Evidence map›Paper›PMID 39440198›Full record

ArticleHemaSphere2024

Long-term outcome of 2-year survivors after allogeneic hematopoietic cell transplantation for acute leukemia.

Marion Larue, Myriam Labopin, Thomas Schroeder, Xiao-Jun Huang, Igor W Blau, Johannes Schetelig, Arnold Ganser, Rose-Marie Hamladji, Wolfgang Bethge, Nicolaus Kröger and 8 more

Abstract read
In one paragraph

Article in HemaSphere, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
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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

18 authors.

Marion LarueHematology Department Hôpital Saint-Antoine, APHP Paris France.ORCID 0000-0003-4810-045X
Myriam LabopinHematology Department Hôpital Saint-Antoine, APHP Paris France.
Thomas SchroederDepartment of Bone Marrow Transplantation University Hospital Essen Germany.
Xiao-Jun HuangInstitute of Hematology Peking University People's Hospital Beijing China.
Igor W BlauDepartment of Hematology, Oncology, and Transfusion Medicine Campus Benjamin Franklin, Charité Universitätsmedizin Berlin Germany.
Johannes ScheteligDepartment I of Internal Medicine University Hospital Carl Gustav Carus, Technical University Dresden Dresden Germany.
Arnold GanserDepartment of Hematology, Hemostasis, Oncology and Stem Cell Transplantation Hannover Medical School Hannover Germany.
Rose-Marie HamladjiService Hématologie Greffe de Moëlle Centre Pierre et Marie Curie Alger Algeria.
Wolfgang BethgeDepartment of Hematology and Oncology Universitaet Tuebingen, Medizinische Klinik Tuebingen Germany.
Nicolaus KrögerDepartment of Stem Cell Transplantation University Medical Center Hamburg-Eppendorf Hamburg Germany.
Gerard SociéDepartment of Hematology-BMT Hospital St. Louis Paris France.
Urpu SalmenniemiDepartment of Hematology Helsinki University Hospital Comprehensive Cancer Center Helsinki Finland.
Henrik SengeloevBone Marrow Transplant Unit L 4043 National University Hospital Rigshospitalet Copenhagen Denmark.
Bhagirathbhai DholariaINSERM UMRs 938 Sorbonne University Paris France.
Bipin N SavaniINSERM UMRs 938 Sorbonne University Paris France.
Arnon NaglerEBMT ALWP Office Hôpital Saint-Antoine Paris France.ORCID 0000-0002-0763-1265
Fabio CiceriEBMT ALWP Office Hôpital Saint-Antoine Paris France.
Mohamad MohtyHematology Department Hôpital Saint-Antoine, APHP Paris France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Information on late complications in patients with acute leukemia who have undergone allogeneic hematopoietic cell transplantation (HCT) is limited. We performed a left-truncated analysis of long-term survival in patients with acute leukemia who were alive and disease-free 2 years after HCT. We included 2701 patients with acute lymphoblastic leukemia (ALL) and 9027 patients with acute myeloid leukemia (AML) who underwent HCT between 2005 and 2012. The 10-year overall survival (OS) rate was 81.3% for ALL and 76.2% for AML, with the main causes of late mortality being relapse (ALL-33.9%, AML-44.9%) and chronic graft-versus-host disease (ALL-29%, AML-18%). At 10 years, HCT-related mortality was 16.8% and 20.4%, respectively. Older age and unrelated donor transplantation were associated with a worse prognosis for both types of leukemia. In addition, transplantation in the second or third complete remission and peripheral blood HSC for ALL are associated with worse outcomes. Similarly, adverse cytogenetics, female donor to male patient combination, and reduced intensity conditioning in AML contribute to poor prognosis. We conclude that 2-year survival in remission after HCT for acute leukemia is encouraging, with OS of nearly 80% at 10 years. However, the long-term mortality risk of HCT survivors remains significantly higher than that of the age-matched general population. These findings underscore the importance of tailoring transplantation strategies to improve long-term outcomes in patients with acute leukemia undergoing HCT.

Identifiers

PMID39440198
PMCPMC11494155

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.