Evidence map›Paper›PMID 21109693›Full record

ArticleHaematologica2011

Cytogenetic risk stratification in chronic myelomonocytic leukemia.

Esperanza Such, José Cervera, Dolors Costa, Francesc Solé, Teresa Vallespí, Elisa Luño, Rosa Collado, María J Calasanz, Jesús M Hernández-Rivas, Juan C Cigudosa and 16 more

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 118 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 1 pooled it
8.3field-weighted citation impact, top 2% 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

118 citing papers in PubMed, 1 synthesis or guideline pooled it, 261 citations in OpenAlex.

  1. Pooled it
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  8. Treatment with Hypomethylating Agents before Allogeneic Stem Cell Transplant Improves Progression-Free Survival for Patients with Chronic Myelomonocytic Leukemia.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2016
    Trial
  9. Review
  10. Molecular-Based Ecosystem to Improve Personalized Medicine in Chronic Myelomonocytic Leukemia.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Impact of Epigenetic Mutations in Chronic Myelomonocytic Leukemia.Current hematologic malignancy reports · 2025
    Review
  15. Contemporary CMML Risk Stratification and Management.Current hematologic malignancy reports · 2025
    Review
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  17. Article
  18. Article
  19. Article
  20. Review

58 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

26 authors at 13 institutions in 3 countries.

Esperanza SuchHospital Universitario La Fe, Avenida Campanar, 21. 46009 Valencia, Spain.
José Cervera
Dolors Costa
Francesc Solé
Teresa Vallespí
Elisa Luño
Rosa Collado
María J Calasanz
Jesús M Hernández-Rivas
Juan C Cigudosa
Benet Nomdedeu
Mar Mallo
Felix Carbonell
Javier Bueno
María T Ardanaz
Fernando Ramos
Mar Tormo
Reyes Sancho-Tello
Consuelo del Cañizo
Valle Gómez
Victor Marco
Blanca Xicoy
Santiago Bonanad
Carmen Pedro
Teresa Bernal
Guillermo F Sanz
Hospital Universitari i Politècnic La Fe · ESHospital Del Mar · ESComplejo Hospitalario de Salamanca · ESHospital Arnau de Vilanova · ESHospital Clínic de Barcelona · ESHospital General Universitario De Valencia · ESHospital Universitario Central de Asturias · ESVall d'Hebron Hospital Universitari · ESComplejo Hospitalario de Navarra · ESHospital Clínico Universitario de Valencia · ESHospital Txagorritxu · ESSpanish National Cancer Research Centre · ESUniversidad de Navarra · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prognostic value of cytogenetic findings in chronic myelomonocytic leukemia is unclear. Our purpose was to evaluate the independent prognostic impact of cytogenetic abnormalities in a large series of patients with chronic myelomonocytic leukemia included in the database of the Spanish Registry of Myelodysplastic Syndromes. DESIGN AND

methodsWe studied 414 patients with chronic myelomonocytic leukemia according to WHO criteria and with a successful conventional cytogenetic analysis at diagnosis. Different patient and disease characteristics were examined by univariate and multivariate methods to establish their relationship with overall survival and evolution to acute myeloid leukemia.

resultsPatients with abnormal karyotype (110 patients, 27%) had poorer overall survival (P=0.001) and higher risk of acute myeloid leukemia evolution (P=0.010). Based on outcome analysis, three cytogenetic risk categories were identified: low risk (normal karyotype or loss of Y chromosome as a single anomaly), high risk (presence of trisomy 8 or abnormalities of chromosome 7, or complex karyotype), and intermediate risk (all other abnormalities). Overall survival at five years for patients in the low, intermediate, and high risk cytogenetic categories was 35%, 26%, and 4%, respectively (P<0.001). Multivariate analysis confirmed that this new CMML-specific cytogenetic risk stratification was an independent prognostic variable for overall survival (P=0.001). Additionally, patients belonging to the high-risk cytogenetic category also had a higher risk of acute myeloid leukemia evolution on univariate (P=0.001) but not multivariate analysis.

conclusionsCytogenetic findings have a strong prognostic impact in patients with chronic myelomonocytic leukemia.

Indexed as

AgedChromosome AberrationsChromosomes, Human, Pair 7Chromosomes, Human, Pair 8FemaleHumansKaryotypingLeukemia, Myeloid, AcuteLeukemia, Myelomonocytic, ChronicMaleMultivariate AnalysisPrognosisRisk AssessmentSeverity of Illness IndexSpainSurvival Rate

Identifiers

PMID21109693
PMCPMC3046268
OpenAlexW2029679731

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.