Lena Winestone, MD

Assoc Prof of Clin Pediatrics
Pediatrics
+1 415 476-2188

My research explores racial, ethnic, and socioeconomic disparities in access to care and outcome of leukemia and lymphoma treatment. I study access to care across the continuum of pediatric cancer from diagnosis and clinical trial enrollment through treatment and relapse to salvage therapies. My research has shown that African American children with acute lymphoblastic leukemia, acute myeloid leukemia, and mature B cell lymphoma are two times more likely to present with organ failure at the time of a new cancer diagnosis. My ongoing work investigates access to highly specialized and complex therapies such as stem cell transplant, chimeric antigen receptor T cells, and MIBG therapy.

Publications: 

Clinician Adherence to Screening and Preventive Practices for Non-Malignant Late Effects Among Allogeneic Hematopoietic Cell Transplant Survivors in the United States.

Blood

Catherine J. Lee, Elizabeth M Hellewell, Kevin Ng, Ted Gooley, Anthony D. Sung, Allison O. Taylor, Sanghee Hong, Nausheen Ahmed, Cherie Morey, Sarah Fitzmaurice, Vanessa E. Kennedy, Michelle Lauer, Andrew D. Trunk, Betty K. Hamilton, Akshay Sharma, Zoey Phelps-Bergeron, LaQuisa Hill, Rawan Faramand, Hien Liu, Lena E Winestone, Geoffrey Cheng, Manuel Espinoza-Gutarra, Omer Jamy, Maria Odstrcil Bobillo, Brian McClune, Mariam T. Nawas, Samuel J. Yates, Miki Nishitani, Takuto Takahashi, Jane Koo, Kasiani Myers, Kris Michael Mahadeo, Andrea Bauchat, Laurie K Pearson, Ritika Walia, Kelsea Seago, Spencer Yingling, Cory Edgar, Amy Browning, Neel Bhatt

Examining Disparities By Race, Ethnicity, and Socioeconomic Factors in Children and Young Adults with Relapsed Acute Lymphoblastic Leukemia: A Report from the Children's Oncology Group.

Blood

John A Ligon, Deepa Bhojwani, Alice Dang, Lingyun Ji, Susan R Rheingold, Xinxin Xu, Meenakshi Devidas, John A. Kairalla, Mary Shago, Nyla A. Heerema, Andrew J. Carroll, Michael J. Borowitz, Brent L. Wood, Naomi J. Winick, William L. Carroll, Stephen P. Hunger, Elizabeth A. Raetz, Mignon L. Loh, Sumit Gupta, Lena E Winestone

Real-World Clinician Adherence to Screening and Preventive Practices Guidelines for Subsequent Neoplasms Among Allogeneic Hematopoietic Cell Transplant Survivors in the United States.

Blood

Neel S. Bhatt, Elizabeth M Hellewell, Kevin Ng, Ted Gooley, Anthony D. Sung, Allison O. Taylor, Sanghee Hong, Nausheen Ahmed, Cherie Morey, Sarah Fitzmaurice, Vanessa E. Kennedy, Michelle Lauer, Andrew D. Trunk, Betty K. Hamilton, Akshay Sharma, Zoey Phelps-Bergeron, LaQuisa Hill, Rawan Faramand, Hien Liu, Lena E Winestone, Geoffrey Cheng, Manuel Espinoza-Gutarra, Omer Jamy, Maria Odstrcil Bobillo, Brian McClune, Mariam T. Nawas, Samuel J. Yates, Miki Nishitani, Takuto Takahashi, Jane Koo, Kasiani Myers, Kris Michael Mahadeo, Andrea Bauchat, Laurie K Pearson, Ritika Walia, Kelsea Seago, Spencer Yingling, Cory Edgar, Amy Browning, Catherine J. Lee

Multilevel challenges to equitable inclusion of children in trials when parents use languages other than English: A qualitative report from Children's Oncology Group's Diversity and Health Disparities Committee Language Equity Working Group.

Pediatric blood & cancer

Santacroce SJ, Beauchemin MP, Pelletier W, Robles JM, Ruiz J, Blazin LJ, Aristizabal P, Orjuela-Grimm M, Hall AG, Kahn J, Kline C, Seif AE, Velez MC, Winestone LE

Impact of Genetic Ancestry on T-cell Acute Lymphoblastic Leukemia Outcomes.

