Evidence map›Paper›PMID 25127690›Full record

ArticleLeukemia research2014

The prognostic importance of polypharmacy in older adults treated for acute myelogenous leukemia (AML).

Kathleen Elliot, Janet A Tooze, Rachel Geller, Bayard L Powell, Timothy S Pardee, Ellen Ritchie, LeAnne Kennedy, Kathryn E Callahan, Heidi D Klepin

Open access · greenAbstract read
In one paragraph

Article in Leukemia research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 7% 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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 84 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Kathleen ElliotSection on Hematology and Oncology, Wake Forest School of Medicine, Winston-Salem, NC, USA. Electronic address: kelliot@wakehealth.edu.
Janet A ToozeDepartment of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA; Comprehensive Cancer Center of Wake Forest University, Winston-Salem, NC, USA. Electronic address: jtooze@wakehealth.edu.
Rachel GellerWake Forest Translational Science Institute, Wake Forest School of Medicine, Winston-Salem, NC, USA. Electronic address: rgeller@wakehealth.edu.
Bayard L PowellSection on Hematology and Oncology, Wake Forest School of Medicine, Winston-Salem, NC, USA; Comprehensive Cancer Center of Wake Forest University, Winston-Salem, NC, USA. Electronic address: bpowell@wakehealth.edu.
Timothy S PardeeSection on Hematology and Oncology, Wake Forest School of Medicine, Winston-Salem, NC, USA; Comprehensive Cancer Center of Wake Forest University, Winston-Salem, NC, USA. Electronic address: tspardee@wakehealth.edu.
Ellen RitchieWeill Cornell Medical College, New York, NY, USA. Electronic address: ritchie@med.cornell.edu.
LeAnne KennedySection on Hematology and Oncology, Wake Forest School of Medicine, Winston-Salem, NC, USA. Electronic address: lakenned@wakehealth.edu.
Kathryn E CallahanDepartment of Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA. Electronic address: kecallah@wakehealth.edu.
Heidi D KlepinSection on Hematology and Oncology, Wake Forest School of Medicine, Winston-Salem, NC, USA; Comprehensive Cancer Center of Wake Forest University, Winston-Salem, NC, USA. Electronic address: hklepin@wakehealth.edu.
Wake Forest University · USCornell University · US

Funding

Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
Metabolic contribution to cell viability and therapy resistance in the acuteK08CA169809 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI PARDEE, TIMOTHY SEBASTIAN · 2012 to 2016
$840k
Minimizing Physical Function Decline in Older Adults Receiving ChemotherapyK23AG038361 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KLEPIN, HEIDI DIANA · 2011 to 2014
$562k
NCI NIH HHS K08 CA169809NCI NIH HHS P30 CA012197NCI NIH HHS P30CA012197NIA NIH HHS K23 AG038361NIA NIH HHS K23AG038361
6 · The paper itself

Abstract

We retrospectively evaluated the prognostic significance of polypharmacy and inappropriate medication use among 150 patients >60 years of age receiving induction chemotherapy for acute myelogenous leukemia (AML). After adjustment for age and comorbidity, increased number of medications at diagnosis (≥ 4 versus ≤ 1) was associated with increased 30-day mortality (OR=9.98, 95% CI=1.18-84.13), lower odds of complete remission status (OR=0.20, 95% CI=0.06-0.65), and higher overall mortality (HR=2.13, 95% CI=1.15-3.92). Inappropriate medication use (classified according to Beers criteria) was not significantly associated with clinical outcomes. Polypharmacy warrants further study as a modifiable marker of vulnerability among older adults with AML.

Indexed as

PolypharmacyAgedAged, 80 and overAntineoplastic AgentsFemaleHumansInduction ChemotherapyKaplan-Meier EstimateLeukemia, Myeloid, AcuteMaleMiddle AgedPrognosisProportional Hazards ModelsRetrospective StudiesAntineoplastic AgentsElderlyLeukemiaMedicationsMortalityOlderPolypharmacy

Identifiers

PMID25127690
PMCPMC4182134
OpenAlexW2166584341

What OpenQuestion holds

Textmetadata
LicenceTDM
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.