Evidence map›Paper›PMID 36960069›Full record

ArticleFrontiers in immunology2023

Improved outcomes over time and higher mortality in CMV seropositive allogeneic stem cell transplantation patients with COVID-19; An infectious disease working party study from the European Society for Blood and Marrow Transplantation registry.

Per Ljungman, Gloria Tridello, Jose Luis Piñana, Fabio Ciceri, Henrik Sengeloev, Alexander Kulagin, Stephan Mielke, Zeynep Arzu Yegin, Matthew Collin, Sigrun Einardottir and 32 more

Open access · goldFull text read
In one paragraph

Article in Frontiers in immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Risk Factors for Pediatric Critical COVID-19: A Systematic Review and Meta-Analysis.Journal of the Pediatric Infectious Diseases Society · 2024
    Pooled it
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  11. Risk Factors for Pediatric Critical COVID-19: A Systematic Review and Meta-Analysis.medRxiv : the preprint server for health sciences · 2024
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  14. Observational
  15. Review
  16. Article
  17. Old Pathogens-New Patient Types: Infections in a CAR T-Cell Recipient. Could It Get Any More Complicated?Transplant infectious disease : an official journal of the Transplantation Society
    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

42 authors at 20 institutions in 17 countries.

Per LjungmanDepartment of Cellular Therapy and Allogeneic Stem Cell Transplantation, Karolinska Comprehensive Cancer Center, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Gloria TridelloEuropean Society for Blood and Marrow Transplantation (EBMT) Data Office, Department of Medical Statistics & Bioinformatics, Leiden, Netherlands.
Jose Luis PiñanaHematology Department, Hospital Clínico Universitario de Valencia, Valencia, Spain.
Fabio CiceriIstituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Ospedale San Raffaele, University Vita-Salute San Raffaele, Milan, Italy.
Henrik SengeloevDepartment of Hematology, Copenhagen University Hospital, Copenhagen, Denmark.
Alexander KulaginRaisa Memorial (RM) Gorbacheva Research Institute, Pavlov University, St. Petersburg, Russia.
Stephan MielkeDepartment of Cellular Therapy and Allogeneic Stem Cell Transplantation, Karolinska Comprehensive Cancer Center, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Zeynep Arzu YeginDepartment of Hematology, Gazi University Faculty of Medicine, Ankara, Türkiye.
Matthew CollinTranslational and Clinical Research Institute and The National Institute for Health and Care Research (NIHR) Newcastle Biomedical Research Centre, Newcastle, United Kingdom.
Sigrun EinardottirDepartment of Hematology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Sophie Ducastelle LepretreService d'Hématologie. Hôpital Lyon Sud, Lyon, France.
Johan MaertensDepartment of Hematology University Hospital Gasthuisberg, Leuven, Belgium.
Antonio CamposMarrow Transplant Department Inst. Português de Oncologia do Porto, Porto, Portugal.
Elisabetta MetafuniDipartimento di Diagnostica per Immagini, Radioterapia Oncologica e Ematologia, Fondazione Policlinico Universitario Agostino Gemelli Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Rome, Italy.
Herbert PichlerSt. Anna Children's Hospital, Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria.
Frantisek FolberDepartment of Internal Medicine, Hematology and Oncology University Hospital Brno, Brno, Czechia.
Carlos SolanoEuropean Society for Blood and Marrow Transplantation (EBMT) Data Office, Department of Medical Statistics & Bioinformatics, Leiden, Netherlands.
Emma NicholsonHaematology-oncology Unit Royal Marsden Hospital, London, United Kingdom.
Meltem Kurt YükselDepartment of Hematology, Ankara University Faculty of Medicine, Ankara, Türkiye.
Kristina CarlsonDepartment of Hematology, Uppsala University Hospital, Uppsala, Sweden.
Beatriz AguadoDepartment of Hematology, Hospital Universitario de la Princesa, Madrid, Spain.
Caroline BesleyUniversity Hospitals Bristol and Weston National Health Service (NHS) Foundation Trust, Bristol, United Kingdom.
Jenny ByrneDepartment of Haematology Nottingham University Hospital, Nottingham, United Kingdom.
Immaculada HerasDepartment of Hematology, Hospital Universitario Morales Meseguer, Instituto Murciano de Investigación Biosanitaria (IMIB)-Arrixaca, Universidad de Murcia, Murcia, Spain.
Fiona DignanClinical Haematology Department Manchester Royal Infirmary, Manchester, United Kingdom.
