Evidence map›Paper›PMID 38979637›Full record

ArticleChinese medical journal2025

Risk factors for positive post-transplantation measurable residual disease in patients with acute lymphoblastic leukemia.

Yuewen Wang, Guomei Fu, Lanping Xu, Yu Wang, Yifei Cheng, Yuanyuan Zhang, Xiaohui Zhang, Yanrong Liu, Kaiyan Liu, Xiaojun Huang and 1 more

Abstract read
In one paragraph

Article in Chinese medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
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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

11 authors.

Yuewen WangDepartment of Hematology, Peking University People's Hospital, Peking University Institute of Hematology, Beijing 100044, China.
Guomei FuDepartment of Hematology, Peking University People's Hospital and National Clinical Research Center for Hematologic Disease, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Beijing 100044, China.
Lanping XuDepartment of Hematology, Peking University People's Hospital, Peking University Institute of Hematology, Beijing 100044, China.
Yu WangDepartment of Hematology, Peking University People's Hospital, Peking University Institute of Hematology, Beijing 100044, China.
Yifei ChengDepartment of Hematology, Peking University People's Hospital, Peking University Institute of Hematology, Beijing 100044, China.
Yuanyuan ZhangDepartment of Hematology, Peking University People's Hospital, Peking University Institute of Hematology, Beijing 100044, China.
Xiaohui ZhangDepartment of Hematology, Peking University People's Hospital, Peking University Institute of Hematology, Beijing 100044, China.
Yanrong LiuDepartment of Hematology, Peking University People's Hospital, Peking University Institute of Hematology, Beijing 100044, China.
Kaiyan LiuDepartment of Hematology, Peking University People's Hospital, Peking University Institute of Hematology, Beijing 100044, China.
Xiaojun HuangDepartment of Hematology, Peking University People's Hospital, Peking University Institute of Hematology, Beijing 100044, China.
Yingjun ChangDepartment of Hematology, Peking University People's Hospital, Peking University Institute of Hematology, Beijing 100044, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe level of measurable residual disease (MRD) before and after transplantation is related to inferior transplant outcomes, and post-hematopoietic stem cell transplantation measurable residual disease (post-HSCT MRD) has higher prognostic value in determining risk than pre-hematopoietic stem cell transplantation measurable residual disease (pre-HSCT MRD). However, only a few work has been devoted to the risk factors for positive post-HSCT MRD in patients with acute lymphoblastic leukemia (ALL). This study evaluated the risk factors for post-HSCT MRD positivity in patients with ALL who underwent allogeneic hematopoietic stem cell transplantation (allo-HSCT).

methodsA total of 1683 ALL patients from Peking University People's Hospital between January 2009 and December 2019 were enrolled to evaluate the cumulative incidence of post-HSCT MRD. Cox proportional hazard regression models were built for time-to-event outcomes. Multivariable analysis was performed to determine independent influencing factors from the univariable analysis.

resultsBoth in total patients and in T-cell ALL or B-cell ALL, pediatric or adult, human leukocyte antigen-matched sibling donor transplantation or haploidentical SCT subgroups, positive pre-HSCT MRD was a risk factor for post-HSCT MRD positivity ( P  <0.001 for all). Disease status (complete remission 1 [CR1] vs . ≥CR2) was also a risk factor for post-HSCT MRD positivity in all patients and in the B cell-ALL, pediatric, or haploidentical SCT subgroups ( P  = 0.027; P  = 0.003; P  = 0.035; P  = 0.003, respectively). A risk score for post-HSCT MRD positivity was developed using the variables pre-HSCT MRD and disease status. The cumulative incidence of post-HSCT MRD positivity was 12.3%, 25.1%, and 38.8% for subjects with scores of 0, 1, and 2-3, respectively ( P  <0.001). Multivariable analysis confirmed the association of the risk score with the cumulative incidence of post-HSCT MRD positivity and relapse as well as leukemia-free survival and overall survival.

conclusionOur results indicated that positive pre-MRD and disease status were two independent risk factors for post-HSCT MRD positivity in patients with ALL who underwent allo-HSCT.

Indexed as

Hematopoietic Stem Cell TransplantationNeoplasm, ResidualPrecursor Cell Lymphoblastic Leukemia-LymphomaAdolescentAdultChildChild, PreschoolFemaleHumansInfantMaleMiddle AgedProportional Hazards ModelsRetrospective StudiesRisk FactorsTransplantation, HomologousAcute lymphoblastic leukemiaAllogeneic hematopoietic stem cell transplantationMeasurable residual diseasePosttransplantationRelapseRisk factors

Identifiers

PMID38979637
PMCPMC12068759

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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.