Research square

Teachey D, Newman H, Lee S, Pölönen P, Shraim R, Li Y, Liu H, Aplenc R, Bandyopadhyay S, Chen C, Chen Z, Devidas M, Diorio C, Dunsmore K, Elghawy O, Elhachimi A, Fuller T, Gupta S, Hall J, Hughes A, Hunger S, Loh M, Martinez Z, McCoy M, Mullen C, Pounds S, Raetz E, Ryan T, Seffernick A, Shi G, Sussman J, Tan K, Uppuluri L, Vincent TL, Wang'ondu R, Winestone L, Winter S, Wood B, Wu G, Xu J, Yang W, Mullighan C, Yang J, Bona K

Impact of Race and Ethnicity on Outcomes after Umbilical Cord Blood Transplantation.

Transplantation and cellular therapy

Ballen K, Wang T, He N, Knight JM, Hong S, Frangoul H, Verdonck LF, Steinberg A, Diaz MA, LeMaistre CF, Badawy SM, Pu JJ, Hashem H, Savani B, Sharma A, Lazarus HM, Abid MB, Tay J, Rangarajan HG, Kindwall-Keller T, Freytes CO, Beitinjaneh A, Winestone LE, Gergis U, Farhadfar N, Bhatt NS, Schears RM, Gómez-Almaguer D, Aljurf M, Agrawal V, Kuwatsuka Y, Seo S, Marks DI, Lehmann L, Wood WA, Hashmi S, Saber W

Trends in Volumes and Survival After Hematopoietic Cell Transplantation in Racial/Ethnic Minorities.

Blood advances

Khera N, Ailawadhi S, Brazauskas R, Patel J, Jacobs B, Ustun C, Ballen K, Abid MB, Díaz MA, Al-Homsi AS, Hashem H, Hong S, Munker R, Schears R, Lazarus HM, Ciurea SO, Badawy SM, Savani BN, Wirk B, LeMaistre CF, Bhatt NS, Beitinjaneh A, Aljurf M, Sharma A, Cerny J, Knight JM, Kelkar AH, Yared JA, Kindwall-Keller T, Winestone LE, Steinberg A, Arnold SD, Seo S, Preussler JM, Hossain NM, Fingrut WB, Agrawal V, Hashmi S, Lehmann LE, Wood WA, Rangarajan HG, Saber W, Hahn T

Clinical trial recruitment of people who speak languages other than english: a children's oncology group report.

JNCI cancer spectrum

Beauchemin MP, Ortega M, Santacroce S, Robles J, Ruiz J, Hall A, Kahn J, Fu C, Orjuela M, Hillyer G, Solomon S, Pelletier W, Montiel-Esparza R, Blazin L, Kline C, Seif AE, Aristizabal P, Winestone LE, Velez MC

Cyclophosphamide and thiotepa increases risk of transplant-associated thrombotic microangiopathy.

Transplantation and cellular therapy

Higham CS, Shimano KA, Kharbanda S, Chu J, Cisneros GS, Winestone LE, Dara J, Huang JN, Hermiston ML, Long-Boyle JR, Dvorak CC

Time to diagnosis among young patients with cancer.

Pediatric blood & cancer

Winestone LE, Wilkes JJ, Puccetti D, Keegan THM, Henk HJ, McPheeters J, Kahn JM, Ginsberg J, Wong S, Timberline S, Malogolowkin M, Pollock BH, Alvarez E

Historic redlining, modern neighborhood structures, and mortality in children, adolescents, and young adults with cancer.

Journal of Clinical Oncology

Kristine Karvonen, Annie Vu, Katherine Lin, Joseph Gibbons, Jason Mendoza, Eric Jessen Chow, Lena E. Winestone, Scarlett L. Gomez

Diagnosing and Grading of Sinusoidal Obstructive Syndrome after Hematopoietic Stem Cell Transplant of Children, Adolescent and Young Adults treated in a Pediatric Institution with Pediatric Protocols.

