PMID- 32369679 OWN - NLM STAT- MEDLINE DCOM- 20210712 LR - 20210712 IS - 1756-5391 (Electronic) IS - 1756-5391 (Linking) VI - 13 IP - 3 DP - 2020 Aug TI - Vitamin D deficiency is not associated with graft versus host disease after hematopoietic stem cell transplantation: A meta-analysis. PG - 183-191 LID - 10.1111/jebm.12383 [doi] AB - OBJECTIVE: Vitamin D status plays an important role in immunoregulation, and a deficiency is believed to be related to Graft Versus Host Disease (GVHD) in patients after hematopoietic stem cell transplantation (HSCT). We aim to study the association between vitamin D deficiency and GVHD after HSCT. METHODS: A literature search was conducted utilizing MEDLINE, EMBASE, and The Cochrane Library Database from inception to July 2019. Eligible studies were required to(1) be clinical trials or observational studies (cohort, case-control, or cross-sectional studies);(2) provide data to calculate the odds ratios (OR) of GVHD in HSCT patients with vitamin D deficiency. Two reviewers independently extracted the data and assessed the risk of bias. Pooled odds ratios (OR) with 95% confidence interval (CI) were estimated using random-effects meta-analysis through the Comprehensive Meta-Analysis 3.3 software. RESULTS: In total, 8 observational studies consisting of 1335 HSCT patients were enrolled in this systematic review. Overall, there was no significant association between vitamin D deficiency and acute GVHD (OR = 1.06, 95% CI 0.74-1.53, P > 0.05). There was no significant association between vitamin D deficiency and chronic GVHD (OR = 1.75, 95% CI 0.72-4.26, P > 0.05). Funnel plots and Egger regression asymmetry test were performed and showed no publication bias. CONCLUSION: There is not a statistically significant association between vitamin D deficiency and neither acute nor chronic GVHD. CI - (c) 2020 Chinese Cochrane Center, West China Hospital of Sichuan University and John Wiley & Sons Australia, Ltd. FAU - Chiengthong, Kanhatai AU - Chiengthong K AD - Division of Pediatric Hematology and Oncology, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand. AD - King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand. FAU - Cheungpasitporn, Wisit AU - Cheungpasitporn W AD - Department of Medicine, University of Mississippi Medical Center, Mississippi, Jackson. FAU - Thongprayoon, Charat AU - Thongprayoon C AD - Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota. FAU - Lertjitbanjong, Ploypin AU - Lertjitbanjong P AD - Department of Internal Medicine, Bassett Medical Center, Cooperstown, New York. FAU - Cato, Liam D AU - Cato LD AD - University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK. FAU - Bathini, Tarun AU - Bathini T AD - Department of Internal Medicine, University of Arizona, Tucson, Arizona. FAU - Ungprasert, Patompong AU - Ungprasert P AD - Clinical Epidemiology Unit, Department of Research and Development, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand. FAU - Mao, Michael A AU - Mao MA AD - Department of Internal Medicine, Mayo Clinic, Jacksonville, Florida. FAU - Chokesuwattanaskul, Ronpichai AU - Chokesuwattanaskul R AD - King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand. AD - Division of Cardiovascular Medicine, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand. LA - eng PT - Journal Article PT - Meta-Analysis PT - Systematic Review DEP - 20200505 PL - England TA - J Evid Based Med JT - Journal of evidence-based medicine JID - 101497477 SB - IM MH - Graft vs Host Disease/*etiology MH - Hematopoietic Stem Cell Transplantation/*adverse effects MH - Humans MH - Vitamin D Deficiency/*complications OTO - NOTNLM OT - graft versus host disease (GVHD) OT - hematopoietic stem cell transplantation (HSCT) OT - vitamin D OT - vitamin D deficiency EDAT- 2020/05/06 06:00 MHDA- 2021/07/13 06:00 CRDT- 2020/05/06 06:00 PHST- 2020/01/28 00:00 [received] PHST- 2020/03/04 00:00 [accepted] PHST- 2020/05/06 06:00 [pubmed] PHST- 2021/07/13 06:00 [medline] PHST- 2020/05/06 06:00 [entrez] AID - 10.1111/jebm.12383 [doi] PST - ppublish SO - J Evid Based Med. 2020 Aug;13(3):183-191. doi: 10.1111/jebm.12383. Epub 2020 May 5.