Evidence map›Paper›PMID 26392596›Full record

ArticleBlood2015

Targeted sequencing identifies patients with preclinical MDS at high risk of disease progression.

Catherine A Cargo, Nicola Rowbotham, Paul A Evans, Sharon L Barrans, David T Bowen, Simon Crouch, Andrew S Jack

Abstract read
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In one paragraph

Article in Blood, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 1 pooled it
–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

75 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. Genetic studies in clonal haematopoiesis, myelodysplastic neoplasms and acute myeloid leukaemia - a practical guide to WHO-HAEM5.Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.V · 2024
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  19. Clonal Hematopoiesis: Role in Hematologic and Non-Hematologic Malignancies.Mediterranean journal of hematology and infectious diseases · 2022
    Review
  20. When are idiopathic and clonal cytopenias of unknown significance (ICUS or CCUS)?Hematology. American Society of Hematology. Education Program · 2021
    Review

15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Catherine A CargoHaematological Malignancy Diagnostic Service, St James's University Hospital, Leeds, United Kingdom;
Nicola RowbothamHaematological Malignancy Diagnostic Service, St James's University Hospital, Leeds, United Kingdom;
Paul A EvansHaematological Malignancy Diagnostic Service, St James's University Hospital, Leeds, United Kingdom;
Sharon L BarransHaematological Malignancy Diagnostic Service, St James's University Hospital, Leeds, United Kingdom;
David T BowenSt James's Institute of Oncology, Leeds Teaching Hospitals, Leeds, United Kingdom; and.
Simon CrouchEpidemiology and Cancer Statistics Group, University of York, York, United Kingdom.
Andrew S JackHaematological Malignancy Diagnostic Service, St James's University Hospital, Leeds, United Kingdom;

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The diagnosis of myelodysplastic syndromes (MDS) remains problematic due to the subjective nature of morphologic assessment. The reported high frequency of somatic mutations and increased structural variants by array-based cytogenetics have provided potential objective markers of disease; however, this has been complicated by reports of similar abnormalities in the healthy population. We aimed to identify distinguishing features between those with early MDS and reported healthy individuals by characterizing 69 patients who, following a nondiagnostic marrow, developed progressive dysplasia or acute myeloid leukemia. Targeted sequencing and array-based cytogenetics identified a driver mutation and/or structural variant in 91% (63/69) of prediagnostic samples with the mutational spectrum mirroring that in the MDS population. When compared with the reported healthy population, the mutations detected had significantly greater median variant allele fraction (40% vs 9% to 10%), and occurred more commonly with additional mutations (≥2 mutations, 64% vs 8%). Furthermore, mutational analysis identified a high-risk group of patients with a shorter time to disease progression and poorer overall survival. The mutational features in our cohort are distinct from those seen in the healthy population and, even in the absence of definitive disease, can predict outcome. Early detection may allow consideration of intervention in poor-risk patients.

Indexed as

MutationDisease-Free SurvivalDNA Mutational AnalysisFemaleHumansLeukemia, Myeloid, AcuteMaleMyelodysplastic SyndromesRetrospective StudiesRisk FactorsSurvival Rate

Identifiers

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.