Evidence map›Paper›PMID 38580835›Full record

ArticleLeukemia2024

Pre-frailty after blood or marrow transplantation and the risk of subsequent mortality.

Nora Balas, Joshua S Richman, Wendy Landier, Sadeep Shrestha, Katia J Bruxvoort, Lindsey Hageman, Qingrui Meng, Elizabeth Ross, Alysia Bosworth, F Lennie Wong and 5 more

Abstract read
In one paragraph

Article in Leukemia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

15 authors.

Nora BalasUniversity of Alabama at Birmingham, Birmingham, AL, USA.
Joshua S RichmanUniversity of Alabama at Birmingham, Birmingham, AL, USA.
Wendy LandierUniversity of Alabama at Birmingham, Birmingham, AL, USA.ORCID 0000-0003-3319-5652
Sadeep ShresthaUniversity of Alabama at Birmingham, Birmingham, AL, USA.
Katia J BruxvoortUniversity of Alabama at Birmingham, Birmingham, AL, USA.
Lindsey HagemanUniversity of Alabama at Birmingham, Birmingham, AL, USA.
Qingrui MengUniversity of Alabama at Birmingham, Birmingham, AL, USA.
Elizabeth RossUniversity of Alabama at Birmingham, Birmingham, AL, USA.ORCID 0000-0003-1972-6015
Alysia BosworthCity of Hope, Duarte, CA, USA.
F Lennie WongCity of Hope, Duarte, CA, USA.
Ravi BhatiaUniversity of Alabama at Birmingham, Birmingham, AL, USA.ORCID 0000-0001-5740-2316
Stephen J FormanCity of Hope, Duarte, CA, USA.ORCID 0000-0002-2803-4152
Saro H ArmenianCity of Hope, Duarte, CA, USA.
Daniel J WeisdorfUniversity of Minnesota, Minneapolis, MN, USA.ORCID 0000-0001-8078-8579
Smita BhatiaUniversity of Alabama at Birmingham, Birmingham, AL, USA. smitabhatia@uabmc.edu.ORCID 0000-0002-7755-5683

Funding

BMT Survivor Study-2 (BMTSS-2)U01CA213140 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BHATIA, SMITA · 2019 to 2023
$6.8M
BONE MARROW TRANSPLANT (BMT) SURVIVORS STUDYR01CA078938 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI BHATIA, SMITA · 2000 to 2003
$1.6M
Leukemia and Lymphoma Society (Leukemia & Lymphoma Society) R6502-16NCI NIH HHS R01 CA078938NCI NIH HHS U01 CA213140
6 · The paper itself

Abstract

We examined the prevalence, risk factors, and association between pre-frailty and subsequent mortality after blood or marrow transplantation (BMT). Study participants were drawn from the BMT Survivor Study (BMTSS) and included 3346 individuals who underwent BMT between 1974 and 2014 at one of three transplant centers and survived ≥2 years post-BMT. Participants completed the BMTSS survey at a median of 9 years from BMT and were followed for subsequent mortality for a median of 5 years after survey completion. Closest-age and same-sex biological siblings also completed the survey. Previously published self-reported indices (exhaustion, weakness, low energy expenditure, slowness, unintentional weight loss) classified participants as non-frail (0-1 indices) or pre-frail (2 indices). National Death Index was used to determine vital status and cause of death. Overall, 626 (18.7%) BMT survivors were pre-frail. BMT survivors had a 3.2-fold higher odds of being pre-frail (95% CI = 1.9-5.3) compared to siblings. Compared to non-frail survivors, pre-frail survivors had higher hazards of all-cause mortality (adjusted hazard ratio [aHR] = 1.6, 95% CI = 1.4-2.0). Female sex, pre-BMT radiation, smoking, lack of exercise, anxiety, and severe/life-threatening chronic health conditions were associated with pre-frailty. The novel association between pre-frailty and subsequent mortality provides evidence for interventions as pre-frail individuals may transition back to their robust state.

Indexed as

Bone Marrow TransplantationFrailtyAdultAgedCause of DeathFemaleHumansMaleMiddle AgedPrevalenceRisk

Identifiers

PMID38580835
PMCPMC11217001

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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.