Lena Winestone, MD

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.
Education
2020 - Diversity, Equity, and Inclusion Champion Training, University of California San Francisco
Fellowship, 2016 - Pediatric Hematology/Oncology, Children's Hospital of Philadelphia
MSHP, 2016 - Health Policy Research, Perelman School of Medicine, University of Pennsylvania
Residency, 2012 - Pediatrics, Lucile Packard Children's Hospital
MD, 2009 - Medicine, Stanford University School of Medicine
BA, 2004 - Biochemistry, University of Pennsylvania
Honors and Awards
  • Clinician Scientist Development Grant, American Cancer Society, 2022-2026
  • Winn Diversity in Clinical Trials Award, BMSF, 2022-2024
  • Fellow to Faculty Scholar Award, American Society of Hematology, 2020-2022
  • Young Investigator Award, Alex's Lemonade Stand Foundation, 2016-2019
  • Paul Calabresi Career Development Award for Clinical Oncology (K12), National Cancer Institute/Abramson Cancer Center, 2016-2018
  • Clinical Research Training Institute, American Society of Hematology, 2016-2017
  • Fellow Award, Bear Necessities Pediatric Cancer Foundation, 2016-2017
Websites

  1. 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. 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 2024. PMID: 39238140


  2. 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 Genetic Ancestry on T-cell Acute Lymphoblastic Leukemia Outcomes. Research square 2024. PMID: 39184069


  3. 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. Impact of Race and Ethnicity on Outcomes after Umbilical Cord Blood Transplantation. Transplantation and cellular therapy 2024. PMID: 39033978


  4. 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. Trends in Volumes and Survival After Hematopoietic Cell Transplantation in Racial/Ethnic Minorities. Blood advances 2024. PMID: 38661372


  5. 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. Clinical trial recruitment of people who speak languages other than english: a children's oncology group report. JNCI cancer spectrum 2024. PMID: 38889291


  6. Higham CS, Shimano KA, Kharbanda S, Chu J, Cisneros GS, Winestone LE, Dara J, Huang JN, Hermiston ML, Long-Boyle JR, Dvorak CC. Cyclophosphamide and thiotepa increases risk of transplant-associated thrombotic microangiopathy. Transplantation and cellular therapy 2024. PMID: 38944154


  7. 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. Time to diagnosis among young patients with cancer. Pediatric blood & cancer 2024. PMID: 38864147


  8. Kristine Karvonen, Annie Vu, Katherine Lin, Joseph Gibbons, Jason Mendoza, Eric Jessen Chow, Lena E. Winestone, Scarlett L. Gomez. Historic redlining, modern neighborhood structures, and mortality in children, adolescents, and young adults with cancer. Journal of Clinical Oncology 2024. PMID:


  9. 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. 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 2024. PMID: 38631464


  10. 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. Intensive Care Risk and Long-Term Outcomes in Pediatric Allogeneic Hematopoietic Cell Transplant Recipients. Blood advances 2023. PMID: 38127268


  11. 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. 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 2024. PMID:


  12. Lin JJ, Evans EM, Praxedes K, Agrawal AK, Winestone LE. Financial assistance and other financial coping strategies after a pediatric cancer diagnosis. Pediatric blood & cancer 2024. PMID: 38302828


  13. Metayer C, Morimoto LM, Kang AY, Sanchez Alvarez J, 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 2023. PMID: 37921440


  14. 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. Distance to Care Predicts Clinical Trial Enrollment on COG ALL Clinical Trials: A Report from the Children's Oncology Group. Blood 2023. PMID:


  15. 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. Unfavorable transcriptome profiles and social disadvantage in hematopoietic cell transplantation: a CIBMTR analysis. Blood advances 2023. PMID: 37773924


  16. 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. Association of the social disorganization index with time to first septic shock event in children with acute myeloid leukemia. Cancer 2023. PMID: 37985388


  17. 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. Racial and ethnic disparities in acuity of presentation among children with newly diagnosed acute leukemia. Pediatric blood & cancer 2023. PMID: 37856154


  18. Winestone LE, Bhojwani D, Ghorashian S, Muffly L, Leahy AB, Chao K, Steineck A, Rossig C, Lamble A, Maude SL, Myers R, Rheingold SR. INSPIRED Symposium Part 4A: Access to CAR T cell Therapy in Unique Populations with B-cell Acute Lymphoblastic Leukemia. Transplantation and cellular therapy 2023. PMID: 37821078


