Evidence map›Paper›PMID 37872300›Full record

ArticleBone marrow transplantation2024

Prevalence, management, and new treatment modalities of EBV-DNA-emia and EBV-PTLD after allo-HCT: survey of Infectious Diseases Working Party EBMT.

Jan Styczynski, Gloria Tridello, Lotus Wendel, Nina Knelange, Simone Cesaro, Lidia Gil, Per Ljungman, Malgorzata Mikulska, Dina Averbuch, Rafael de la Camara

Abstract read
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In one paragraph

Article in Bone marrow transplantation, 2024. 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
1.8field-weighted citation impact, top 13% 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, 8 citations in OpenAlex.

  1. Trial
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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

10 authors at 8 institutions in 6 countries.

Jan StyczynskiDepartment of Pediatric Hematology and Oncology, Collegium Medicum Nicolaus Copernicus University Torun, Bydgoszcz, Poland. jstyczynski@cm.umk.pl.ORCID 0000-0002-3158-119X
Gloria TridelloEBMT, Leiden Study Unit, Leiden, The Netherlands.
Lotus WendelEBMT, Leiden Study Unit, Leiden, The Netherlands.
Nina KnelangeEBMT, Leiden Study Unit, Leiden, The Netherlands.
Simone CesaroPediatric Hematology Oncology, Department of the Mother and Child, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.ORCID 0000-0002-8698-9547
Lidia GilUniversity of Medical Sciences, Poznan, Poland.
Per LjungmanKarolinska University Hospital, Karolinska Comprehensive Cancer Center, and Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-8281-3245
Malgorzata MikulskaDivision of Infectious Diseases, University of Genoa and Ospedale Policlinico San Martino, Genova, Italy.ORCID 0000-0002-5535-4602
Dina AverbuchFaculty of Medicine, Hebrew University of Jerusalem, Hadassah Medical Center, Jerusalem, Israel.ORCID 0000-0001-9614-7274
Rafael de la CamaraHospital Universitario de la Princesa, Madrid, Spain.ORCID 0000-0002-8189-5779
European Society for Blood and Marrow Transplantation · NLAzienda Ospedaliera Universitaria Integrata Verona · ITHebrew University of Jerusalem · ILHospital Universitario de La Princesa · ESKarolinska University Hospital · SENicolaus Copernicus University · PLOspedale Policlinico San Martino · ITPoznan University of Medical Sciences · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to determine the current approach of EBV-driven post-transplant complications in context of monitoring, diagnosis, prevalence and treatment in EBMT transplant centers. Routine serology testing in patient and donor before HCT is performed in 95.5% centers. Pretransplant EBV-DNA is routinely tested in all patients in 32.7% centers. Monitoring for EBV infection is feasible in 98.2% centers: including 66.7% centers using standardized PCR. Post-HCT regular monitoring is performed in all patients in 80.5% centers. Anti-EBV prophylaxis with rituximab is used in 12.4% centers. Frequency of csEBV-DNA-emia was 7.4% (adults: 6.2%, children: 12.6%). The PCR threshold used to start preemptive treatment was differentiated among centers. Frequency of EBV-PTLD was 1.6% (adults: 1.3%; children: 3.5%). First-line therapy of EBV-driven complications was rituximab and reduction of immunosuppressive therapy. The rate of failure of first-line preemptive treatment was 12.0%. EBV-specific viral-specific T-lymphocytes were available in 46.0% centers. A number of new experimental therapies were given in 28 patients with resistant/refractory PTLD. In conclusion, the prevalence of EBV-DNA-emia and EBV-PTLD over the period 2020-2021 decreased in comparison to historical data. New trends (routine pretransplant screening for EBV-DNA, wider access to VST, new experimental therapies) are being observed in management of EBV infection after allo-HCT.

Indexed as

Communicable DiseasesEpstein-Barr Virus InfectionsLymphoproliferative DisordersAdultChildDNA, ViralHerpesvirus 4, HumanHumansPrevalenceRituximabViral LoadDNA, ViralRituximab

Identifiers

PMID37872300
OpenAlexW4387873745

What OpenQuestion holds

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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.