Evidence map›Paper›PMID 40610800›Full record

ArticleClinical and experimental medicine2025

Analysis of prognostic factors affecting TA-TMA patients: a single-center retrospective study.

Jile Liu, Haotian Meng, Tao Zhang, Xiu Liu, Mingfeng Zhao

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Article in Clinical and experimental medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Jile Liu *First Central Hospital of Tianjin Medical University, Tianjin Medical University, Tianjin, 300192, China.
Haotian Meng *Nankai University School of Medicine, Nankai University, Tianjin, 300071, China.
Tao ZhangNankai University School of Medicine, Nankai University, Tianjin, 300071, China.
Xiu LiuFirst Central Hospital of Tianjin Medical University, Tianjin Medical University, Tianjin, 300192, China.
Mingfeng ZhaoDepartment of Hematology, Tianjin Thrombosis and Hemostasis Institute, Tianjin First Central Hospital, Tianjin, 300192, China. mingfengzhao@sina.com.ORCID http://orcid.org/0000-0002-5995-7558

Funding

the major special project on public health science and technology in Tianjin 24ZXGZSY00120the Science and Technology Project of Tianjin Municipal Health Committee TJWJ2022XK018Tianjin Health Research Project TJWJ2024QN040Tianjin Key Medical Discipline (Specialty) Construction Project TJYXZDXK-056B
6 · The paper itself

Abstract

objectiveTransplantation-associated thrombotic microangiopathy (TA-TMA) is a severe thrombotic complication that occurs after hematopoietic stem cell transplantation. Currently, there are no clear conclusions on the factors influencing the prognosis of TA-TMA patients and the best treatment plan for TA-TMA.

methodsWe retrospectively collected information on 26 patients with TA-TMA from a single center. The independent factors affecting prognosis were analyzed through univariate and multivariate Cox regression. Subgroup analysis was also conducted to investigate the impact of different treatment methods on overall survival of patients.

resultsWe found that high creatinine levels during the diagnosis of TA-TMA and previous CAR-T cell therapy were independent risk factors affecting the prognosis of TA-TMA patients. Additionally, discontinuing calcineurin inhibitors (CNI) is helpful in prolonging the survival period of TA-TMA patients.

conclusionsOur research has revealed the high-risk factors affecting the survival of TA-TMA patients and the efficacy of different treatment methods, providing guidance for subsequent clinical practice.

Indexed as

Hematopoietic Stem Cell TransplantationThrombotic MicroangiopathiesAdolescentAdultAgedCalcineurin InhibitorsFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesRisk FactorsYoung AdultCalcineurin InhibitorsAllogeneic hematopoietic stem cell transplantationCAR-TCNIsCreatinineTA-TMA

Identifiers

PMID40610800
PMCPMC12226656

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