Evidence map›Paper›PMID 20564743›Full record

ArticleCancer2010

Initial response to salvage therapy determines prognosis in relapsed pediatric Hodgkin lymphoma patients.

Monika L Metzger, Melissa M Hudson, Matthew J Krasin, Jianrong Wu, Sue C Kaste, Larry E Kun, John T Sandlund, Scott C Howard

Open access · bronzeAbstract read
In one paragraph

Article in Cancer, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

22 citing papers in PubMed, 49 citations in OpenAlex.

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  13. Treatment patterns and disease outcomes for pediatric patients with refractory or recurrent Hodgkin lymphoma treated with curative-intent salvage radiotherapy.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2019
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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

8 authors at 2 institutions in 1 country.

Monika L MetzgerDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee 38105-2794, USA. monika.metzger@stjude.org
Melissa M Hudson
Matthew J Krasin
Jianrong Wu
Sue C Kaste
Larry E Kun
John T Sandlund
Scott C Howard
St. Jude Children's Research Hospital · USUniversity of Tennessee Health Science Center · US

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI SUZANNE J. BAKER · 1985 to 2026
$166.9M
Whole GenomeU01GM061393 · NIGMS · UNIVERSITY OF CHICAGO · PI RATAIN, MARK J · 2000 to 2014
$39.0M
PHARMACOGENOMICS OF CHILDHOOD LEUKEMIA (ALL)R37CA036401 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI EVANS, WILLIAM E · 1987 to 2014
$9.7M
Pharmacogenomics of Childhood Leukemia ALLR01CA036401 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI EVANS, WILLIAM E · 1985 to 2019
$3.6M
PHARMACODYNAMICS OF ANTILEUKEMIC AGENTS IN CHILDRENR01CA078224 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI SPARREBOOM, ALEXANDER · 1998 to 2007
$3.6M
P450 METABOLISM OF EPIPODOPHYLLOTOXINS IN CHILDRENR01CA051001 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI RELLING, MARY V. · 1996 to 2006
$2.7M
DETECTION AND THERAPY OF RESIDUAL LEUKEMIA IN CHILDRENR01CA060419 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CAMPANA, DARIO · 1998 to 2006
$1.7M
POLYMORPHIC METABOLISM OF ANTINEOPLASTICS IN CHILDRENR29CA051001 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI RELLING, MARY V. · 1990 to 1994
–
DETECTION OF MINIMAL RESIDUAL LEUKEMIA IN CHILDRENU01CA060419 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CAMPANA, DARIO · 1993 to 1996
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NCI NIH HHS CA-21765NCI NIH HHS CA-36401NCI NIH HHS CA-51001NCI NIH HHS CA-60419NCI NIH HHS CA-78224NCI NIH HHS P30 CA021765NCI NIH HHS R01 CA036401NCI NIH HHS R01 CA051001NCI NIH HHS R01 CA060419NCI NIH HHS R01 CA078224NCI NIH HHS R37 CA036401NCI NIH HHS U01 CA060419NIGMS NIH HHS GM-61393NIGMS NIH HHS U01 GM061393
6 · The paper itself

Abstract

backgroundPediatric Hodgkin lymphoma (HL) is a highly curable disease; however, prognostic factors for the survival of patients who develop recurrent disease have not been clearly defined.

methodsThis was a retrospective analysis of 50 pediatric patients with HL who relapsed or progressed between 1990 and 2006 and who were retrieved with intense cytoreductive treatment regimens followed by autologous stem cell transplantation and radiation therapy. A Cox proportional hazards model was used to determine risk factors for second treatment failure and death.

resultsThe median patient age was 16.1 years (range, 4.9-22.1 years) at the time of HL diagnosis. Fifteen patients developed progressive disease during therapy, 14 patients relapsed early, and 21 patients relapsed late. Patients who remained alive at the time of this study had been followed for a median of 4.4 years (range, 1.2-16.6 years). The 5-year overall survival rate for patients who had an inadequate response (n = 14) to initial salvage therapy was only 17.9% (95% confidence interval [CI], 3.1%-42.5%) compared with 97.2% (95% CI, 81.9%-99.6%) for patients who responded (n = 36; P < .0001). In a multivariate Cox regression analysis of overall survival, an inadequate response to initial salvage therapy was the only significant variable (hazard ratio, 43.6; 95% CI, 5.4-354; P = .0004).

conclusionsThe current results indicated that pediatric patients with relapsed HL who have an inadequate response after initial primary salvage chemotherapy have a very poor prognosis and should be considered for novel therapies directed at biologic or immunologic targets.

Indexed as

Salvage TherapyAdolescentAdultAntineoplastic Combined Chemotherapy ProtocolsChildChild, PreschoolCombined Modality TherapyFemaleHodgkin DiseaseHumansMalePrognosisRecurrenceTreatment Failure

Identifiers

PMID20564743
PMCPMC2936658
OpenAlexW2059550645

What OpenQuestion holds

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Registered trials

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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.