Evidence map›Paper›PMID 41191519›Full record

ArticleBlood advances2026

Reproducibility and repeatability of the Myoton to quantify sclerotic chronic graft-versus-host disease.

Nosha Farhadfar, Najla El Jurdi, Kelsey K Baker, Shramana Ghosh, Mongoljin Bat-Erdene, Heidi Chen, Ruchi Sahu, Rachel Weiss, Jerry Mi, Gabriela Desatnik and 3 more

Abstract read
In one paragraph

Article in Blood advances, 2026. 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. Guideline
  2. Article
  3. Review
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

13 authors.

Nosha FarhadfarSarah Cannon Transplant and Cellular Therapy Program at Methodist Hospital, San Antonio, TX.
Najla El JurdiImmune Deficiency Cellular Therapy Program, Center for Cancer Research, National Cancer Institute, Bethesda, MD.
Kelsey K BakerClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Shramana GhoshDermatology Service and Research Service, Department of Veterans Affairs, Nashville, TN.ORCID 0000-0003-0876-8674
Mongoljin Bat-ErdeneClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.ORCID 0000-0002-7895-4280
Heidi ChenDermatology Service and Research Service, Department of Veterans Affairs, Nashville, TN.
Ruchi SahuDermatology Service and Research Service, Department of Veterans Affairs, Nashville, TN.ORCID 0009-0004-9776-1494
Rachel WeissDermatology Service and Research Service, Department of Veterans Affairs, Nashville, TN.
Jerry MiDermatology Service and Research Service, Department of Veterans Affairs, Nashville, TN.ORCID 0009-0006-2550-0150
Gabriela DesatnikClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Lacey R WilliamsClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.ORCID 0009-0005-7360-0335
Eric R TkaczykDermatology Service and Research Service, Department of Veterans Affairs, Nashville, TN.ORCID 0000-0002-2850-4740
Stephanie J LeeClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.ORCID 0000-0003-2600-6390

Funding

Improving Outcomes Assessment in Chronic GVHDR01CA118953 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI LEE, STEPHANIE J · 2011 to 2025
$8.3M
Artificial intelligence to estimate extent of cGVHD from patient photosR01HL169944 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Eric R Tkaczyk · 2024 to 2026
$2.3M
CSRD VA I01 CX002721CSRD VA IK2 CX001785NCI NIH HHS R01 CA118953NHLBI NIH HHS R01 HL169944
6 · The paper itself

Abstract

abstractThere is an urgent need for validated tools to measure sclerotic cutaneous chronic graft-versus-host disease (scGVHD). We examined the interobserver reproducibility within a session and intraobserver repeatability between sessions of the Myoton device for quantifying skin sclerosis in 36 adults with scGVHD. The Myoton was used to measure oscillation frequency and relaxation time of soft tissues at 7 bilateral sites (14 anatomic sites) by 2 study personnel at 2 study sessions. Agreement was measured using mean pairwise absolute difference (MPD), and reliability was measured using intraclass correlation coefficient (ICC). For each of the 2 Myoton parameters, the overall interobserver MPD was <5% of the average overall values and the interobserver ICC was >0.90 between the 2 observers, indicating excellent agreement and reliability within a measurement session. The median time between sessions 1 and 2 was 47.5 days. The overall normalized intraobserver MPD was <7% of the average overall values for each of the 2 Myoton parameters, reflecting good agreement between sessions. The intraobserver ICC for frequency and relaxation time parameters were 0.85 and 0.84, respectively, indicating good reliability between sessions. The reproducibility and repeatability of a bonus site selected at each study visit were similar to the standard 14 anatomic sites. However, no individual site was nearly as reproducible or repeatable as the overall Myoton measurements averaged across the patient. Our findings emphasize the utility of the Myoton for assessing skin properties in scGVHD with patient-level measurements.

Indexed as

Graft vs Host DiseaseAdultAgedChronic DiseaseFemaleHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedObserver VariationReproducibility of ResultsSclerosisSkin

Identifiers

PMID41191519
PMCPMC12917516

What OpenQuestion holds

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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.