Evidence map›Paper›PMID 40830236›Full record

ArticleBone marrow transplantation2025

Chronic Graft-versus-Host disease trends over 30 years - a study by the EBMT transplant complications working party.

Drazen Pulanic, Christophe Peczynski, William Boreland, Christina Rautenberg, Nicolaus Kröger, David Michonneau, Urpu Salmenniemi, Robert Zeiser, Katharina Egger-Heidrich, Edouard Forcade and 9 more

Abstract read
PubMed Publisher
In one paragraph

Article in Bone marrow transplantation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. [First-line treatment for chronic graft-versus-host disease: a real-world study].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2026
    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

19 authors.

Drazen PulanicDivision of Hematology, Department of Internal Medicine, University Hospital Center, Zagreb, Croatia. drazen.pulanic@kbc-zagreb.hr.ORCID 0009-0004-3755-4477
Christophe PeczynskiEBMT Paris Study Office / CEREST-TC, INSERM UMR-S 938, Department of Haematology, Saint Antoine Hospital; Sorbonne University, Paris, France.
William BorelandEBMT Paris Study Office / CEREST-TC, INSERM UMR-S 938, Department of Haematology, Saint Antoine Hospital; Sorbonne University, Paris, France.ORCID 0009-0007-9739-0816
Christina RautenbergUniversity Hospital, Essen, Germany.ORCID 0000-0002-0611-1372
Nicolaus KrögerUniversity Medical Center, Hamburg, Germany.ORCID 0000-0001-5103-9966
David MichonneauHospital St. Louis, Paris, France.ORCID 0000-0003-4553-3065
Urpu SalmenniemiHUCH Comprehensive Cancer Center, Helsinki, Finland.
Robert ZeiserDepartment of Hematology, Oncology and Stem Cell Transplantation, University of Freiburg, Freiburg, Germany.ORCID 0000-0001-6565-3393
Katharina Egger-HeidrichUniversity Hospital Dresden, TU Dresden, Germany.
Edouard ForcadeCHU Bordeaux Hôpital Haut-leveque, Pessac, France.ORCID 0000-0002-8873-2868
Didier BlaiseTransplantation and Cellular Immunotherapy, Department of Hematology, Institut Paoli Calmettes, Management Sport Cancer Lab, Aix Marseille University, Marseille, France.ORCID 0000-0002-5684-9447
Thomas LuftDepartment of Internal Medicine V, Hematology, Oncology and Rheumatology, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-0387-1640
Hélène Labussière-WalletHospital Lyon Sud, Hospices Civils de Lyon, Pierre Bénite, France.
Ivan MoiseevRM Gorbacheva Research Institute, Pavlov University, Saint Petersburg, Russian Federation.ORCID 0000-0002-4332-0114
Christian KoeneckeDepartment of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School, Hanover, Germany.ORCID 0000-0001-7025-1735
Helene SchoemansDepartment of Hematology, University Hospitals Leuven, Leuven, Belgium.ORCID 0000-0002-7568-8239
Grzegorz BasakDepartment of Hematology, Oncology and Internal Medicine, University Clinical Center of the Medical University of Warsaw, Warsaw, Poland.
Olaf PenackDepartment of Hematology, Oncology and Tumorimmunology, Charité-Universitätsmedizin Berlin, Berlin, Germany.ORCID 0000-0003-4876-802X
Zinaida PericDivision of Hematology, Department of Internal Medicine, University Hospital Center Rijeka, Rijeka, Croatia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We assessed whether the incidence and outcomes of chronic Graft-versus-Host Disease (cGvHD) after allogeneic hematopoietic stem cell transplantation (alloHSCT) have changed over 30 years. We studied 102,275 adults with hematological malignancies receiving a first alloHSCT from identical siblings or unrelated donors. We compared 3 decades: (I) 1990-1999 vs. (II) 2000-2009 vs. (III) 2010-2019. Over time, patients were older at transplantation, received more PBSC, unrelated donor transplants, reduced intensity conditioning, in vivo T-cell depletion and an ATG prophylaxis, and less TBI. cGvHD incidence at 48 months was 37.3% [36.2-38.4] in I decade vs. 44.9% [44.3-45.5] in II decade vs. 39.1% [38.7-39.5] in III decade, and incidence of extensive cGvHD at 48 months was 18.1% [17.3-19] vs. 22.2% [21.7-22.6] vs. 19.2% [18.9-19.5] over decades. In multivariate analysis, more cGvHD developed in II than in I decade (HR 1.14, 95% CI 1.09-1.21), but no difference was found between III and I decade (HR 1.01, 95% CI 0.96-1.06). Among patients with cGvHD, NRM at 48 months decreased over decades (21.3% [19.8-22.8] vs. 21% [20.3-21.7] vs. 19.7% [19.1-20.2], p < 0.001). Our data show unchanged cGvHD incidences over time and a high NRM in patients after cGvHD diagnosis.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationTransplantation ConditioningAdolescentAdultAgedChronic DiseaseFemaleHumansIncidenceMaleMiddle AgedYoung Adult

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.