Transplantation and cellular therapy

Cisneros GS, Dvorak CC, Long-Boyle J, Kharbanda S, Shimano KA, Melton A, Chu J, Winestone LE, Dara J, Huang JN, Hermiston ML, Zinter M, Higham CS

Intensive Care Risk and Long-Term Outcomes in Pediatric Allogeneic Hematopoietic Cell Transplant Recipients.

Blood advances

Zinter MS, Brazauskas R, Strom J, Chen S, Bo-Subait S, Sharma A, Beitinjaneh A, Dimitrova D, Guilcher G, Preussler JM, Myers KC, Bhatt NS, Ringden O, Hematti P, Hayashi RJ, Patel SS, De Oliveira S, Rotz SJ, Badawy SM, Nishihori T, Buchbinder DK, Hamilton BK, Savani BN, Schoemans HM, Sorror ML, Winestone LE, Duncan C, Phelan R, Dvorak CC

Establishing Costs for Commercial Chimeric Antigen Receptor T-Cell (Tisagenlecleucel; Kymriah) in Children and Young Adult B-Cell Acute Lymphoblastic Leukemia: A Merged Analysis from the Pediatric Real-World CAR Consortium (PRWCC) and Pediatric Health Inf

Transplantation and cellular therapy

Prakash Satwani, Karen Chao, Maria Lopez-Garcia, Matt Hall, Zhezhen Jin, Lena E. Winestone, Danielle Friedman, Rachel Phelan, Christina Baggott, Samuel John, Holly L Pacenta, Theodore W Laetsch, Christine L Phillips, Michael R. Verneris, Vanessa A. Fabrizio, Amy K. Keating, Julie A Talano, Amy Moskop, Susanne H.C. Baumeister, Muna Qayed, Doug Myers, Erin M. Hall, Snehit Prabhu, Khanh Nguyen, Crystal L. Mackall, John Kent Lin, Jeremy Goldhaber-Fiebert, Liora Michal Schultz

Financial assistance and other financial coping strategies after a pediatric cancer diagnosis.

Pediatric blood & cancer

Lin JJ, Evans EM, Praxedes K, Agrawal AK, Winestone LE

Pre- and post-natal exposures to tobacco smoking and survival of childhood acute lymphoblastic and myeloid leukemias in California, United States.

Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology

Metayer C, Morimoto LM, Kang AY, Sanchez Alvarez J, Winestone LE

Distance to Care Predicts Clinical Trial Enrollment on COG ALL Clinical Trials: A Report from the Children's Oncology Group.

Blood

Lena E Winestone, Sumit Gupta, Jeannette Sample, David Van Riper, Katherine Knowles, Zhiguo Chen, Bo Jiang, Maria C Velez, Mignon L. Loh, Philip J. Lupo, Naomi J Winick, Erin Marcotte

Unfavorable transcriptome profiles and social disadvantage in hematopoietic cell transplantation: a CIBMTR analysis.

Blood advances

Taylor M, Cole SW, Strom J, Brazauskas R, Baker KS, Phelan R, Buchbinder DK, Hamilton BK, Schoemans HM, Shaw BE, Sharma A, Bhatt NS, Badawy SM, Winestone LE, Preussler JM, Mayo SJ, Jamani K, Nishihori T, Lee MA, Knight JM

Association of the social disorganization index with time to first septic shock event in children with acute myeloid leukemia.

Cancer

Ruiz J, Li Y, Cao L, Huang YV, Tam V, Griffis HM, Winestone LE, Fisher BT, Alonzo TA, Wang YJ, Dang AT, Kolb EA, Glanz K, Getz KD, Aplenc R, Seif AE

Racial and ethnic disparities in acuity of presentation among children with newly diagnosed acute leukemia.

Pediatric blood & cancer

Winestone LE, Getz KD, Li Y, Burrows E, Scheurer ME, Tam V, Gramatges MM, Wilkes JJ, Miller TP, Seif AE, Rabin KR, Fisher BT, Aplenc R

INSPIRED Symposium Part 4A: Access to CAR T cell Therapy in Unique Populations with B-cell Acute Lymphoblastic Leukemia.

