Evidence map›Paper›PMID 39349961›Full record

ArticleBone marrow transplantation2024

Impact of donor type on the outcomes of acute graft versus host disease to systemic corticosteroid therapy.

Yoshimitsu Shimomura, Tetsuhisa Kitamura, Junichi Sugita, Toshiki Terao, Atsushi Satake, Tsuneaki Hirakawa, Naoyuki Uchida, Masashi Shimabukuro, Masatsugu Tanaka, Tetsuya Eto and 12 more

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

22 authors.

Yoshimitsu ShimomuraDepartment of Hematology, Kobe City Hospital Organization Kobe City Medical Center General Hospital, Kobe, Japan. shimomura_0119@yahoo.co.jp.ORCID 0000-0003-1018-9508
Tetsuhisa KitamuraDepartment of Environmental Medicine and Population Science, Graduate School of Medicine, Osaka University, Suita, Japan.ORCID 0000-0003-0107-0580
Junichi SugitaDepartment of Hematology, Sapporo Hokuyu Hospital, Sapporo, Japan.ORCID 0000-0003-3852-5075
Toshiki TeraoDepartment of Hematology and Oncology, Okayama University Hospital, Okayama, Japan.ORCID 0000-0002-6728-3346
Atsushi SatakeFirst Department of Internal Medicine, Kansai Medical University, Osaka, Japan.ORCID 0000-0002-6007-6264
Tsuneaki HirakawaDepartment of Hematology, Nippon Medical School, Tokyo, Japan.
Naoyuki UchidaDepartment of Hematology, Federation of National Public Service Personnel Mutual Aid Associations toranomon hosplital, Tokyo, Japan.ORCID 0000-0001-5952-5926
Masashi ShimabukuroHematology Division, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.
Masatsugu TanakaDepartment of Hematology, Kanagawa Cancer Center, Kanagawa, Japan.
Tetsuya EtoDepartment of Hematology, Hamanomachi Hospital, Fukuoka, Japan.
Nobuhiro HiramotoDepartment of Hematology, Kobe City Hospital Organization Kobe City Medical Center General Hospital, Kobe, Japan.
Keisuke KataokaDivision of Hematology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0002-8263-9902
Hirohisa NakamaeDepartment of hematology, Osaka Metropolitan University, Graduate School of Medicine, Osaka, Japan.ORCID 0000-0003-4203-990X
Ken TakaseDepartment of Hematology, NHO Kyusyu Medical Center, Fukuoka, Japan.
Toshiro KawakitaDepartment of Hematology, NHO Kumamoto Medical Center, Kumamoto, Japan.
Yasuyuki AraiDepartment of Hematology and Oncology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID 0000-0002-9662-5093
Wataru TakedaDepartment of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan.
Fumihiko IshimaruJapanese Red Cross Kanto-Koshinetsu Block Blood Center, Kanagawa, Japan.ORCID 0000-0002-7668-6083
Takahiro FukudaDepartment of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan.
Yoshiko AtsutaJapanese Data Center for Hematopoietic Cell Transplantation, Nagakute, Japan.ORCID 0000-0003-4404-2870
Hideki NakasoneDivision of Hematology, Jichi Medical University Saitama Medical Center, Saitama, Japan.ORCID 0000-0001-5812-9315
Junya KandaDepartment of Hematology and Oncology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.ORCID 0000-0002-6704-3633

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Systemic corticosteroid therapy is a well-established first-line treatment for grades II-IV acute graft-versus-host disease (aGVHD). Recently, several developments have occurred, including the introduction of transplantation from human leukocyte antigen (HLA) haploidentical donors using post-transplant cyclophosphamide (PTCY-Haplo), and improvements in prognosis after cord blood transplantation (CBT) in Japan. This study aimed to analyze the association between donor sources and outcomes in patients with aGVHD. Our study included 2732 patients who developed grades II-IV aGVHD, and were treated with systemic corticosteroids. We compared HLA-matched related donors (MRD), HLA-matched unrelated donors (MUD), PTCY-Haplo, and CBT. We set endpoint as response rate, 1-year cumulative incidence of non-relapse mortality (NRM), and overall survival (OS). The adjusted odds ratios for a complete response (CR) were 0.99 (95% confidence interval [CI]: 0.74-1.31, P = 0.925) for MUD, 2.08 (95% CI: 1.35-3.25, P = 0.001) for PTCY-Haplo, and 1.08 (95% CI: 0.83-1.41, P = 0.550) for CBT compared with MRD. A significant increase in response rates for PTCY were only found in a single-organ involvement. No significant association was observed between the donor source and NRM or OS. In conclusion, PTCY-Haplo is associated with a high response rate in patients with a single-organ aGVHD; however, MUD and CBT were not associated with treatment response.

Indexed as

Adrenal Cortex HormonesGraft vs Host DiseaseAcute DiseaseAdolescentAdultAgedChildChild, PreschoolCord Blood Stem Cell TransplantationFemaleHumansMaleMiddle AgedSurvival RateTissue DonorsTreatment OutcomeAdrenal Cortex Hormones

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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.