Evidence map›Paper›PMID 41642400›Full record

ArticleMycopathologia2026

Clinical Characteristics and Outcomes of Invasive Aspergillosis in Patients with Hematological Malignancies and Transplantation and Cellular Therapies in the Contemporary Era.

Christopher M Lopez, Jose F Suarez, Maria A Mendoza, Anthony D Anderson, Jill Lykon, Wenhui Li, Michele I Morris, Yoichiro Natori, Mohammed Raja, Lazaros J Lekakis and 10 more

Abstract read
In one paragraph

Article in Mycopathologia, 2026. 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. Fungal Infections in Pediatric Patients With Hematologic Malignancies and Stem Cell Transplantation: Impact on the Upper and Lower Respiratory Systems.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2026
    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

20 authors.

Christopher M Lopez *Division of Infectious Diseases, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA. cml350@miami.edu.ORCID http://orcid.org/0009-0002-8162-7843
Jose F Suarez *Division of Infectious Diseases, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.ORCID http://orcid.org/0000-0002-6125-830X
Maria A MendozaDivision of Infectious Diseases, Department of Medicine, University of Utah, Salt Lake City, UT, USA.
Anthony D AndersonDepartment of Pharmacy, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL, USA.ORCID http://orcid.org/0000-0002-2765-582X
Jill LykonDepartment of Pharmacy, University of Miami, Miami, FL, USA.ORCID http://orcid.org/0009-0007-2298-7829
Wenhui LiDepartment of Pharmacy, University of Miami, Miami, FL, USA.ORCID http://orcid.org/0000-0003-2710-7652
Michele I MorrisDivision of Infectious Diseases, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.ORCID http://orcid.org/0000-0002-4479-8726
Yoichiro NatoriDivision of Infectious Diseases, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.ORCID http://orcid.org/0000-0002-4938-125X
Mohammed RajaDivision of Infectious Diseases, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.ORCID http://orcid.org/0000-0003-4324-5748
Lazaros J LekakisDivision of Transplantation & Cellular Therapy, Sylvester Comprehensive Cancer Center, University of Miami Hospital and Clinics, Miami, FL, USA.
Amer BeitinjanehDivision of Transplantation & Cellular Therapy, Sylvester Comprehensive Cancer Center, University of Miami Hospital and Clinics, Miami, FL, USA.ORCID http://orcid.org/0000-0002-1661-5865
Antonio JimenezDivision of Transplantation & Cellular Therapy, Sylvester Comprehensive Cancer Center, University of Miami Hospital and Clinics, Miami, FL, USA.ORCID http://orcid.org/0000-0003-2817-6836
Mark GoodmanDivision of Transplantation & Cellular Therapy, Sylvester Comprehensive Cancer Center, University of Miami Hospital and Clinics, Miami, FL, USA.
Trent P WangDivision of Transplantation & Cellular Therapy, Sylvester Comprehensive Cancer Center, University of Miami Hospital and Clinics, Miami, FL, USA.ORCID http://orcid.org/0000-0001-5685-7204
Jay SpiegelDivision of Transplantation & Cellular Therapy, Sylvester Comprehensive Cancer Center, University of Miami Hospital and Clinics, Miami, FL, USA.ORCID http://orcid.org/0000-0001-6491-0044
Noa G HoltzmanDivision of Transplantation & Cellular Therapy, Sylvester Comprehensive Cancer Center, University of Miami Hospital and Clinics, Miami, FL, USA.
Denise PereiraDivision of Transplantation & Cellular Therapy, Sylvester Comprehensive Cancer Center, University of Miami Hospital and Clinics, Miami, FL, USA.ORCID http://orcid.org/0000-0002-1992-7899
Damian GreenDivision of Transplantation & Cellular Therapy, Sylvester Comprehensive Cancer Center, University of Miami Hospital and Clinics, Miami, FL, USA.
Krishna V KomanduriDivision of Hematology and Oncology, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
Jose F CamargoDivision of Infectious Diseases, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite important advancements in diagnostic modalities, routine use of therapeutic drug monitoring (TDM) and newer antifungal therapies, there is a paucity of contemporary data regarding clinical characteristics and outcomes of invasive aspergillosis (IA) in the United States.

methodsSingle-center, retrospective cohort study of hospitalized patients between 2015 and 2020, who had active hematological malignancy (HM) or had undergone transplantation and cellular therapy (TCT) and had probable or proven IA.

resultsSixty-two patients with probable or proven IA, including 21 HM and 41 TCT, were identified. Forty-four percent of the cases corresponded to breakthrough IA. Bronchoalveolar lavage galactomannan was ≥ 1 in 71% and ≥ 0.5 in 88%, while serum galactomannan was ≥ 0.5 in only 34%. Among assessable patients (n = 59), 90-day partial or complete response to antifungal therapy occurred in 39%. All-cause mortality for the entire cohort was 22% at 30 days and 46% at 90 days. IA attributable mortality was 18% at 30 days and 38% at 90 days. Achieving therapeutic antifungal serum levels was associated with a reduction in all-cause mortality, while prior clinically significant CMV infection (aOR 9.65, 95% CI 1.34-69.6; P = 0.025) and relapsed/refractory hematological disease (aOR 8.5, 95% CI 2.23, 32.4; P = 0.002) were associated with higher IA attributable mortality.

conclusionsDespite advancements in diagnosis and treatment, IA remains associated with poor outcomes in hematological patients in the contemporary era. Newer antifungals and improved strategies for monitoring and prevention of IA in these vulnerable patient populations are urgently needed.

Indexed as

Antifungal AgentsHematologic NeoplasmsInvasive Pulmonary AspergillosisAdultAgedBronchoalveolar Lavage FluidFemaleGalactoseHumansMaleMannansMiddle AgedRetrospective StudiesTreatment OutcomeUnited StatesYoung AdultAntifungal AgentsgalactomannanGalactoseMannansGalactomannanHematological malignancyHematopoietic cell transplantationInvasive aspergillosisMortality

Identifiers

PMID41642400
PMCPMC12876453

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.