Evidence map›Paper›PMID 26440971›Full record

Trial reportInternational journal of hematology2015

Absolute lymphocyte count at the end of induction therapy is a prognostic factor in childhood acute lymphoblastic leukemia.

Satoshi Hirase, Daiichiro Hasegawa, Hironobu Takahashi, Kensuke Moriwaki, Atsuro Saito, Aiko Kozaki, Toshiaki Ishida, Tomoko Yanai, Keiichiro Kawasaki, Nobuyuki Yamamoto and 7 more

Abstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in International journal of hematology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

17 authors at 4 institutions in 1 country.

Satoshi HiraseDepartment of Pediatrics, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan.
Daiichiro HasegawaDepartment of Hematology and Oncology, Kobe Children's Hospital, 1-1-1, Takakuradai, Suma, Kobe, 654-0081, Japan. hasegawa_kch@hp.pref.hyogo.jp.
Hironobu TakahashiDepartment of Pediatrics, Himeji Red Cross Hospital, 1-12-1 Shimoteno, Himeji Hyōgo, 670-8540, Japan.
Kensuke MoriwakiDepartment of Medical Statistics, Kobe Pharmaceutical University, 4-19-1 Motoyamakitamachi Higashinada, Kobe, 658-8558, Japan.
Atsuro SaitoDepartment of Hematology and Oncology, Kobe Children's Hospital, 1-1-1, Takakuradai, Suma, Kobe, 654-0081, Japan.
Aiko KozakiDepartment of Hematology and Oncology, Kobe Children's Hospital, 1-1-1, Takakuradai, Suma, Kobe, 654-0081, Japan.
Toshiaki IshidaDepartment of Hematology and Oncology, Kobe Children's Hospital, 1-1-1, Takakuradai, Suma, Kobe, 654-0081, Japan.
Tomoko YanaiDepartment of Hematology and Oncology, Kobe Children's Hospital, 1-1-1, Takakuradai, Suma, Kobe, 654-0081, Japan.
Keiichiro KawasakiDepartment of Hematology and Oncology, Kobe Children's Hospital, 1-1-1, Takakuradai, Suma, Kobe, 654-0081, Japan.
Nobuyuki YamamotoDepartment of Pediatrics, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan.
Ikuko KubokawaDepartment of Pediatrics, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan.
Takeshi MoriDepartment of Pediatrics, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan.
Akira HayakawaDepartment of Pediatrics, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan.
Noriyuki NishimuraDepartment of Pediatrics, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan.
Hisahide NishioDepartment of Epidemiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan.
Kazumoto IijimaDepartment of Pediatrics, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan.
Yoshiyuki KosakaDepartment of Hematology and Oncology, Kobe Children's Hospital, 1-1-1, Takakuradai, Suma, Kobe, 654-0081, Japan.
Kobe University · JPKobe Children's Hospital · JPHimeji Red Cross Hospital · JPKobe Pharmaceutical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent studies have reported that the absolute lymphocyte count (ALC) during induction therapy is predictive of treatment outcome in de novo acute lymphoblastic leukemia (ALL); however, the significance of ALC on outcomes remains controversial. In the present study, we assessed the significance of ALC at day 29 (ALC-29), the end of induction therapy, on outcomes in our Japanese cohort. The outcomes of 141 patients aged ≤18 years with newly diagnosed ALL who were enrolled on the JACLS ALL-02 at our hospitals were analyzed in terms of ALC-29. Patients with ALC-29 ≥750/μL (n = 81) had a superior 5-year EFS (95.2 ± 2.7 vs 84.3 ± 4.8 %, P = 0.016) and OS (100 vs 87.0 ± 4.7 %, P = 0.0062). A multivariate analysis identified ALC-29 ≥750/μL as a significant predictor of improved EFS and OS after controlling for confounding factors. A multiple linear regression model revealed a significant inverse relationship between the percentage of blasts in bone marrow on day 15 and ALC-29 (P = 0.005). These results indicate that ALC is a simple prognostic factor in childhood ALL, and, thus, has the potential to refine current risk algorithms.

Indexed as

AlgorithmsInduction ChemotherapyAdolescentChildChild, PreschoolDisease-Free SurvivalFemaleHumansLymphocyte CountMalePrecursor Cell Lymphoblastic Leukemia-LymphomaPredictive Value of TestsSurvival RateAbsolute lymphocyte countAcute lymphoblastic leukemiaChildhood

Identifiers

PMID26440971
OpenAlexW1870559558

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.