Evidence map›Paper›PMID 37482244›Full record

ArticleTransplantation and cellular therapy2023

Racial and Socioeconomic Disparities in Long-Term Outcomes in ≥1 Year Allogeneic Hematopoietic Cell Transplantation Survivors: A CIBMTR Analysis.

Brandon J Blue, Ruta Brazauskas, Karen Chen, Jinalben Patel, Amer M Zeidan, Amir Steinberg, Karen Ballen, Janette Kwok, Seth J Rotz, Miguel Angel Diaz Perez and 31 more

Open access · greenAbstract read
In one paragraph

Article in Transplantation and cellular therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. 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

41 authors at 20 institutions in 8 countries.

Brandon J BlueMoffitt Cancer Center, Tampa, FL. Electronic address: Brandon.Blue@moffitt.org.
Ruta BrazauskasCIBMTR® (Center for International Blood and Marrow Transplant Research), Department of Medicine, Medical College of Wisconsin, Milwaukee, WI; Division of Biostatistics, Institute for Health and Equity, Medical College of Wisconsin, Milwaukee, WI.
Karen ChenCIBMTR® (Center for International Blood and Marrow Transplant Research), Department of Medicine, Medical College of Wisconsin, Milwaukee, WI.
Jinalben PatelCIBMTR® (Center for International Blood and Marrow Transplant Research), Department of Medicine, Medical College of Wisconsin, Milwaukee, WI.
Amer M ZeidanSection of Hematology, Department of Internal Medicine, Yale School of Medicine and Yale Cancer Center, Yale University, New Haven, CT.
Amir SteinbergWestchester Medical Center, Valhalla, NY.
Karen BallenDivision of Hematology/Oncology, University of Virginia Health System, Charlottesville, VA.
Janette KwokDivision of Transplantation and Immunogenetics, Department of Pathology, Queen Mary Hospital, Hong Kong.
Seth J RotzDepartment of Pediatric Hematology, Oncology, and Blood and Marrow Transplantation, Cleveland Clinic, Cleveland, OH.
Miguel Angel Diaz PerezDepartment of Hematology/Oncology, Hospital Infantil Universitario Niño Jesus, Madrid, Spain.
Amar H KelkarDana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
Siddhartha GangulyHouston Methodist Hospital and Neal Cancer Center, Houston, TX.
John R WingardDivision of Hematology & Oncology, Department of Medicine, University of Florida, Gainesville, FL.
Deepesh LadDepartment of Internal Medicine, Postgraduate Institute of Medical Education and Research, India.
Akshay SharmaDepartment of Bone Marrow Transplantation and Cellular Therapy, St. Jude Children's Research Hospital, Memphis, TN.
Sherif M BadawyDepartment of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL; Division of Hematology, Oncology, and Stem Cell Transplantation, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.
Hillard M LazarusUniversity Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH.
Hasan HashemDivision of Pediatric Hematology/Oncology and Bone marrow Transplantation, King Hussein Cancer Center, Amman, Jordan.
David SzwajcerCancer Care Manitoba, University of Manitoba, Winnipeg, Manitoba, Canada.
Jennifer M KnightSection of BMT & Cellular Therapies; Division of Hematology/Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI; Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, WI; Department of Microbiology & Immunology, Medical College of Wisconsin, Milwaukee, WI.
Neel S BhattUniversity of Washington School of Medicine, Department of Pediatrics, Division of Hematology/Oncology, Seattle, WA; Clinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.
Kristin PageCIBMTR® (Center for International Blood and Marrow Transplant Research), Department of Medicine, Medical College of Wisconsin, Milwaukee, WI; Division of Pediatric Hematology/Oncology/Blood and Marrow Transplant, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Sara BeattieDepartment of Psychosocial Oncology and Rehabilitation, Tom Baker Cancer Centre, Calgary, Canada; Department of Oncology, University of Calgary, Canada.
Yasuyuki AraiKyoto University Hospital, Kyoto University, Kyoto, Japan.
Hongtao LiuSection of Hematology/Oncology, University of Chicago Medicine, Chicago, IL.
Staci D ArnoldAflac Cancer and Blood Disorder Center Children's Healthcare of Atlanta Emory University, Atlanta, GA.
César O FreytesUniversity of Texas Health Science Center at San Antonio, San Antonio, TX.
Muhammad Bilal AbidDivisions of Hematology/Oncology & Infectious Diseases, BMT & Cellular Therapy Program, Medical College of Wisconsin, Milwaukee, WI.
Amer BeitinjanehDivision of Transplantation and Cellular Therapy, University of Miami Hospital and Clinics, Sylvester Comprehensive Cancer Center, Miami, FL.
Nosha FarhadfarDivision of Hematology/Oncology, University of Florida College of Medicine, Gainesville, FL.
Baldeep WirkBone Marrow Transplant Program, Penn State Cancer Institute, Hershey, PA.
Lena E WinestoneDivision of Allergy, Immunology, and Blood & Marrow Transplant, University of California San Francisco Benioff Children's Hospitals, San Francisco, CA.
Vaibhav AgrawalDivision of Leukemia, Department of Hematology & Hematopoietic Cell Transplantation, City of Hope National Medical Center, Duarte, CA.
Jaime M PreusslerCIBMTR® (Center for International Blood and Marrow Transplant Research), National Marrow Donor Program/Be The Match, Minneapolis, MN.
Sachiko SeoDepartment of Hematology and Oncology, Dokkyo Medical University, Tochigi, Japan.
Shahrukh HashmiDepartment of Medicine, Sheikh Shakhbout Medical City, Abu Dhabi, UAE; Mayo Clinic Cancer Center, Mayo Clinic, Rochester, MN; College of Medicine and Health Sciences, Khalifa University, Abu Dhabi, UAE.
Leslie LehmannDana-Farber Cancer Institute/Boston Children's Hospital, Boston, MA.
William A WoodDivision of Hematology, Department of Medicine, University of North Carolina, Chapel Hill, NC.
Hemalatha G RangarajanDepartment of Pediatric Hematology, Oncology, Blood and Marrow Transplantation, Nationwide Children's hospital, Columbus, OH.
Wael SaberCIBMTR® (Center for International Blood and Marrow Transplant Research), Department of Medicine, Medical College of Wisconsin, Milwaukee, WI.
Navneet S MajhailSarah Cannon Transplant and Cellular Therapy Network, Nashville, TN.
Medical College of Wisconsin · USUniversity of Florida · USYale Cancer Center · USBoston Children's Hospital · USCancerCare Manitoba · CAChildren's Healthcare of Atlanta · USCity Of Hope National Medical Center · USCleveland Clinic · USDokkyo Medical University · JPFred Hutch Cancer Center · USHarvard University · USHospital Infantil Universitario Niño Jesús · ESHouston Methodist · USKing Hussein Cancer Center · JOKyoto University Hospital · JPMoffitt Cancer Center · USNational Cancer Centre Japan · JPNational Marrow Donor Program · USNationwide Children's Hospital · USNorthwestern University · 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
NCI NIH HHS U24 CA076518
6 · The paper itself

