Evidence map›Paper›PMID 26476843›Full record

ArticleDrugs & aging2015

Myelodysplastic Syndromes in the Elderly: Treatment Options and Personalized Management.

Sonja Burgstaller, Petra Wiesinger, Reinhard Stauder

Abstract read
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In one paragraph

Article in Drugs & aging, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Analysis of cytopenia in geriatric inpatients.Zeitschrift fur Gerontologie und Geriatrie · 2018
    Article
  6. Article
  7. Review
  8. 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

3 authors at 2 institutions in 1 country.

Sonja BurgstallerDepartment of Internal Medicine IV (Nephrology and Hematology/Oncology), Klinikum Wels-Grieskirchen, Wels, Austria.
Petra WiesingerDepartment of Internal Medicine V (Hematology and Oncology), Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria.
Reinhard StauderDepartment of Internal Medicine V (Hematology and Oncology), Innsbruck Medical University, Anichstrasse 35, 6020, Innsbruck, Austria. reinhard.stauder@i-med.ac.at.
Innsbruck Medical University · ATKlinikum Wels-Grieskirchen · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myelodysplastic syndromes (MDS) are typical diseases of the elderly, with a median age of 68-75 years at initial diagnosis. Demographic changes producing an increased proportion of elderly in our societies mean the incidence of MDS will rise dramatically. Considering the increasing number of treatment options, ranging from best supportive care to hematopoietic stem cell transplantation (HSCT), decision making is rather complex in this cohort of patients. Moreover, aspects of the aging process also have to be considered in therapy planning. Treatment of elderly MDS patients is dependent on the patient's individual risk and prognosis. Comorbidities play an essential role as predictors of survival and therapy tolerance. Age-adjusted models and the use of geriatric assessment scores are described as a basis for individualized treatment algorithms. Specific treatment recommendations for the different groups of patients are given. Currently available therapeutic agents, including supportive care, erythropoiesis-stimulating agents (ESAs), immune-modulating agents, hypomethylating agents, and HSCT are described in detail and discussed with a special focus on elderly MDS patients. The inclusion of elderly patients in clinical trials is of utmost importance to obtain data on efficacy and safety in this particular group of patients. Endpoints relevant for the elderly should be integrated, including maintenance of quality of life and functional activities as well as evaluation of use of healthcare resources.

Indexed as

Disease ManagementAgedAged, 80 and overDrug TherapyErythrocyte TransfusionFemaleGeriatric AssessmentHematinicsHematopoietic Stem Cell TransplantationHumansImmunosuppressive AgentsIron Chelating AgentsLenalidomideMaleMyelodysplastic SyndromesPrecision MedicineHematinicsImmunosuppressive AgentsIron Chelating AgentsLenalidomideThalidomide

Identifiers

PMID26476843
OpenAlexW1946193527

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.