Evidence map›Paper›PMID 19903674›Full record

ArticleHaematologica2010

Additional chromosome abnormalities in patients with acute promyelocytic leukemia treated with all-trans retinoic acid and chemotherapy.

José Cervera, Pau Montesinos, Jesús M Hernández-Rivas, María J Calasanz, Anna Aventín, María T Ferro, Elisa Luño, Javier Sánchez, Edo Vellenga, Chelo Rayón and 10 more

Open access · goldAbstract read
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. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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.

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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.

  1. Pooled it
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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

20 authors at 13 institutions in 3 countries.

José CerveraHospital Universitario La Fe, Avenida Campanar, 21, 46009 Valencia, Spain.
Pau Montesinos
Jesús M Hernández-Rivas
María J Calasanz
Anna Aventín
María T Ferro
Elisa Luño
Javier Sánchez
Edo Vellenga
Chelo Rayón
Gustavo Milone
Javier de la Serna
Concha Rivas
José D González
Mar Tormo
Elena Amutio
Marcos González
Salut Brunet
Bob Lowenberg
Miguel A Sanz
Hospital Universitari i Politècnic La Fe · ESUniversidad de Oviedo · ESErasmus MC · NLFundación para la Investigación, Docencia y Prevención del Cáncer · ARHospital Clínico Universitario de Valencia · ESHospital de Cruces · ESHospital de Sant Pau · ESHospital General Universitario de Alicante Doctor Balmis · ESHospital Universitario Insular de Gran Canaria · ESHospital Universitario Virgen del Rocío · ESInstituto Cajal · ESResearch Institute Hospital 12 de Octubre · ESUniversidad de Navarra · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute promyelocytic leukemia is a subtype of acute myeloid leukemia characterized by the t(15;17). The incidence and prognostic significance of additional chromosomal abnormalities in acute promyelocytic leukemia is still a controversial matter. DESIGN AND

methodsBased on cytogenetic data available for 495 patients with acute promyelocytic leukemia enrolled in two consecutive PETHEMA trials (LPA96 and LPA99), we analyzed the incidence, characteristics, and outcome of patients with acute promyelocytic leukemia with and without additional chromosomal abnormalities who had been treated with all-trans retinoic acid plus anthracycline monochemotherapy for induction and consolidation.

resultsAdditional chromosomal abnormalities were observed in 140 patients (28%). Trisomy 8 was the most frequent abnormality (36%), followed by abn(7q) (5%). Patients with additional chromosomal abnormalities more frequently had coagulopathy (P=0.03), lower platelet counts (P=0.02), and higher relapse-risk scores (P=0.02) than their counterparts without additional abnormalities. No significant association with FLT3/ITD or other clinicopathological characteristics was demonstrated. Patients with and without additional chromosomal abnormalities had similar complete remission rates (90% and 91%, respectively). Univariate analysis showed that additional chromosomal abnormalities were associated with a lower relapse-free survival in the LPA99 trial (P=0.04), but not in the LPA96 trial. However, neither additional chromosomal abnormalities overall nor any specific abnormality was identified as an independent risk factor for relapse in multivariate analysis.

conclusionsThe lack of independent prognostic value of additional chromosomal abnormalities in acute promyelocytic leukemia does not support the use of alternative therapeutic strategies when such abnormalities are found.

Indexed as

Chromosome AberrationsAdolescentAdultAgedAged, 80 and overAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsChildChild, PreschoolChromosomes, Human, Pair 15Chromosomes, Human, Pair 17Cohort StudiesFemaleFollow-Up StudiesHumansIn Situ Hybridization, FluorescenceAntineoplastic AgentsOncogene Proteins, FusionRNA, MessengerTretinoin

Identifiers

PMID19903674
PMCPMC2833072
OpenAlexW2105404731

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.