Transplantation and cellular therapy

Winestone LE, Bhojwani D, Ghorashian S, Muffly L, Leahy AB, Chao K, Steineck A, Rossig C, Lamble A, Maude SL, Myers R, Rheingold SR

Practice preferences for consolidative HSCT following tisagenlecleucel in children and young adults with B-ALL.

Transplantation and cellular therapy

McNerney KO, Moskop A, Winestone LE, Baggott C, Talano JA, Schiff D, Rossoff J, Modi A, Verneris MR, Laetsch TW, Schultz L

Children's Oncology Group's 2023 blueprint for research: Diversity and health disparities.

Pediatric blood & cancer

Winestone LE, Beauchemin MP, Bona K, Kahn J, Prasad P, Robles JM, Velez MC, Diversity and Health Disparities Committee

Subspecialty pediatrics: An unmet opportunity to address unmet social risks.

Academic pediatrics

Wadhwani SI, Pantell MS, Winestone LE

Racial and Socioeconomic Disparities in Long-Term Outcomes in ≥1 Year Allogeneic Hematopoietic Cell Transplantation Survivors: A CIBMTR Analysis.

Transplantation and cellular therapy

Blue BJ, Brazauskas R, Chen K, Patel J, Zeidan AM, Steinberg A, Ballen K, Kwok J, Rotz SJ, Perez MAD, Kelkar AH, Ganguly S, Wingard JR, Lad D, Sharma A, Badawy SM, Lazarus HM, Hashem H, Szwajcer D, Knight JM, Bhatt NS, Page K, Beattie S, Arai Y, Liu H, Arnold SD, Freytes CO, Abid MB, Beitinjaneh A, Farhadfar N, Wirk B, Winestone LE, Agrawal V, Preussler JM, Seo S, Hashmi S, Lehmann L, Wood WA, Rangarajan HG, Saber W, Majhail NS

Disparities in household material hardship, financial toxicity, and income loss in pediatric cancer.

Pediatric blood & cancer

Evans EM, Lin J, Sanchez-Alvarez J, Agrawal AK, Winestone LE

Feasibility and acceptability of social determinants of health data collection in the context of a Children’s Oncology Group trial.

Journal of Clinical Oncology

Emily Jones, Arlene Naranjo, Lena E. Winestone, Puja J Umaretiya, Rahela Aziz-Bose, Lenka Anne Skaidrite Ilcisin, Emily Gustava Greengard, Steven G. DuBois, Rochelle Bagatell, Kira Bona

Racial and Ethnic Disparities in Outcomes following Hematopoietic Stem Cell Transplant (HCT) in Patients with Severe Combined Immunodeficiency (SCID).

Clinical Immunology

Lena Winestone, Brent R. Logan, Xuerong Liu, Rebecca H. Buckley, Richard J O’Reilly, Linda M. Griffith, Jennifer Puck, Christopher C. Dvorak, Morton J Cowan, Elie Haddad

Access to CAR T-cell Clinical Trials in Underrepresented Populations: a Multicenter Cohort Study of Pediatric and Young Adult ALL Patients.

Transplantation and cellular therapy

Hall AG, Winestone LE, Sullivan EM, Wu Q, Lamble AJ, Walters MC, Aguayo-Hiraldo P, Conde LB, Coker TR, Dornsife D, Keating AK, Merino DM, Ramsey B, Park JR, Agrawal AK

Ethnic disparities in childhood leukemia survival by border residence: A Texas population-based analysis.

Cancer

Castellanos MI, Oluyomi AO, Chambers TM, Gramatges MM, Winestone LE, Lupo PJ, Scheurer ME

Impact of poverty and neighborhood opportunity on outcomes for children treated with CD19-directed CAR T-cell therapy.

Blood

Newman H, Li Y, Liu H, Myers RM, Tam V, DiNofia A, Wray L, Rheingold SR, Callahan C, White C, Baniewicz D, Winestone LE, Kadauke S, Diorio C, June CH, Getz K, Aplenc R, Teachey DT, Maude SL, Grupp SA, Bona K, Barz Leahy A

345 Prophylactic Tocilizumab Decreases Incidence of Acute Graft-Versus-Host Disease Following Alpha/Beta T-Cell Depleted Haploidentical Hematopoietic Stem Cell Transplantation in Children and Young Adults.

