Evidence map›Paper›PMID 37012415›Full record

ArticleBone marrow transplantation2023

Factors predicting survival following alloSCT in patients with therapy-related AML and MDS: a multicenter study.

Anmol Baranwal, Rakchha Chhetri, David Yeung, Matthew Clark, Syed Shah, Mark R Litzow, William J Hogan, Abhishek Mangaonkar, Hassan B Alkhateeb, Deepak Singhal and 5 more

Abstract readMulticenter Study
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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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  6. Review
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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

15 authors at 4 institutions in 2 countries.

Anmol BaranwalDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
Rakchha ChhetriRoyal Adelaide Hospital, Central Adelaide Local Health Network, Adelaide, SA, Australia.
David YeungRoyal Adelaide Hospital, Central Adelaide Local Health Network, Adelaide, SA, Australia.
Matthew ClarkWilliam J. von Leibig Center for Transplantation, Mayo Clinic, Rochester, MN, USA.
Syed ShahDivision of Hematology, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0003-4992-934X
Mark R LitzowDivision of Hematology, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0002-9816-6302
William J HoganDivision of Hematology, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0002-5841-4105
Abhishek MangaonkarDivision of Hematology, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0003-2458-9887
Hassan B AlkhateebDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
Deepak SinghalRoyal Adelaide Hospital, Central Adelaide Local Health Network, Adelaide, SA, Australia.
Alia CibichRoyal Adelaide Hospital, Central Adelaide Local Health Network, Adelaide, SA, Australia.
Peter BardyRoyal Adelaide Hospital, Central Adelaide Local Health Network, Adelaide, SA, Australia.
Chung H KokUniversity of Adelaide, Adelaide, SA, Australia.ORCID http://orcid.org/0000-0002-3181-7852
Devendra K HiwaseRoyal Adelaide Hospital, Central Adelaide Local Health Network, Adelaide, SA, Australia. devendra.hiwase@sa.gov.au.ORCID http://orcid.org/0000-0002-6666-3056
Mithun Vinod ShahDivision of Hematology, Mayo Clinic, Rochester, MN, USA. shah.mithun@mayo.edu.ORCID http://orcid.org/0000-0002-5359-336X
Mayo Clinic in Arizona · USRoyal Adelaide Hospital · AUMayo Clinic · USSouth Australian Health and Medical Research Institute · AU

Funding

Paul Calabresi Program in Clinical/Translational Research at Mayo ClinicK12CA090628 · NCI · MAYO CLINIC ROCHESTER · PI WEROHA, SARAVUT · 2001 to 2025
$19.7M
NCI NIH HHS K12 CA090628
6 · The paper itself

Abstract

Therapy-related myeloid neoplasms (t-MN) are aggressive myeloid neoplasms. Factors predicting post-allogeneic stem cell transplant (alloSCT) survival are not well-known. We studied the prognostic utility of factors at: t-MN diagnosis, pre-alloSCT, and post-alloSCT. Primary endpoints were 3-year overall survival (OS), relapse incidence (RI), and non-relapse mortality (NRM). Post-alloSCT OS did not differ between t-MDS and t-AML (20.1 vs. 19.6 months, P = 1), though t-MDS had a significantly higher 3-year RI compared to t-AML (45.1% vs. 26.9%, P = 0.03). In t-MDS, the presence of monosomy 5 (HR 3.63, P = 0.006) or monosomy 17 (HR 11.81, P = 0.01) pre-alloSCT were associated with higher RI. Complex karyotype was the only factor adversely influencing survival at all the timepoints. The inclusion of genetic information yielded 2 risk-categories: high-risk defined by the presence of pathogenic variants (PV) in (TP53/BCOR/IDH1/GATA2/BCORL1) and standard-risk (remainder of the patients) with 3-year post-alloSCT OS of 0% and 64.6%, respectively (P = 0.001). We concluded that while alloSCT was curative in a subset of t-MN patients, outcomes remained poor, specifically in the high-risk category. t-MDS patients, especially those with persistent disease pre-alloSCT were at increased risk of relapse. Disease-related factors at t-MN diagnosis were the most prognostic of post-alloSCT survival; utility of factors available later in the course, was incremental.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteHumansMonosomyNeoplasm Recurrence, LocalRetrospective StudiesTransplantation, Homologous

Identifiers

PMID37012415
OpenAlexW4362522527

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.