guidelines classify autologous stem cell transplantation (ASCT) as a low to intermediate risk group for infection. In a nationwide population-based study, using the Korean Health Insurance Review and Assessment Service database, patients with lymphoma and multiple myeloma (MM) who underwent ASCT from 2002 to 2016 were retrospectively analyzed. Cumulative incidence rates (CIRs) and risk factors of opportunistic infections were investigated. CIRs of fungal, Varicella zoster virus (VZV), cytomegalovirus (CMV), and Pneumocystis jirovecii infections in lymphoma were 7.9%, 16.0%, 7.4%, and 5.1%, respectively, and CIRs in MM were 6.3%, 19.1%, 4.2%, and 5.6%, respectively. Fungal infection was significantly higher in patients with previous infection (Hazard ratio (HR) 2.003, p = 0.005) in lymphoma. Incidence of CMV infection was significantly higher in patients with prior CMV infection: HR 4.920, p < 0.001 (lymphoma); HR 3.022, p = 0.030 (MM). VZV infection was significantly lower in patients receiving prophylaxis: HR 0.082, p < 0.001 (lymphoma); HR 0.096, p < 0.001 (MM). For P. jirovecii infection, busulfex and melphalan conditioning (HR 1.875, p = 0.032) and previous P. jirovecii infection (HR 4.810, p < 0.001) had a higher incidence in MM. Patients who underwent ASCT should receive VZV prophylaxis and prophylaxis for fungal and P. jirovecii may be considered in patients with previous same infection.

Indexed as

Cytomegalovirus InfectionsHematopoietic Stem Cell TransplantationLymphomaMultiple MyelomaOpportunistic InfectionsCohort StudiesHerpesvirus 3, HumanHumansIncidenceRepublic of KoreaRetrospective StudiesRisk FactorsTransplantation, Autologous

Identifiers

PMID36781859
PMCPMC9925816
OpenAlexW4320485011

What OpenQuestion holds

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LicenceCC BY
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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.