Evidence map›Paper›PMID 40890512›Full record

ArticleLeukemia2025

Long-term benefits of autologous stem cell transplantation versus intensive chemotherapy consolidation for acute myeloid leukemia patients: A propensity score matching analysis from the PETHEMA AML registry.

Ana Alfonso-Pierola, David Martinez-Cuadrón, Rebeca Rodríguez-Veiga, Cristina Gil, Pilar Martínez-Sánchez, Teresa Bernal, Celina Benavente, Mónica A Romero-Riquelme, Josefina Serrano-Lopez, Juan M Bergua and 40 more

Abstract readComparative Study
In one paragraph

Article in Leukemia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

50 authors.

Ana Alfonso-PierolaHematology and Cell Therapy Department, Cancer Center Clínica Universidad de Navarra (CCUN), IdISNA, CIBERONC, Pamplona, Spain.ORCID 0000-0002-2478-5354
David Martinez-CuadrónHospital Universitari i Politècnic La Fe, Valencia, Spain.ORCID 0000-0001-7540-4091
Rebeca Rodríguez-VeigaHospital Universitari i Politècnic La Fe, Valencia, Spain.ORCID 0000-0003-2139-8540
Cristina GilHospital General de Alicante, Alicante, Spain.
Pilar Martínez-SánchezHospital 12 de Octubre, Complutense University, Madrid, Spain.ORCID 0000-0002-7334-140X
Teresa BernalHospital Central de Asturias, Oviedo, Spain.ORCID 0000-0002-2338-513X
Celina BenaventeHospital Clínico San Carlos, Madrid, Spain.
Mónica A Romero-RiquelmeHospital Guillermo Grant Benavente de Concepción, Concepción, Chile.ORCID 0009-0004-1866-8831
Josefina Serrano-LopezHospital Universitario Reina Sofía. IMIBIC. UCO, Córdoba, Spain.
Juan M BerguaHospital San Pedro de Alcántara, Cáceres, Spain.ORCID 0000-0001-8229-1208
Raimundo García-BoyeroHospital General de Castellón, Castellón, Spain.
Mar TormoHospital Clínico Universitario de Valencia, Valencia, Spain.ORCID 0000-0001-9622-1649
Pilar HerreraHospital Ramón y Cajal, Madrid, Spain.
Claudia L Sossa-MeloClínica FOSCAL, Santander, Colombia.
José A Pérez-SimonHospital Universitario Virgen del Rocío, Sevilla, Spain.
Carlos Rodríguez-MedinaHospital Dotor Negrín, Las Palmas de Gran Canaria, Spain.
María F Bass-MaturanaHospital del Salvador, Santiago, Chile.
José L López-LorenzoHospital Fundación Jiménez Díaz, Madrid, Spain.
Lorenzo Algarra-AlgarraHospital Universitario General de Albacete, Albacete, Spain.ORCID 0000-0002-2527-824X
Belén Vidriales-VicenteHospital Clínico Universitario de Salamanca, Salamanca, Spain.ORCID 0000-0001-5049-3673
Manuel Pérez-EncinasHospital Clínico Universitario de Santiago, Santiago de Compostela, Spain.
Manuel Barrios-GarcíaHospital Universitario Regional de Málaga, Málaga, Spain.ORCID 0000-0002-7578-2030
Susana VivesHospital Universitario Germans Trias i Pujol, Badalona, Spain.
María J Sayas-LlorisHospital Universitario Doctor Peset, Valencia, Spain.
Marisa CapurroHospital de Temuco, Temuco, Chile.
Sebastián HidalgoFundación Arturo López Pérez, Santiago, Chile.
Mayte OlaveHospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.
Diana Cuervo-LozadaHospital San Jose, Bogotá, Colombia.
Esperanza Lavilla-RubiraHospital Universitario Lucus Augusti, Lugo, Spain.
Felipe CasadoHospital Universitario HM Sanchinarro, Madrid, Spain.
Armando Mena-DuránHospital General Universitario de Valencia, Valencia, Spain.
Marta Valero-NuñezHospital Arnau de Vilanova, Valencia, Spain.
Soledad Casado-CalderónHospital Universitario de Badajoz, Badajoz, Spain.
Amaia BalerdiHospital Universitario de Cruces, Bilbao, Spain.
Vivianne TorresHospital Base de Valdivia, Valdivia, Chile.
Rosa FernándezHospital Insular de Las Palmas, Las Palmas de Gran Canaria, Spain.
Víctor NoriegaHospital Universitario de A Coruña, Coruña, Spain.
Mariana StevenazziHospital de Clínicas Dr. Manuel Quintela, Montevideo, Uruguay.
Jorge LabradorHospital Universitario de Burgos, Burgos, Spain.
Pilar León-MaldonadoHospital Carlos Van Buren, Valparaiso, Chile.
Beatriz de Rueda-CillerHospital Miguel Servet, Zaragoza, Spain.
Olga Arce-FernándezHospital Universitario Basurto, Bilbao, Spain.
María L AmigoHospital Morales Meseguer, Murcia, Spain.
José Ángel Raposo-PugliaHospital Puerta del Mar, Cádiz, Spain.
María SoléHospital Juan Ramón Jiménez, Huelva, Spain.
Blanca BoludaHospital Universitari i Politècnic La Fe, Valencia, Spain.
Rosa AyalaHospital 12 de Octubre, Complutense University, Madrid, Spain.
Eva BarragánHospital Universitari i Politècnic La Fe, Valencia, Spain.
Pau MontesinosHospital Universitari i Politècnic La Fe, Valencia, Spain. montesinos_pau@gva.es.ORCID 0000-0002-3275-5593
PETHEMA Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While allogeneic stem cell transplantation (allo-SCT) is the preferred consolidation for high and most intermediate-risk acute myeloid leukemia (AML) patients in first remission, the role of autologous SCT (auto-SCT) vs. chemotherapy (CT) when allo-SCT is not feasible or indicated, remains controversial. We conducted a real-world, retrospective cohort study using the PETHEMA AML registry to compare auto-SCT and CT. Multivariate Cox regression and propensity score matching (PS-matching) were used to adjust for confounding factors. A total of 1272 patients in first remission and who received 2 consolidation courses were included (615 receiving additional CT cycles and 657 undergoing auto-SCT). Overall, 78.08% of auto-SCT patients were diagnosed before 2017, compared to 38.11% in the CT cohort (p < 0.001). In the overall cohort, auto-SCT was associated with significantly prolonged overall survival (OS) (HR: 0.73, p < 0.001) and relapse-free survival (RFS) (HR: 0.73, p < 0.001). This benefit was particularly evident in patients ≤65 years, those with normal karyotype, and FLT3-ITD negativity. In the PS-matched cohort, the RFS advantage persisted (HR: 0.80, p = 0.092), but OS differences were not statistically significant (HR: 0.91, p = 0.563). The role of auto-SCT in the genomic and targeted agent era should not be discarded.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsConsolidation ChemotherapyHematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteAdolescentAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisPropensity ScoreRegistriesRetrospective Studies

Identifiers

PMID40890512
PMCPMC12589098

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.