Transplantation and cellular therapy

Soohee Cho, Christopher C. Dvorak, Christine S. Higham, Gabriel Salinas Cisneros, Julia Chu, Alexis Melton, Lena E. Winestone, Kristin A. Shimano, Jasmeen Dara, Michelle Hermiston, James N. Huang, Janel Renee Long-Boyle, Sandhya Kharbanda

Racial and ethnic disparities in childhood and young adult acute lymphocytic leukaemia: secondary analyses of eight Children's Oncology Group cohort trials.

The Lancet. Haematology

Gupta S, Dai Y, Chen Z, Winestone LE, Teachey DT, Bona K, Aplenc R, Rabin KR, Zweidler-McKay P, Carroll AJ, Heerema NA, Gastier-Foster J, Borowitz MJ, Wood BL, Maloney KW, Mattano LA, Larsen EC, Angiolillo AL, Burke MJ, Salzer WL, Winter SS, Brown PA, Guest EM, Dunsmore KP, Kairalla JA, Winick NJ, Carroll WL, Raetz EA, Hunger SP, Loh ML, Devidas M

Data standards in pediatric oncology: Past, present, and future.

Pediatric blood & cancer

Wyatt KD, Noyd DH, Wood NM, Phillips CA, Miller TP, Rubin EM, Winestone LE, Waanders AJ, Perentesis JP, Aplenc R

High Incidence and Mortality of Invasive Fungal Disease in Children and Young Adults with Hematologic Malignancies in Hawaii and Pacific Islands.

Blood

Chattip Prueksapraopong, Trevor Hirata, Lauryn Liao, Kyle Ishikawa, John J. Chen, Wade Kyono, Darryl W. Glaser, Randal Wada, Rodolfo Bégué, Brian T. Fisher, Lena E. Winestone, Kelley C. Okimoto, Stephanie Si Lim

Impact of pre-transplant induction and consolidation cycles on AML allogeneic transplant outcomes: a CIBMTR analysis in 3113 AML patients.

Leukemia

Boyiadzis M, Zhang MJ, Chen K, Abdel-Azim H, Abid MB, Aljurf M, Bacher U, Badar T, Badawy SM, Battiwalla M, Bejanyan N, Bhatt VR, Brown VI, Castillo P, Cerny J, Copelan EA, Craddock C, Dholaria B, Perez MAD, Ebens CL, Gale RP, Ganguly S, Gowda L, Grunwald MR, Hashmi S, Hildebrandt GC, Iqbal M, Jamy O, Kharfan-Dabaja MA, Khera N, Lazarus HM, Lin R, Modi D, Nathan S, Nishihori T, Patel SS, Pawarode A, Sharma A, Solh M, Wagner JL, Wang T, Williams KM, Winestone LE, Wirk B, Hourigan CS, Litzow M, Kebriaei P, de Lima M, Page K, Weisdorf DJ

Leveraging clinical trial populations and data from the Children's Oncology Group for cancer survivorship research.

Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology

Chow EJ, Winestone LE, Lupo PJ, Diller LR, Henderson TO, Kadan-Lottick NS, Levine JM, Ness KK, Bhatia S, Armenian SH

Treatment-related toxicities associated with hospitalization in children, adolescents, and young adults with acute lymphoblastic leukemia: population level analysis.

Leukemia & lymphoma

Namjoshi NS, Keegan THM, Li QC, Chung JH, Rosenthal JL, Winestone LE, Muffly L, Malogolowkin MH, Alvarez EM

Rates of laboratory adverse events by course in paediatric leukaemia ascertained with automated electronic health record extraction: a retrospective cohort study from the Children's Oncology Group.

The Lancet. Haematology

Miller TP, Getz KD, Li Y, Demissei BG, Adamson PC, Alonzo TA, Burrows E, Cao L, Castellino SM, Daves MH, Fisher BT, Gerbing R, Grundmeier RW, Krause EM, Lee J, Lupo PJ, Rabin KR, Ramos M, Scheurer ME, Wilkes JJ, Winestone LE, Hawkins DS, Gramatges MM, Aplenc R

Clinical Characteristics and Outcomes of COVID-19 in Pediatric and Early Adolescent and Young Adult Haematopoietic Stem Cell Transplant Recipients: A Cohort Study.