  19. McNerney KO, Moskop A, Winestone LE, Baggott C, Talano JA, Schiff D, Rossoff J, Modi A, Verneris MR, Laetsch TW, Schultz L. Practice preferences for consolidative HSCT following tisagenlecleucel in children and young adults with B-ALL. Transplantation and cellular therapy 2023. PMID: 37816472


  20. Winestone LE, Beauchemin MP, Bona K, Kahn J, Prasad P, Robles JM, Velez MC, Diversity and Health Disparities Committee. Children's Oncology Group's 2023 blueprint for research: Diversity and health disparities. Pediatric blood & cancer 2023. PMID: 37501542


  21. Wadhwani SI, Pantell MS, Winestone LE. Subspecialty pediatrics: An unmet opportunity to address unmet social risks. Academic pediatrics 2023. PMID: 37499795


  22. 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. Racial and Socioeconomic Disparities in Long-Term Outcomes in ≥1 Year Allogeneic Hematopoietic Cell Transplantation Survivors: A CIBMTR Analysis. Transplantation and cellular therapy 2023. PMID: 37482244


  23. Evans EM, Lin J, Sanchez-Alvarez J, Agrawal AK, Winestone LE. Disparities in household material hardship, financial toxicity, and income loss in pediatric cancer. Pediatric blood & cancer 2023. PMID: 37394628


  24. 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. Feasibility and acceptability of social determinants of health data collection in the context of a Children’s Oncology Group trial. Journal of Clinical Oncology 2023. PMID:


  25. 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. Racial and Ethnic Disparities in Outcomes following Hematopoietic Stem Cell Transplant (HCT) in Patients with Severe Combined Immunodeficiency (SCID). Clinical Immunology 2023. PMID:


  26. 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. 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 2023. PMID: 36966871


  27. Castellanos MI, Oluyomi AO, Chambers TM, Gramatges MM, Winestone LE, Lupo PJ, Scheurer ME. Ethnic disparities in childhood leukemia survival by border residence: A Texas population-based analysis. Cancer 2023. PMID: 36805949


  28. 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. Impact of poverty and neighborhood opportunity on outcomes for children treated with CD19-directed CAR T-cell therapy. Blood 2022. PMID: 36351239


  29. 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. 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 2023. PMID:


  30. 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. 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 2023. PMID: 36725118


  31. Wyatt KD, Noyd DH, Wood NM, Phillips CA, Miller TP, Rubin EM, Winestone LE, Waanders AJ, Perentesis JP, Aplenc R. Data standards in pediatric oncology: Past, present, and future. Pediatric blood & cancer 2022. PMID: 36495256


  32. 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. High Incidence and Mortality of Invasive Fungal Disease in Children and Young Adults with Hematologic Malignancies in Hawaii and Pacific Islands. Blood 2022. PMID:


  33. 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. Impact of pre-transplant induction and consolidation cycles on AML allogeneic transplant outcomes: a CIBMTR analysis in 3113 AML patients. Leukemia 2022. PMID: 36310182


  34. Chow EJ, Winestone LE, Lupo PJ, Diller LR, Henderson TO, Kadan-Lottick NS, Levine JM, Ness KK, Bhatia S, Armenian SH. 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 2022. PMID: 35732489


  35. Namjoshi NS, Keegan THM, Li QC, Chung JH, Rosenthal JL, Winestone LE, Muffly L, Malogolowkin MH, Alvarez EM. Treatment-related toxicities associated with hospitalization in children, adolescents, and young adults with acute lymphoblastic leukemia: population level analysis. Leukemia & lymphoma 2022. PMID: 35999808


  36. 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. 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 2022. PMID: 35870472


  37. 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. 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 2022. PMID: 35798233


  38. 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. 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 2022. PMID:


  39. Ding L, Szymczak JE, Evans E, Canepa E, Martin AE, Contractor F, Aplenc R, Joseph G, Winestone LE. Factors that contribute to disparities in time to acute leukemia diagnosis in young people: an in depth qualitative interview study. 2022. PMID: 35550034


  40. Winestone LE. Naming racism: the first step. 2022. PMID: 35389447


  41. Higham CS, Shimano KA, Melton A, Kharbanda S, Chu J, Dara J, Winestone LE, Hermiston ML, Huang JN, Dvorak CC. A pilot trial of prophylactic defibrotide to prevent serious thrombotic microangiopathy in high-risk pediatric patients. 2022. PMID: 35253361


  42. 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. Haploidentical vs. sibling, unrelated, or cord blood hematopoietic cell transplantation for acute lymphoblastic leukemia. 2021. PMID: 34547770