Abstract

Racial/ethnic minorities have demonstrated worse survival after allogeneic hematopoietic cell transplantation (HCT) compared to whites. Whether the racial disparity in HCT outcomes persists in long-term survivors and possibly may be even exacerbated in this population, which frequently transitions back from the transplant center to their local healthcare providers, is unknown. In the current study, we compared long-term outcomes among 1-year allogeneic HCT survivors by race/ethnicity and socioeconomic status (SES). The Center for International Blood and Marrow Transplant Research database was used to identify 5473 patients with acute myeloid leukemia, acute lymphocytic leukemia, chronic myeloid leukemia, or myelodysplastic syndromes who underwent their first allogeneic HCT between 2007 and 2017 and were alive and in remission for at least 1 year after transplantation. The study was restricted to patients who underwent HCT in the United States. SES was defined using patient neighborhood poverty level estimated from the recipient's ZIP code of residence; a ZIP code with ≥20% of persons below the federal poverty level was considered a high poverty area. The primary outcome was to evaluate the associations of race/ethnicity and neighborhood poverty level with overall survival (OS), relapse, and nonrelapse mortality (NRM). Cox regression models were used to determine associations of ethnicity/race and SES with OS, relapse, and NRM. Standardized mortality ratios were calculated to compare mortality rates of the study patients and their general population peers matched on race/ethnicity, age, and sex. The study cohort was predominately non-Hispanic white (n = 4385) and also included non-Hispanic black (n = 338), Hispanic (n = 516), and Asian (n = 234) patients. Overall, 729 patients (13%) resided in high-poverty areas. Significantly larger proportions of non-Hispanic black (37%) and Hispanic (26%) patients lived in high-poverty areas compared to non-Hispanic whites (10%) and Asians (10%) (P < .01). Multivariable analysis revealed no significant associations between OS, PFS, relapse, or NRM and race/ethnicity or poverty level when adjusted for patient-, disease- and transplantation-related covariates. Our retrospective cohort registry study shows that among adult allogeneic HCT recipients who survived at least 1 year in remission, there were no associations between race/ethnicity, neighborhood poverty level, and long-term outcomes.

Indexed as

Hematopoietic Stem Cell TransplantationSocioeconomic Disparities in HealthAdultChronic DiseaseHumansRecurrenceRetrospective StudiesSurvivorsTransplantation, HomologousUnited StatesAllogeneic hematopoietic cell transplantationDisparitiesOutcomes researchSocioeconomic statusSurvivalSurvivorship

Identifiers

PMID37482244
PMCPMC11258715
OpenAlexW4385074099

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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.