Evidence map›Paper›PMID 38321269›Full record

ArticleBone marrow transplantation2024

Graft-versus-host disease and impact on relapse in myelofibrosis undergoing hematopoietic stem cell transplantation.

Sofia Oechsler, Nico Gagelmann, Christine Wolschke, Dietlinde Janson, Anita Badbaran, Evgeny Klyuchnikov, Radwan Massoud, Kristin Rathje, Johanna Richter, Mathias Schäfersküpper and 5 more

Open access · hybridAbstract read
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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.4field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 10 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

15 authors at 1 institution in 1 country.

Sofia Oechsler *University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Nico Gagelmann *University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-0891-1744
Christine WolschkeUniversity Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Dietlinde JansonUniversity Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Anita BadbaranUniversity Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Evgeny KlyuchnikovUniversity Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Radwan MassoudUniversity Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Kristin RathjeUniversity Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Johanna RichterUniversity Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Mathias SchäfersküpperUniversity Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Christian NiederwieserUniversity Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-0114-1011
Ameya KunteUniversity Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Silke HeidenreichUniversity Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Francis AyukUniversity Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0001-6297-1847
Nicolaus KrögerUniversity Medical Center Hamburg-Eppendorf, Hamburg, Germany. nkroeger@uke.de.
Universität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Allogeneic hematopoietic stem cell transplantation (alloHSCT) remains the only curative treatment for myelofibrosis (MF). Relapse occurs in 10-30% and remains a major factor for dismal outcomes. Previous work suggested that graft-versus-host disease (GVHD) might be associated with risk of relapse. This study included 341 patients undergoing their first (n = 308) or second (n = 33) alloHSCT. Anti-T-lymphocyte or antithymocyte globulin was used for GVHD prophylaxis in almost all patients. Median time to neutrophile and platelet engraftment was 13 days and 19 days, respectively. The cumulative incidence of acute GVHD grade II-IV was 41% (median, 31 days; range, 7-112). Grade III-IV acute GVHD was observed in 22%. The cumulative incidence of chronic GVHD was 61%. Liver was affected in 23% of acute GVHD cases and 46% of chronic GVHD cases. Severe acute GVHD was associated with high non-relapse mortality. The development of acute GVHD grade II and moderate GVHD was an independent factor for reduced risk for relapse after transplantation without increased risk for non-relapse mortality, while especially acute GVHD grade IV was associated with high non-relapse mortality. Last, we identified that ongoing response to ruxolitinib, accelerated-phase MF at time of transplantation and splenectomy prior to transplantation were independent predictors for relapse.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationPrimary MyelofibrosisAntilymphocyte SerumHumansNeoplasm Recurrence, LocalAntilymphocyte Serum

Identifiers

PMID38321269
PMCPMC10994836
OpenAlexW4391565865

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.