  43. Forlanini F, Zinter MS, Dvorak CC, Bailey-Olson M, Winestone LE, Shimano KA, Higham CS, Melton A, Chu J, Kharbanda S. Hematopoietic Cell Transplant-Comorbidity Index Score is Correlated with Treatment Related Mortality and Overall Survival following Second Allogeneic Hematopoietic Cell Transplant in Children. 2021. PMID: 34848362


  44. Wolfson JA, Bhatia S, Ginsberg JP, Becker L, Bernstein D, Henk HJ, Lyman GH, Nathan PC, Puccetti D, Wilkes JJ, Winestone LE, Kenzik KM. Expenditures in Young Adults with Hodgkin Lymphoma: NCI-Designated Comprehensive Cancer Centers versus Other Sites. 2021. PMID: 34737208


  45. Dandoy CE, Davies SM, Woo Ahn K, He Y, Kolb AE, Levine J, Bo-Subait S, Abdel-Azim H, Bhatt N, Chewning 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. Comparison of total body irradiation versus non-total body irradiation containing regimens for de novo acute myeloid leukemia in children. 2021. PMID: 32554562


  46. Alvarez E, Le T, Kahn J, Winestone L, Li Q, Keegan T. Comorbidities and socioeconomic status are predictors of survival in children and young adults with Burkitt lymphoma. 2021. PMID: 34060969


  47. Aristizabal P, Winestone LE, Umaretiya P, Bona K. Disparities in Pediatric Oncology: The 21st Century Opportunity to Improve Outcomes for Children and Adolescents With Cancer. 2021. PMID: 34061564


  48. Abrahão R, Huynh JC, Benjamin DJ, Li QW, Winestone LE, Muffly L, Keegan THM. Chronic medical conditions and late effects after acute myeloid leukaemia in adolescents and young adults: a population-based study. 2021. PMID: 34000732


  49. Higham CS, Collins G, Shimano KA, Melton A, Kharbanda S, Winestone LE, Huang JN, Dara J, Long-Boyle JR, Dvorak CC. Transplant-associated thrombotic microangiopathy in pediatric patients: pre-HSCT risk stratification and prophylaxis. Blood advances 2021. PMID: 33877298


  50. Ibrahimova A, Winestone LE, Miller TP, Kettler K, Seif AE, Huang YS, Elgarten CW, Myers RM, Fisher BT, Aplenc R, Getz KD. Presentation acuity, induction mortality, and resource utilization in infants with acute leukemia. 2021. PMID: 33704911


  51. 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. Poverty and Targeted Immunotherapy: Survival in Children's Oncology Group Clinical Trials for High-Risk Neuroblastoma. 2021. PMID: 33227816


  52. Wolfson JA, Bhatia S, Ginsberg J, Becker LK, Bernstein D, Henk HJ, Lyman GH, Nathan PC, Puccetti D, Wilkes JJ, Winestone LE, Kenzik KM. Expenditures among young adults with acute lymphoblastic leukemia by site of care. 2021. PMID: 33465248


  53. Chow EJ, Doody DR, Wilkes JJ, Becker LK, Chennupati S, Morin PE, Winestone LE, Henk HJ, Lyman GH. Adverse events among chronic myelogenous leukemia patients treated with tyrosine kinase inhibitors: a real-world analysis of health plan enrollees. 2020. PMID: 33283555


  54. Lena E. Winestone, Qian Li, Lori S. Muffly, Kelly D Getz, Elysia Alvarez, Ted Wun, Theresa Keegan. Disparities in the Use of Allogeneic Hematopoietic Stem Cell Transplant Among Children, Adolescents, and Young Adults with Acute Leukemia in California. 2020. PMID:


  55. Winestone LE, Hochman LL, Sharpe JE, Alvarez E, Becker L, Chow EJ, Reiter JG, Ginsberg JP, Silber JH. Impact of Dependent Coverage Provision of the Affordable Care Act on Insurance Continuity for Adolescents and Young Adults With Cancer. 2020. PMID: 33090897


  56. Wilkes JJ, Lyman GH, Doody DR, Chennupati S, Becker LK, Morin PE, Winestone LE, Henk HJ, Chow EJ. Health Care Cost Associated With Contemporary Chronic Myelogenous Leukemia Therapy Compared With That of Other Hematologic Malignancies. 2020. PMID: 32822255


