Evidence map›Paper›PMID 19850903›Full record

ArticleHaematologica2010

Invasive aspergillosis in patients with acute myeloid leukemia: a SEIFEM-2008 registry study.

Livio Pagano, Morena Caira, Anna Candoni, Massimo Offidani, Bruno Martino, Giorgina Specchia, Domenico Pastore, Marta Stanzani, Chiara Cattaneo, Rosa Fanci and 20 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Haematologica, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01315925 (SEIFEM 2010), which is not on this map. Cited by 125 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
125citing papers in PubMed, 6 pooled it
10.5field-weighted citation impact, top 1% of its field
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.

NCT01315925 unknown statusnot on this map

SEIFEM 2010: Epidemiological Survey on Possible Pre-Hospital Risk Factors for Developing Invasive Fungal Infections in Patients Affected by Acute Myeloid Leukemia

TypeobservationalSponsorCatholic University of the Sacred HeartRan2010Enrolled1,000ConditionsAcute Myeloid Leukemia, Aspergillosis, Candidiasis, Mycoses
3 · Its place in the literature

Who cites it

125 citing papers in PubMed, 6 syntheses or guidelines pooled it, 307 citations in OpenAlex.

  1. Antifungal Stewardship in Invasive Fungal Infections, a Systematic Review.Advances in experimental medicine and biology · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Salvage combination antifungal therapy for acute invasive aspergillosis may improve outcomes: a systematic review and meta-analysis.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2014
    Pooled it
  5. Guideline
  6. Pooled it
  7. Trial
  8. Trial
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  13. Article
  14. Review
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  16. Observational
  17. Immune interaction betweenFrontiers in cellular and infection microbiology · 2026
    Article
  18. Article
  19. Review
  20. Article

65 more citing papers are in PubMed but not listed here.

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

30 authors at 20 institutions in 2 countries.

Livio PaganoM.D. Istituto di Ematologia, Università Cattolica del Sacro Cuore, Largo Francesco Vito, 1 I-00168 Roma, Italia. lpagano@rm.unicatt.it
Morena Caira
Anna Candoni
Massimo Offidani
Bruno Martino
Giorgina Specchia
Domenico Pastore
Marta Stanzani
Chiara Cattaneo
Rosa Fanci
Cecilia Caramatti
Fausto Rossini
Mario Luppi
Leonardo Potenza
Felicetto Ferrara
Maria Enza Mitra
Rafaela Maria Fadda
Rosangela Invernizzi
Teresa Aloisi
Marco Picardi
Alessandro Bonini
Adriana Vacca
Anna Chierichini
Lorella Melillo
Chiara de Waure
Luana Fianchi
Marta Riva
Giuseppe Leone
Franco Aversa
Annamaria Nosari
Università Cattolica del Sacro Cuore · ITIstituto di Ematologia di Bologna · ITAzienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di Palermo · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITUniversity of Bari Aldo Moro · ITUniversity of Modena and Reggio Emilia · ITASM International · USAzienda ospedaliera "Bianchi-Melacrino-Morelli" · ITAzienda Ospedaliera San Gerardo · ITAzienda Ospedaliera San Giovanni Addolorata · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITMarche Polytechnic University · ITOspedale Antonio Cardarelli · ITPoliclinico San Matteo Fondazione · ITUniversity of Bologna · ITUniversity of Cagliari · ITUniversity of Florence · ITUniversity of Naples Federico II · ITUniversity of Parma · ITUniversity of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to evaluate prognostic factors, treatments and outcome of invasive aspergillosis in patients with acute myeloid leukemia based on data collected in a registry. DESIGN AND

methodsThe registry, which was activated in 2004 and closed in 2007, collected data on patients with acute myeloid leukemia, admitted to 21 hematologic divisions in tertiary care centers or university hospitals in Italy, who developed proven or probable invasive aspergillosis.

resultsOne hundred and forty cases of invasive aspergillosis were collected, with most cases occurring during the period of post-induction aplasia, the highest risk phase in acute myeloid leukemia. The mortality rate attributable to invasive aspergillosis was 27%, confirming previous reports of a downward trend in this rate. Univariate and multivariate analyses revealed that the stage of acute myeloid leukemia and the duration of, and recovery from, neutropenia were independent prognostic factors. We analyzed outcomes after treatment with the three most frequently used drugs (liposomal amphotericin B, caspofungin, voriconazole). No differences emerged in survival at day 120 or in the overall response rate which was 71%, ranging from 61% with caspofungin to 84% with voriconazole.

conclusionsOur series confirms the downward trend in mortality rates reported in previous series, with all new drugs providing similar survival and response rates. Recovery from neutropenia and disease stage are crucial prognostic factors. Efficacious antifungal drugs bridge the period of maximum risk due to poor hematologic and immunological reconstitution.

Indexed as

AdolescentAdultAgedAmphotericin BAntifungal AgentsAspergillosisAspergillusCaspofunginEchinocandinsFemaleHumansLeukemia, Myeloid, AcuteLipopeptidesMaleMiddle AgedProspective StudiesAmphotericin BAntifungal AgentsCaspofunginEchinocandinsLipopeptidesliposomal amphotericin BPyrimidinesTriazolesVoriconazole

Identifiers

PMID19850903
PMCPMC2857195
OpenAlexW2107040094

What OpenQuestion holds

Textmetadata
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Registered trials

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 OpenQuestion graph.