Evidence map›Paper›PMID 26274794›Full record

ArticleJournal of comparative effectiveness research2015

Deferasirox therapy is associated with reduced mortality risk in a medicare population with myelodysplastic syndromes.

Amer M Zeidan, Franklin Hendrick, Erika Friedmann, Maria R Baer, Steven D Gore, Medha Sasane, Carole Paley, Amy J Davidoff

Open access · greenAbstract read
In one paragraph

Article in Journal of comparative effectiveness research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Iron overload in myelodysplastic syndromes (MDS).International journal of hematology · 2018
    Review
  11. Review
  12. Article
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 3 institutions in 1 country.

Amer M ZeidanDepartment of Internal Medicine, Section of Hematology, Yale University, New Haven, CT 06520, USA.
Franklin HendrickPharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, MD 21201, USA.
Erika FriedmannDepartment of Organizational Systems & Adult Health, University of Maryland School of Nursing, Baltimore, MD 21201, USA.
Maria R BaerMarlene & Stewart Greenebaum Cancer Center, University of Maryland, Baltimore, MD 21201, USA.
Steven D GoreDepartment of Internal Medicine, Section of Hematology, Yale University, New Haven, CT 06520, USA.
Medha SasaneNovartis Pharmaceuticals Corporation, East Hanover, NJ 07936, USA.
Carole PaleyNovartis Pharmaceuticals Corporation, East Hanover, NJ 07936, USA.
Amy J DavidoffDepartment of Health Policy & Management, Yale School of Public Health, Yale University, New Haven, CT 06520, USA.
University of Maryland, Baltimore · USYale University · USNovartis (United States) · US

Funding

Targeting Epigenomics in Myeloid NeoplasmsK24CA111717 · NCI · YALE UNIVERSITY · PI GORE, STEVEN D · 2005 to 2015
$1.7M
Comparative Effectiveness: Erythropoietic Stimulating Agents in Treatment of MDSRC1CA145831 · NCI · UNIVERSITY OF MARYLAND BALTIMORE · PI DAVIDOFF, AMY J · 2009 to 2010
$774k
NCI NIH HHS 1RC1CA145831-01NCI NIH HHS 2K24CA111717-06A1NCI NIH HHS K24 CA111717NCI NIH HHS RC1 CA145831
6 · The paper itself

Abstract

aimsIron overload adversely affects patients with myelodysplastic syndromes (MDS), but benefits of iron chelation therapy have not been clearly demonstrated. We examined the association between deferasirox (DFX) therapy and mortality in transfusion-receiving Medicare patients. PATIENTS &

methodsMDS patients from 2005 to 2008 were identified using ICD-9 codes from 100% Medicare claims. Patients receiving ≥20 blood units were observed until death or end of study. Marginal structural models were used for estimation.

results3926 patients (10.1% used DFX) were observed for a mean of 48.8 weeks. Each incremental week of DFX was associated with a significant reduction in mortality risk (hazard ratio [HR]: 0.989; 95% CI: 0.983-0.996; p = 0.001).

conclusionDFX therapy is associated with a reduced mortality risk among older MDS patients who received a minimum transfusion threshold.

Indexed as

Blood TransfusionAgedBenzoatesDeferasiroxFemaleHumansIron Chelating AgentsIron OverloadKaplan-Meier EstimateMaleMedicareMyelodysplastic SyndromesRisk Reduction BehaviorTriazolesUnited StatesBenzoatesDeferasiroxIron Chelating AgentsTriazolesdeferasiroxiron chelation therapyiron overloadmortalitymyelodysplastic syndromes

Identifiers

PMID26274794
PMCPMC5549705
OpenAlexW1914774283

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.