Evidence map›Paper›PMID 40689246›Full record

ArticleOpen forum infectious diseases2025

Risk Factors and Outcome of HHV-6 Infections After Allogeneic Hematopoietic Cell Transplantation.

Stefanie De Vlieger, Juliette Van Hoorde, Ineke van Gremberghe, Sylvia Snauwaert, Jan Van Droogenbroeck, Tom Lodewyck, Alexander Schauwvlieghe, Dominik Selleslag, Marijke Reynders, Jens T Van Praet

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Guideline
  2. 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

10 authors.

Stefanie De VliegerFaculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Juliette Van HoordeFaculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Ineke van GrembergheBiostatistics Unit, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.ORCID https://orcid.org/0009-0007-7907-7033
Sylvia SnauwaertDepartment of Hematology, AZ Sint-Jan Brugge AV, Brugge, Belgium.
Jan Van DroogenbroeckDepartment of Hematology, AZ Sint-Jan Brugge AV, Brugge, Belgium.
Tom LodewyckDepartment of Hematology, AZ Sint-Jan Brugge AV, Brugge, Belgium.ORCID https://orcid.org/0000-0002-7570-0656
Alexander SchauwvliegheDepartment of Hematology, AZ Sint-Jan Brugge AV, Brugge, Belgium.ORCID https://orcid.org/0000-0002-3224-3969
Dominik SelleslagDepartment of Hematology, AZ Sint-Jan Brugge AV, Brugge, Belgium.
Marijke ReyndersDepartment of Medical Microbiology, AZ Sint-Jan Brugge AV, Brugge, Belgium.ORCID https://orcid.org/0000-0003-2079-1279
Jens T Van PraetFaculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.ORCID https://orcid.org/0000-0002-7125-7001

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Human herpesvirus 6 (HHV-6) reactivation is frequently seen in recipients of allogeneic hematopoietic cell (HCT) transplantation, but data on clinical outcomes and risk factors are scarce. We aimed to assess the epidemiological features and outcome of clinically relevant HHV-6 infections in the first 180 days after transplantation. Methods: This was a single-center retrospective study of 405 consecutive allogeneic HCT recipients. We matched cases with a clinically relevant HHV-6 infection with control patients. Results: We found an cumulative incidence of 3.7% (95% confidence interval [CI], 1.9-5.5) and an overall incidence rate of 8.84 per 100 person-years (95% CI, 4.95-14.6) of clinically relevant HHV-6 infections during the study period. Adjusting for HCT-specific comorbidity index category, conditioning regimen, donor type, and acute graft-versus-host disease severity, the occurrence of HHV-6 encephalitis was significantly associated with a higher hazard of nonrelapse mortality (hazard ratio, 3.821; 95% CI, 1.437-10.155; Conclusions: HHV-6 encephalitis remains the most detrimental disease manifestation and posttransplant factors related to immune suppression are to be included in future epidemiological studies.

Indexed as

allogeneic hematopoietic cell transplantationencephalitisHHV-6 infectionpolymerase chain reaction assay

Identifiers

PMID40689246
PMCPMC12272341

What Socratic 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 Socratic graph.