Evidence map›Paper›PMID 40074785›Full record

SynthesisBone marrow transplantation2025

Impact of haematopoietic stem cell transplantation for benign and malignant haematologic and non-haematologic disorders on fertility: a systematic review and meta-analysis.

Angela Vidal, Cristina Bora, Andrea Jarisch, Janna Pape, Susanna Weidlinger, Tanya Karrer, Michael von Wolff

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis 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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 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

7 authors.

Angela VidalDivision of Gynecological Endocrinology and Reproductive Medicine, Women's University Hospital, Inselspital Bern, University of Bern, Bern, Switzerland. angela.vidal@insel.ch.ORCID http://orcid.org/0000-0002-3229-6200
Cristina BoraDivision of Gynecological Endocrinology and Reproductive Medicine, Women's University Hospital, Inselspital Bern, University of Bern, Bern, Switzerland.
Andrea JarischDivision of Pediatric Stem Cell Transplantation and Immunology, Department of Children and Adolescents, Frankfurt University Hospital, Goethe University Frankfurt, Frankfurt am Main, Germany.
Janna PapeDivision of Gynecological Endocrinology and Reproductive Medicine, Women's University Hospital, Inselspital Bern, University of Bern, Bern, Switzerland.
Susanna WeidlingerDivision of Gynecological Endocrinology and Reproductive Medicine, Women's University Hospital, Inselspital Bern, University of Bern, Bern, Switzerland.ORCID http://orcid.org/0000-0002-1846-1628
Tanya KarrerMedical Library, University Library of Bern, University of Bern, Bern, Switzerland.ORCID http://orcid.org/0000-0003-1200-7149
Michael von WolffDivision of Gynecological Endocrinology and Reproductive Medicine, Women's University Hospital, Inselspital Bern, University of Bern, Bern, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Haematopoietic stem cell transplantation (HSCT) exposes patients to long-term complications like gonadal dysfunction and infertility. The European Society for Blood and Marrow Transplantation advised in 2015 that fertility preservation should be considered for children and adolescents requiring HSCT. This systematic review and meta-analysis is part of the FertiTOX project, which aims to close the data gap regarding the gonadotoxicity of anticancer therapies to provide more accurate advice regarding fertility preservation. This review were conducted in November 2023, covering articles since 2000. In total, 56 studies were included in the meta-analysis, comprising 1853 female malignant, 241 female benign, 1871 male malignant, and 226 male benign cases. The analysis, using a random-effects model, estimated the prevalence and its 95% confidence interval, revealing that overall infertility exceeded 30% in all groups. Female malignant cases had a prevalence of 65% (95% CI: 0.58-0.71), while in females with benign disease, it was 61% (CI: 0.48-0.73). Males with malignant disease had a prevalence of 41% (CI: 0.32-0.51), and those with benign disease had 31% (CI: 0.19-0.46). The > 30% overall prevalence indicates a clinical need for fertility preservation counseling in both genders undergoing HSCT. Further prospective studies are necessary to address HSCT's individual impact on gonadal function. This systematic review is registered with the International Prospective Register of Systematic Reviews (PROSPERO) under CRD42023486928.

Indexed as

Fertility PreservationHematologic DiseasesHematologic NeoplasmsHematopoietic Stem Cell TransplantationInfertilityAdolescentFemaleHumansMale

Identifiers

PMID40074785
PMCPMC12061765

What Socratic 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 Socratic graph.