  57. Henry J Henk, Lena E Winestone, Jennifer J Wilkes, Pamela Morin, Shasank Chennupati, David R Doody, Eric J Chow, Gary H Lyman. Trend in TKI Use, Adherence, and Switching Patterns in Patients With CML: Before and After the Availability of Generic Imatinib. 2020. PMID:


  58. Lena E Winestone, Juan Yang, Daphne Y Lichtensztajn, Renata Abrahao, Theresa H Keegan, Iona Cheng, Scarlett L Gomez, Salma Shariff-Marco. Abstract C067: Impact of neighborhood socioeconomic status on survival among young patients with acute leukemia in California. Cancer Epidemiology Biomarkers & Prevention 2020. PMID:


  59. 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. Identifying relapses and stem cell transplants in pediatric acute lymphoblastic leukemia using administrative data: Capturing national outcomes irrespective of trial enrollment. 2020. PMID: 32391940


  60. Penumarthy NL, Goldsby RE, Shiboski SC, Wustrack R, Murphy P, Winestone LE. Insurance impacts survival for children, adolescents, and young adults with bone and soft tissue sarcomas. Cancer medicine 2019. PMID: 31838786


  61. Friend BD, Bailey-Olson M, Melton A, Shimano KA, Kharbanda S, Higham C, Winestone LE, Huang J, Stieglitz E, Dvorak CC. 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 2019. PMID: 31724815


  62. 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. Area-Based Socioeconomic Disparities in Survival of Children with Newly Diagnosed Acute Myeloid Leukemia: A Report from the Children's Oncology Group. 2019. PMID:


  63. Winestone L, Cabana MD. 50 Years Ago in TheJournal ofPediatrics: Fifty-Two Forms of Childhood Cancer, United States Mortality Experience, 1960-1966. 2019. PMID: 31561775


  64. Winestone LE, Aplenc R. Disparities in Survival and Health Outcomes in Childhood Leukemia. 2019. PMID: 31073772


  65. Winestone LE, Getz KD, Rao P, Li Y, Hall M, Huang YV, Seif AE, Fisher BT, Aplenc R. Disparities in pediatric acute myeloid leukemia (AML) clinical trial enrollment. 2019. PMID: 30732497


  66. Muffly L, Li Q, Alvarez E, Kahn J, Winestone L, Cress R, Penn DC, Keegan THM. Hematopoietic Cell Transplantation in Young Adult Acute Lymphoblastic Leukemia: A United States Population-Level Analysis. 2019. PMID: 30657424


  67. Li Y, Newton JG, Getz KD, Huang YS, Seif AE, Fisher BT, Aplenc R, Winestone LE. Comparable on-therapy mortality and supportive care requirements in Black and White patients following initial induction for pediatric acute myeloid leukemia. 2018. PMID: 30585685


  68. Lena E. Winestone, Alix E. Seif, Benjamin L. Laskin. Renal Complications Associated with HSCT. 2018. PMID:


  69. Winestone LE, Punn R, Tamaresis JS, Buckingham J, Pinsky BA, Waggoner JJ, Kharbanda S. 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 2017. PMID: 29181879


  70. Winestone LE, Getz KD, Miller TP, Li Y, Huang YS, Seif AE, Fisher BT, Aplenc R. Complications preceding early deaths in Black and White children with acute myeloid leukemia. 2017. PMID: 28727288


  71. Prince SD, Winestone LE, Nance SJ, Friedman DF. Recurrent Donath-Landsteiner hemolytic anemia: a pediatric case report. 2017. PMID: 28369934


  72. Winestone LE, Getz KD, Miller TP, Wilkes JJ, Sack L, Li Y, Huang YS, Seif AE, Bagatell R, Fisher BT, Epstein AJ, Aplenc R. The role of acuity of illness at presentation in early mortality in black children with acute myeloid leukemia. 2016. PMID: 27862214


  73. Chamberlain LJ, Pineda N, Winestone L, Saynina O, Rangaswami A, Link M, Wise PH. Increased utilization of pediatric specialty care: a population study of pediatric oncology inpatients in California. Journal of pediatric hematology/oncology 2014. PMID: 24517965


  74. Winestone LE, Bukusi EA, Cohen CR, Kwaro D, Schmidt NC, Turan JM. Acceptability and feasibility of integration of HIV care services into antenatal clinics in rural Kenya: a qualitative provider interview study. 2011. PMID: 22043837


  75. 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. Immune reconstitution following autologous transfers of CD3/CD28 stimulated CD4(+) T cells to HIV-infected persons. 2004. PMID: 15183147