Evidence map›Paper›PMID 40830237›Full record

GuidelineBone marrow transplantation2025

Autologous haematopoietic stem cell transplantation for rheumatic diseases: best practice recommendations from the EBMT Practice Harmonization and Guidelines Committee.

Tobias Alexander, Elisa Roldan, Nicoletta Del Papa, Dominique Farge, Jörg Henes, Zora Marjanovic, Mathieu Puyade, John A Snowden, Julia Spierings, Jeska K de Vries-Bouwstra and 13 more

Abstract readPractice Guideline
In one paragraph

Guideline 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 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. 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

23 authors.

Tobias AlexanderDepartment of Rheumatology and Clinical Immunology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany. tobias.alexander@charite.de.ORCID 0000-0003-1193-0097
Elisa RoldanDepartment of Haematology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.ORCID 0000-0001-7242-170X
Nicoletta Del PapaScleroderma Clinic, Rheumatology Dept, ASST G. Pini-CTO, Università degli Studi di Milano, Milano, Italy.ORCID 0000-0003-1549-8852
Dominique FargeInternal Medicine Unit (04): CRMR MATHEC, Maladies Auto-immunes et Thérapie Cellulaire, Centre de Référence des Maladies auto-immunes systémiques Rares d'Ile-de-France, AP-HP, St-Louis Hospital, INSERM UMR1342, IRSL, Paris-Cite University, Paris, France.ORCID 0000-0002-4041-1352
Jörg HenesUniversity hospital Tuebingen Tübingen, Internal Medicine II (Hematology, Oncology, clinical immunology and rheumatology) Tübingen, Tübingen, Germany.
Zora MarjanovicService d'Hématologie Clinique et Thérapie Cellulaire, Hôpital Saint-Antoine, AP-HP, Paris, Sorbonne University, Paris, France.ORCID 0000-0002-5391-5875
Mathieu PuyadeCHU de Poitiers, Service de Médecine Interne et Maladies Infectieuses, Poitiers, France.ORCID 0000-0002-5639-0138
John A SnowdenDepartment of Haematology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.ORCID 0000-0001-6819-3476
Julia SpieringsDepartment of Rheumatology and Clinical Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0002-2546-312X
Jeska K de Vries-BouwstraDepartment of Rheumatology, Leiden University Medical Center, Leiden, The Netherlands.
Francesco OnidaHematology & ASCT Unit, ASST Fatebenefratelli-Sacco, University of Milan, Milan, Italy.ORCID 0000-0002-2991-3474
Annalisa RuggeriHematology and BMT Unit, San Raffaele Scientific Institute, Milano, Italy.ORCID 0000-0002-7261-2765
Isabel Sánchez-OrtegaSecretary of the Practice Harmonization and Guidelines committee of EBMT, Barcelona, Spain.ORCID 0009-0005-5519-9154
Richard BurtNorthwestern University (retired), Scripps hematology, La Jolla, CA, USA.ORCID 0000-0002-0922-4145
Ricard CerveraDepartment of Autoimmune Diseases. Reference Centre for Systemic Autoimmune Diseases, Vasculitis and Autoinflammatory Diseases, Member of ERN-ReCONNET/RITA, Hospital Clínic, University of Barcelona, Barcelona, Catalonia, Spain.
Andrea DoriaDivision of Rheumatology, Department of Medicine DIMED, University of Padua, Padua, Italy.ORCID 0000-0003-0548-4983
John MooreDepartment of Haematology and Bone Marrow Transplantation, St Vincent's Hospital, Sydney, NSW, Australia.
Maria Carolina OliveiraCenter for Cell-based Therapy, Regional Hemotherapy Center of the Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.ORCID 0000-0003-0691-2222
Grégory PugnetService de Médecine Interne et Immunologie Clinique, CHU Rangueil, Toulouse cedex 9, France.ORCID 0000-0002-2621-204X
Doron RimarRheumatology Unit, Bnai Zion Medical Center, Faculty of Medicine, Technion Israel institute of technology, Haifa, Israel.
Marc SchmalzingDepartment of Internal Medicine 2, Rheumatology/Clinical Immunology, University Hospital Würzburg, Würzburg, Germany.
Ibrahim Yakoub-AghaCHU de Lille, Univ Lille, INSERM U1286, Infinite, Lille, France.ORCID 0000-0003-4524-8782
Raffaella GrecoUnit of Hematology and Bone Marrow Transplantation, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy. greco.raffaella@hsr.it.ORCID 0000-0002-6117-5328

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune-mediated rheumatologic and musculoskeletal diseases (RMDs) comprise a heterogeneous group of systemic conditions that affect the connective tissues of the musculoskeletal system and internal organs. Immune-mediated RMDs are driven by chronic autoimmune responses and typically require continuous or repeated administration of immunosuppressive or biologic disease-modifying drugs. Although generally effective, these therapies can cause both short- and long-term side effects and may fail to control the disease with risk of irreversible tissue damage. For such patients, haematopoietic stem cell transplantation (HSCT) has been successfully employed over the past 30 years, but this procedure requires caution due to significant side effects. To address these aspects, updated recommendations for the use of HSCT in RMDs have been developed in collaboration with an international expert panel from the European Society for Blood and Marrow Transplantation (EBMT). The panel reviewed all available evidence regarding HSCT application since 2004. Based on this review, EBMT expert-based consensus recommendations were formulated to guide best practices and ensure high-quality patient care. These recommendations include detailed indications, contraindications, and cautionary notes specific to each RMD, along with comprehensive protocols for diagnostic work-up. They are intended to support clinicians, scientists, patients, and caregivers in the field of RMDs.

Indexed as

Hematopoietic Stem Cell TransplantationRheumatic DiseasesHumansReview Literature as TopicTransplantation, Autologous

Identifiers

PMID40830237
PMCPMC12583147

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.