Evidence map›Paper›PMID 25858293›Full record

ArticleBritish journal of haematology2015

Acute myeloid leukaemia: challenges and real world data from India.

Chepsy Philip, Biju George, Abhijeet Ganapule, Anu Korula, Punit Jain, Ansu Abu Alex, Kavitha M Lakshmi, Usha Sitaram, Fouzia N Abubacker, Aby Abraham and 5 more

Abstract read
In one paragraph

Article in British journal of haematology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
–field-weighted citation impact
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

58 citing papers in PubMed.

  1. Observational
  2. Article
  3. The global epidemiology of acute myeloid leukaemia.Nature reviews. Clinical oncology · 2026
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Clinical Outcomes and Determinants of Survival in Patients with Hematologic Malignancies Admitted to Intensive Care Units with Critical Illness.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2024
    Article
  9. Article
  10. AML With HIV Infection in The Era of Precision Oncology - Do We See The Light At The End of The Tunnel?Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Profile and Predictors of Infection Following Anti-thymocyte Globulin or Anti-lymphocyte Globulin with Cyclosporine in Aplastic Anemia.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Chepsy PhilipDepartment of Haematology, Christian Medical College, Vellore, India.
Biju GeorgeDepartment of Haematology, Christian Medical College, Vellore, India.
Abhijeet GanapuleDepartment of Haematology, Christian Medical College, Vellore, India.
Anu KorulaDepartment of Haematology, Christian Medical College, Vellore, India.
Punit JainDepartment of Haematology, Christian Medical College, Vellore, India.
Ansu Abu AlexDepartment of Haematology, Christian Medical College, Vellore, India.
Kavitha M LakshmiDepartment of Haematology, Christian Medical College, Vellore, India.
Usha SitaramDepartment of Transfusion Medicine and Immunohaematology, Christian Medical College, Vellore, India.
Fouzia N AbubackerDepartment of Haematology, Christian Medical College, Vellore, India.
Aby AbrahamDepartment of Haematology, Christian Medical College, Vellore, India.
Auro ViswabandyaDepartment of Haematology, Christian Medical College, Vellore, India.
Vivi M SrivastavaCytogenetics Unit, Christian Medical College, Vellore, India.
Alok SrivastavaDepartment of Haematology, Christian Medical College, Vellore, India.
Poonkuzhali BalasubramanianDepartment of Haematology, Christian Medical College, Vellore, India.
Vikram MathewsDepartment of Haematology, Christian Medical College, Vellore, India.

Funding

DBT-Wellcome Trust India Alliance IA/S/11/2500267Wellcome Trust
6 · The paper itself

Abstract

The management of acute myeloid leukaemia (AML) in India remains a challenge. In a two-year prospective study at our centre there were 380 newly diagnosed AML (excluding acute promyelocytic leukaemia, AML-M3) patients. The median age of newly diagnosed patients was 40 years (range: 1-79; 12.3% were ≤ 15 years, 16.3% were ≥ 60 years old) and there were 244 (64.2%) males. The median duration of symptoms prior to first presentation at our hospital was 4 weeks (range: 1-52). The median distance from home to hospital was 580 km (range: 6-3200 km). 109 (29%) opted for standard of care and were admitted for induction chemotherapy. Of the 271 that did not take treatment the major reason was lack of financial resources in 219 (81%). There were 27 (24.7%) inductions deaths and of these, 12 (44.5%) were due to multidrug-resistant gram-negative bacilli and 12 (44.5%) showed evidence of a fungal infection. The overall survival at 1 year was 70.4% ± 10.7%, 55.6% ± 6.8% and 42.4% ± 15.6% in patients aged ≤ 15 years, 15 - 60 years and ≥ 60 years, respectively. In conclusion, the biggest constraint is the cost of treatment and the absence of a health security net to treat all patients with this diagnosis.

Indexed as

AdolescentAdultAgedChildChild, PreschoolFemaleHumansIndiaInfantLeukemia, Myeloid, AcuteMaleMiddle AgedProspective StudiesYoung Adultacute myeloid leukaemiacost of therapyinduction mortalitymultidrug-resistant bacteriareal world data

Identifiers

PMID25858293
PMCPMC4864448

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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.