Nicolaus KrögerDepartment of Stem cell Transplantation, University Hospital Eppendorf, Hamburg, Germany.
Christine RobinAssistance Publique-Hôpitaux de Paris (APHP), Henri Mondor Hospital, Department of Hematology, Créteil, France.
Anjum KhanDepartment of Haematology Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom.
Stig LenhoffDepartment of Hematology Skåne's University Hospital, Lund, Sweden.
Anna GrassiBone Marrow Transplantation Unit, Azienda Sociosanitaria Territoriale (ASST) Papa Giovanni XXIII, Bergamo, Italy.
Veronika DobsinskaDepartment of Pediatric Hematology and Oncology, National Institute of Children's Diseases, Comenius University, Bratislava, Slovakia.
Nuno MirandaDepartment of Haematology Inst. Portugues Oncologia, Lisbon, Portugal.
Maria-Jose JimenezDepartment of Clinical Haematology Institut Catala d'Oncologia (ICO)-Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
Ipek Yonal-HindilerdenIstanbul Medical Faculty, Adult Hematopoietic Stem Cell Transplant Center, Istanbul University, Istanbul, Türkiye.
Keith WilsonBlood and Bone Marrow Transplantation Department University of Cardiff, Cardiff, United Kingdom.
Dina AverbuchPediatric Infectious Diseases Unit, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Simone CesaroPediatric Hematology Oncology, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
Alienor XhaardHematology-Transplantation Unit, Department of Hematology: Hôpital St. Louis, Paris, France.
Nina KnelangeEuropean Society for Blood and Marrow Transplantation (EBMT) Leiden Study Unit, European Society for Blood and Marrow Transplantation (EBMT) Data Office, Leiden, Netherlands.
Jan StyczynskiDepartment of Pediatric Hematology and Oncology, Collegium Medicum, Nicolaus Copernicus University Torun, Bydgoszcz, Poland.
Malgorzata MikulskaDivision of Infectious Diseases, University of Genoa and Ospedale Policlinico San Martino, Genova, Italy.
Rafael de la CamaraDepartment of Hematology, Hospital Universitario de la Princesa, Madrid, Spain.
European Society for Blood and Marrow Transplantation · NLHospital Universitario de La Princesa · ESIPO Porto · PTAnkara University · TRAssistance Publique – Hôpitaux de Paris · FRAzienda Ospedaliera Universitaria Integrata Verona · ITCardiff University · GBComenius University Bratislava · SKCopenhagen University Hospital · DKFirst Pavlov State Medical University of St. Petersburg · RUGazi University · TRHebrew University of Jerusalem · ILHôpital Saint-Louis · FRHospital Clínico Universitario de Valencia · ESInstitut Català d'Oncologia · ESIRCCS Ospedale San Raffaele · ITIstanbul University · TRIstituti di Ricovero e Cura a Carattere Scientifico · ITKarolinska Institutet · SEKarolinska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: COVID-19 has been associated with high morbidity and mortality in allogeneic hematopoietic stem cell transplant (allo-HCT) recipients. Methods: This study reports on 986 patients reported to the EBMT registry during the first 29 months of the pandemic. Results: The median age was 50.3 years (min - max; 1.0 - 80.7). The median time from most recent HCT to diagnosis of COVID-19 was 20 months (min - max; 0.0 - 383.9). The median time was 19.3 (0.0 - 287.6) months during 2020, 21.2 (0.1 - 324.5) months during 2021, and 19.7 (0.1 - 383.9) months during 2022 (p = NS). 145/986 (14.7%) patients died; 124 (12.6%) due to COVID-19 and 21 of other causes. Only 2/204 (1%) fully vaccinated patients died from COVID-19. There was a successive improvement in overall survival over time. In multivariate analysis, increasing age (p<.0001), worse performance status (p<.0001), contracting COVID-19 within the first 30 days (p<.0001) or 30 - 100 days after HCT (p=.003), ongoing immunosuppression (p=.004), pre-existing lung disease (p=.003), and recipient CMV seropositivity (p=.004) had negative impact on overall survival while patients contracting COVID-19 in 2020 (p<.0001) or 2021 (p=.027) had worse overall survival than patients with COVID-19 diagnosed in 2022. Discussion: Although the outcome of COVID-19 has improved, patients having risk factors were still at risk for severe COVID-19 including death.

Indexed as

Communicable DiseasesCOVID-19Cytomegalovirus InfectionsHematopoietic Stem Cell TransplantationBone MarrowHumansMiddle AgedRegistriesTransplantation, HomologousallogeneicCMVCOVID-19risk factorsstem cell transplantation

Identifiers

PMID36960069
PMCPMC10028143
OpenAlexW4323363991

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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.