Evidence map›Paper›PMID 38969655›Full record

ArticleBlood cancer journal2024

Hematopoietic stem cell transplantation for DLBCL: a report from the European Society for Blood and Marrow Transplantation on more than 40,000 patients over 32 years.

Philipp Berning, Mathilde Fekom, Maud Ngoya, Anthony H Goldstone, Peter Dreger, Silvia Montoto, Hervé Finel, Evgenii Shumilov, Patrice Chevallier, Didier Blaise and 21 more

Abstract read
In one paragraph

Article in Blood cancer journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

31 authors.

Philipp BerningDepartment of Hematology and Oncology, University Hospital Muenster, Muenster, Germany.ORCID 0000-0002-4152-0366
Mathilde FekomEuropean Society for Blood and Marrow Transplantation, Paris, France.
Maud NgoyaEuropean Society for Blood and Marrow Transplantation, Paris, France.
Anthony H GoldstoneHCA Healthcare, Macmillan Cancer Centre, London, United Kingdom.
Peter DregerDepartment of Medicine V, University of Heidelberg, Heidelberg, Germany.ORCID 0000-0002-7429-8570
Silvia MontotoSt. Bartholomew's Hospital, Barts Health NHS Trust, London, United Kingdom.ORCID 0000-0002-3006-9725
Hervé FinelEuropean Society for Blood and Marrow Transplantation, Paris, France.
Evgenii ShumilovDepartment of Hematology and Oncology, University Hospital Muenster, Muenster, Germany.
Patrice ChevallierDepartment of Hematology, CHU Nantes, Nantes, France.
Didier BlaiseTransplantation and Cellular Immunotherapy Program, Department of Hematology, Instititut Paoli Calmettes, MSC Lab, Aix Marseille University, Marseille, France.
Tim StrüssmannDepartment of Hematology, Oncology and Stem Cell Transplantation, University of Freiburg Medical Center, Freiburg, Germany.
Ben CarpenterDepartment of Hematology, University College London Hospitals, London, United Kingdom.
Edouard ForcadeService d'Hématologie Clinique et Thérapie Cellulaire, CHU Bordeaux, F-33000, Bordeaux, France.ORCID 0000-0002-8873-2868
Cristina Castilla-LlorenteDepartment of Hematology, Gustave Roussy Cancer Campus, Villejuif, France.
Marek TrnenyFirst Faculty of Medicine, Charles University, Praha, Czech Republic.ORCID 0000-0002-6952-6073
Hervé GhesquieresHospices Civils de Lyon, Hôpital Lyon Sud, Service d'Hématologie, Pierre Bénite, France.
Saveria CapriaDepartment of Translational and Precision Medicine, Policlinico Umberto I Hospital, Sapienza University of Rome, Rome, Italy.
Catherine ThieblemontDepartment of Hemato-Oncology, Hôpital Saint-Louis APHP, Paris, France.ORCID 0000-0002-9941-2448
Igor Wolfgang BlauCharité-Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt-Universität Berlin, Department of Hematology, Oncology and Tumor Immunology, Campus Virchow Clinic, Berlin, Germany.
Ellen MeijerDepartment of Hematology, Amsterdam University Medical Center, Free University, Amsterdam, the Netherlands.
Annoek E C BroersDepartment of Hematology, Erasmus MC Cancer Institute, Rotterdam, Netherlands.
Anne HuynhCHU - Institut Universitaire du Cancer Toulouse, Oncopole, I.U.C.T-O, Toulouse, France.
Denis CaillotDepartment of Hematology, CHU Dijon, Dijon, France.
Wolf RöslerDepartment of Internal Medicine 5, Hematology and Oncology, University of Erlangen-Nuremberg, Erlangen, Germany.
Stephanie Nguyen QuocDepartment of Hematology, AP-HP, Sorbonne Université, Pitié- Salpêtrière Hospital, Paris, France.
Jörg BittenbringDepartment of Hematology and Oncology, Saarland University Medical School, Homburg, Germany.
Arnon NaglerDivision of Hematology, Sheba Medical Center, Tel Hashomer, Israel.
Jacques-Emmanuel GalimardEuropean Society for Blood and Marrow Transplantation, Paris, France.
Bertram GlassDepartment of Hematology, Oncology, Tumor Immunology, and Palliative Care, Helios Klinikum Berlin-Buch, Berlin, Germany.
Anna Sureda *Department of Hematology, Institut Català d'Oncologia Hospitalet, IDIBELL, Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0002-1238-6970
Norbert Schmitz *Department of Hematology and Oncology, University Hospital Muenster, Muenster, Germany. norbert.schmitz@ukmuenster.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autologous(auto-) and allogeneic(allo-) hematopoietic stem cell transplantation (HSCT) are key treatments for relapsed/refractory diffuse large B-cell lymphoma (DLBCL), although their roles are challenged by CAR-T-cells and other immunotherapies. We examined the transplantation trends and outcomes for DLBCL patients undergoing auto-/allo-HSCT between 1990 and 2021 reported to EBMT. Over this period, 41,148 patients underwent auto-HSCT, peaking at 1911 cases in 2016, while allo-HSCT saw a maximum of 294 cases in 2018. The recent decline in transplants corresponds to increased CAR-T treatments (1117 cases in 2021). Median age for auto-HSCT rose from 42 (1990-1994) to 58 years (2015-2021), with peripheral blood becoming the primary stem cell source post-1994. Allo-HSCT median age increased from 36 (1990-1994) to 54 (2015-2021) years, with mobilized blood as the primary source post-1998 and reduced intensity conditioning post-2000. Unrelated and mismatched allo-HSCT accounted for 50% and 19% of allo-HSCT in 2015-2021. Three-year overall survival (OS) after auto-HSCT improved from 56% (1990-1994) to 70% (2015-2021), p < 0.001, with a decrease in relapse incidence (RI) from 49% to 38%, while non-relapse mortality (NRM) remained unchanged (4%). After allo-HSCT, 3-year-OS increased from 33% (1990-1999) to 46% (2015-2021) (p < 0.001); 3-year RI remained at 39% and 1-year-NRM decreased to 19% (p < 0.001). Our data reflect advancements over 32 years and >40,000 transplants, providing insights for evaluating emerging DLBCL therapies.

Indexed as

Hematopoietic Stem Cell TransplantationLymphoma, Large B-Cell, DiffuseAdolescentAdultAgedEuropeFemaleHumansMaleMiddle AgedTransplantation, AutologousTransplantation ConditioningTransplantation, HomologousYoung Adult

Identifiers

PMID38969655
PMCPMC11226679

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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.