Transplantation and cellular therapy

Bhatt NS, Sharma A, Martin AS, Abid MB, Brown VI, Diaz MA, Frangoul H, Gadalla SM, Herr MM, Krem MM, Lazarus HM, Martens MJ, Mehta PA, Nishihori T, Prestidge T, Pulsipher MA, Rangarajan HG, Williams KM, Winestone LE, Yin DE, Riches ML, Dandoy CE, Auletta JJ

Outcomes of Hispanic and non-Hispanic white pediatric and young adult patients with B-cell acute lymphoblastic leukemia after commercial tisagenlecleucel.

Journal of Clinical Oncology

Panayiotis Vandris, Karen Chao, Christina Baggott, Christine L. Phillips, Muna Qayed, Jenna Rossoff, Stephanie J. Si Lim, Lena E. Winestone, Heather E. Stefanski, Julie-An M. Talano, Steven Margossian, Michael R. Verneris, Gary Douglas Myers, Nicole A. Karras, Patrick A. Brown, Prakash Satwani, Crystal Mackall, Kevin J. Curran, Theodore Willis Laetsch, Liora M. Schultz

Factors that contribute to disparities in time to acute leukemia diagnosis in young people: an in depth qualitative interview study.

BMC cancer

Ding L, Szymczak JE, Evans E, Canepa E, Martin AE, Contractor F, Aplenc R, Joseph G, Winestone LE

Naming racism: the first step.

Blood

Winestone LE

A pilot trial of prophylactic defibrotide to prevent serious thrombotic microangiopathy in high-risk pediatric patients.

Pediatric blood & cancer

Higham CS, Shimano KA, Melton A, Kharbanda S, Chu J, Dara J, Winestone LE, Hermiston ML, Huang JN, Dvorak CC

Haploidentical vs. sibling, unrelated, or cord blood hematopoietic cell transplantation for acute lymphoblastic leukemia.

Blood advances

Wieduwilt MJ, Metheny L, Zhang MJ, Wang HL, Estrada-Merly N, Marks DI, Al-Homsi AS, Muffly L, Chao NJ, Rizzieri D, Gale RP, Gadalla SM, Cairo MS, Mussetti A, Gore SD, Bhatt VR, Patel SS, Michelis FV, Inamoto Y, Badawy SM, Copelan E, Palmisiano N, Kharfan-Dabaja MA, Lazarus HM, Ganguly S, Bredeson CN, Diaz Perez MA, Cassaday R, Savani BN, Ballen KK, Martino R, Wirk B, Bacher U, Aljurf M, Bashey A, Murthy HS, Yared JA, Aldoss I, Farhadfar N, Liu H, Abdel-Azim H, Waller EK, Solh M, Seftel M, van der Poel MWM, Grunwald MR, Liesveld JL, Kamble RT, McGuirk JP, Munker R, Cahn JY, Lee JW, Freytes CO, Krem M, Winestone LE, Gergis U, Nathan S, Olsson RF, Verdonck LF, Sharma A, Ringden O, Friend BD, Cerny J, Choe HK, Chhabra S, Nishihori T, Seo S, George B, Baxter-Lowe LA, Hildebrandt GC, de Lima M, Litzow MR, Kebriaei P, Hourigan CS, Abid MB, Weisdorf DJ, Saber W

Hematopoietic Cell Transplant-Comorbidity Index Score is Correlated with Treatment Related Mortality and Overall Survival following Second Allogeneic Hematopoietic Cell Transplant in Children.

Transplantation and cellular therapy

Forlanini F, Zinter MS, Dvorak CC, Bailey-Olson M, Winestone LE, Shimano KA, Higham CS, Melton A, Chu J, Kharbanda S

Expenditures in Young Adults with Hodgkin Lymphoma: NCI-designated Comprehensive Cancer Centers vs. Other Sites.

Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology

Wolfson JA, Bhatia S, Ginsberg JP, Becker L, Bernstein D, Henk HJ, Lyman GH, Nathan PC, Puccetti D, Wilkes JJ, Winestone LE, Kenzik KM

Comparison of total body irradiation versus non- total body irradiation containing regimens for de novo acute myeloid leukemia in children.

Haematologica

Dandoy CE, Davies SM, Ahn KW, He Y, Kolb AE, Levine J, Bo-Subait S, Abdel-Azim H, Bhatt N, Chewing J, Gadalla S, Gloude N, Hayashi R, Lalefar NR, Law J, MacMillan M, O'Brien T, Prestidge T, Sharma A, Shaw P, Winestone L, Eapen M

Disparities in Pediatric Oncology: The 21st Century Opportunity to Improve Outcomes for Children and Adolescents With Cancer.

American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting

Aristizabal P, Winestone LE, Umaretiya P, Bona K

Chronic medical conditions and late effects after acute myeloid leukaemia in adolescents and young adults: a population-based study.

International journal of epidemiology

Abrahão R, Huynh JC, Benjamin DJ, Li QW, Winestone LE, Muffly L, Keegan THM

Transplant-associated thrombotic microangiopathy in pediatric patients: pre-HSCT risk stratification and prophylaxis.

Blood advances

Higham CS, Collins G, Shimano KA, Melton A, Kharbanda S, Winestone LE, Huang JN, Dara J, Long-Boyle JR, Dvorak CC

Presentation acuity, induction mortality, and resource utilization in infants with acute leukemia.

Pediatric blood & cancer

Ibrahimova A, Winestone LE, Miller TP, Kettler K, Seif AE, Huang YS, Elgarten CW, Myers RM, Fisher BT, Aplenc R, Getz KD

Poverty and Targeted Immunotherapy: Survival in Children's Oncology Group Clinical Trials for High-Risk Neuroblastoma.

Journal of the National Cancer Institute

Bona K, Li Y, Winestone LE, Getz KD, Huang YS, Fisher BT, Desai AV, Richardson T, Hall M, Naranjo A, Henderson TO, Aplenc R, Bagatell R

Expenditures among young adults with acute lymphoblastic leukemia by site of care.

Cancer

Wolfson JA, Bhatia S, Ginsberg J, Becker LK, Bernstein D, Henk HJ, Lyman GH, Nathan PC, Puccetti D, Wilkes JJ, Winestone LE, Kenzik KM

Adverse events among chronic myelogenous leukemia patients treated with tyrosine kinase inhibitors: a real-world analysis of health plan enrollees.

Leukemia & lymphoma

Chow EJ, Doody DR, Wilkes JJ, Becker LK, Chennupati S, Morin PE, Winestone LE, Henk HJ, Lyman GH

Disparities in the Use of Allogeneic Hematopoietic Stem Cell Transplant Among Children, Adolescents, and Young Adults with Acute Leukemia in California.

Blood

Lena E. Winestone, Qian Li, Lori S. Muffly, Kelly D Getz, Elysia Alvarez, Ted Wun, Theresa Keegan

Impact of Dependent Coverage Provision of the Affordable Care Act on Insurance Continuity for Adolescents and Young Adults With Cancer.

JCO oncology practice

Winestone LE, Hochman LL, Sharpe JE, Alvarez E, Becker L, Chow EJ, Reiter JG, Ginsberg JP, Silber JH

Health Care Cost Associated With Contemporary Chronic Myelogenous Leukemia Therapy Compared With That of Other Hematologic Malignancies.

JCO oncology practice

Wilkes JJ, Lyman GH, Doody DR, Chennupati S, Becker LK, Morin PE, Winestone LE, Henk HJ, Chow EJ

Trend in TKI Use, Adherence, and Switching Patterns in Patients With CML: Before and After the Availability of Generic Imatinib.

Henry J Henk, Lena E Winestone, Jennifer J Wilkes, Pamela Morin, Shasank Chennupati, David R Doody, Eric J Chow, Gary H Lyman

Abstract C067: Impact of neighborhood socioeconomic status on survival among young patients with acute leukemia in California.

