Evidence map›Paper›PMID 20148270›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2010

A new concept for the differential diagnosis and therapy of anaemia in cancer patients.

H Tilman Steinmetz, Antonis Tsamaloukas, Stephan Schmitz, Jörg Wiegand, Robert Rohrberg, Jochen Eggert, Friedhelm Breuer, Hans-Werner Tessen, Heidi Eustermann, Lothar Thomas

Abstract readComparative StudyControlled Clinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Erythropoietin or darbepoetin for patients with cancer.The Cochrane database of systematic reviews · 2012
    Pooled it
  2. Take into Account Variations of Transferrin Saturation.Deutsches Arzteblatt international · 2022
    Article
  3. Article
  4. Article
  5. Review
  6. Clinical use of ferric carboxymaltose in patients with solid tumours or haematological malignancies in France.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016
    Observational
  7. Article
  8. Review
  9. Article
  10. Observational
  11. Article
  12. Iron deficiency in patients with solid tumours: prevalence and management in clinical practice.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2014
    Observational
  13. Prevalence of iron deficiency across different tumors and its association with poor performance status, disease status and anemia.Annals of oncology : official journal of the European Society for Medical Oncology · 2013
    Article
  14. Article
  15. Clinical experience with ferric carboxymaltose in the treatment of cancer- and chemotherapy-associated anaemia.Annals of oncology : official journal of the European Society for Medical Oncology · 2013
    Article
  16. Diagnosis of anaemia: old things rearranged.Wiener medizinische Wochenschrift (1946) · 2012
    Review
  17. Article
  18. Review
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

10 authors at 4 institutions in 1 country.

H Tilman SteinmetzOncology Outpatient Clinic in Cologne, Cologne, Germany. steinmetz@oncokoeln.de
Antonis Tsamaloukas
Stephan Schmitz
Jörg Wiegand
Robert Rohrberg
Jochen Eggert
Friedhelm Breuer
Hans-Werner Tessen
Heidi Eustermann
Lothar Thomas
University Hospital Cologne · DEForschungszentrum Energiespeichertechnologien · DEKrankenhaus Nordwest · DEUniversity Hospital in Halle · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to prove the usefulness of the diagnostic plot, using the haemoglobin content of reticulocytes as a measure of functional iron deficiency (FID) and the ferritin index as a measure of iron availability, to customise anaemia treatment in cancer patients.

methodsBased on results of this plot, cancer patients fulfilling practice guideline criteria to receive erythropoiesis-stimulating agents (ESAs) were allocated to treatment with ESAs alone, iron alone or the combination of both. Primary endpoint was the percentage of patients identified to require iron in addition or as an alternative to ESA therapy.

resultsOut of 303 patients screened, 286 were allocated to treatment: 204 patients were normochromic and iron replete and treated with ESAs alone, 22 had both FID and anaemia of chronic disease and were treated with ESAs and parenteral iron, and 60 were iron-depleted and treated with iron only. After 8 weeks, a haemoglobin increase >1 g/dL from baseline was shown by 56% of patients treated with ESAs alone, by 100% of patients receiving the combination, by 50% of normochromic and by 73% of hypochromic iron-depleted patients receiving iron only. Acute phase reaction did not diminish the response rate to ESAs.

conclusionsThe diagnostic plot was superior to transferrin saturation and ferritin in predicting iron availability in hypochromic patients treated with ESAs and proved useful to select treatment for anaemia in cancer patients.

Indexed as

AnemiaAntineoplastic AgentsBiomarkersDiagnosis, DifferentialFemaleFerritinsHematinicsHemoglobinsHumansIronIron DeficienciesMaleMiddle AgedNeoplasmsPractice Guidelines as TopicProspective StudiesAntineoplastic AgentsBiomarkersFerritinsHematinicsHemoglobinsIron

Identifiers

PMID20148270
OpenAlexW1989750672

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.