Cancer Epidemiology Biomarkers & Prevention

Lena E Winestone, Juan Yang, Daphne Y Lichtensztajn, Renata Abrahao, Theresa H Keegan, Iona Cheng, Scarlett L Gomez, Salma Shariff-Marco

Identifying relapses and stem cell transplants in pediatric acute lymphoblastic leukemia using administrative data: Capturing national outcomes irrespective of trial enrollment.

Pediatric blood & cancer

Cahen VC, Li Y, Getz KD, Elgarten CW, DiNofia AM, Wilkes JJ, Winestone LE, Huang YV, Miller TP, Gramatges MM, Rabin KR, Fisher BT, Aplenc R, Seif AE

Insurance impacts survival for children, adolescents, and young adults with bone and soft tissue sarcomas.

Cancer medicine

Penumarthy NL, Goldsby RE, Shiboski SC, Wustrack R, Murphy P, Winestone LE

The impact of total body irradiation-based regimens on outcomes in children and young adults with acute lymphoblastic leukemia undergoing allogeneic hematopoietic stem cell transplantation.

Pediatric blood & cancer

Friend BD, Bailey-Olson M, Melton A, Shimano KA, Kharbanda S, Higham C, Winestone LE, Huang J, Stieglitz E, Dvorak CC

Area-Based Socioeconomic Disparities in Survival of Children with Newly Diagnosed Acute Myeloid Leukemia: A Report from the Children's Oncology Group.

Blood

Lena E. Winestone, Kelly D Getz, Kira O Bona, Brian T. Fisher, Alan S Gamis, Alix E. Seif, Lillian Sung, Yi-Cheng Wang, Todd A. Alonzo, Richard Aplenc

Disparities in Survival and Health Outcomes in Childhood Leukemia.

Current hematologic malignancy reports

Winestone LE, Aplenc R

Disparities in pediatric acute myeloid leukemia (AML) clinical trial enrollment.

Leukemia & lymphoma

Winestone LE, Getz KD, Rao P, Li Y, Hall M, Huang YV, Seif AE, Fisher BT, Aplenc R

Hematopoietic Cell Transplantation in Young Adult Acute Lymphoblastic Leukemia: A United States Population-Level Analysis.

Journal of adolescent and young adult oncology

Muffly L, Li Q, Alvarez E, Kahn J, Winestone L, Cress R, Penn DC, Keegan THM

Renal Complications Associated with HSCT.

Hematopoietic Stem Cell Transplantation for the Pediatric Hematologist/Oncologist

Lena E. Winestone, Alix E. Seif, Benjamin L. Laskin

High human herpesvirus 6 viral load in pediatric allogeneic hematopoietic stem cell transplant patients is associated with detection in end organs and high mortality.

Pediatric transplantation

Winestone LE, Punn R, Tamaresis JS, Buckingham J, Pinsky BA, Waggoner JJ, Kharbanda S

Complications preceding early deaths in Black and White children with acute myeloid leukemia.

Pediatric blood & cancer

Winestone LE, Getz KD, Miller TP, Li Y, Huang YS, Seif AE, Fisher BT, Aplenc R

Recurrent Donath-Landsteiner hemolytic anemia: a pediatric case report.

Transfusion

Prince SD, Winestone LE, Nance SJ, Friedman DF

The role of acuity of illness at presentation in early mortality in black children with acute myeloid leukemia.

American journal of hematology

Winestone LE, Getz KD, Miller TP, Wilkes JJ, Sack L, Li Y, Huang YS, Seif AE, Bagatell R, Fisher BT, Epstein AJ, Aplenc R

Increased utilization of pediatric specialty care: a population study of pediatric oncology inpatients in California.

Journal of pediatric hematology/oncology

Chamberlain LJ, Pineda N, Winestone L, Saynina O, Rangaswami A, Link M, Wise PH

Immune reconstitution following autologous transfers of CD3/CD28 stimulated CD4(+) T cells to HIV-infected persons.

Clinical immunology (Orlando, Fla.)

Bernstein WB, Cox JH, Aronson NE, Tracy L, Schlienger K, Ratto-Kim S, Garner R, Cotte J, Zheng Z, Winestone L, Liebig C, Galley LM, Connors M, Birx DL, Carroll RG, Levine BL