Evidence map›Paper›PMID 27080811›Full record

ArticleLeukemia2016

Increased prevalence of prior malignancies and autoimmune diseases in patients diagnosed with chronic myeloid leukemia.

N Gunnarsson, M Höglund, L Stenke, S Wållberg-Jonsson, F Sandin, M Björkholm, A Dreimane, M Lambe, B Markevärn, U Olsson-Strömberg and 3 more

Abstract read
PubMed Publisher
In one paragraph

Article in Leukemia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Chronic myelogenous leukemia secondary to colon cancer: A case report.World journal of gastrointestinal oncology · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Second Cancer Onset in Myeloproliferative Neoplasms: What, When, Why?International journal of molecular sciences · 2022
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. 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

13 authors at 7 institutions in 1 country.

N GunnarssonDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
M HöglundDepartment of Medical Science and Division of Hematology, University Hospital, Uppsala, Sweden.
L StenkeDepartment of Hematology, Karolinska University Hospital and Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
S Wållberg-JonssonDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
F SandinRegional Cancer Centre, Uppsala-Örebro, Sweden.
M BjörkholmDepartment of Hematology, Karolinska University Hospital and Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
A DreimaneDepartment of Hematology, University Hospital, Linköping, Sweden.
M LambeRegional Cancer Centre, Uppsala-Örebro, Sweden.
B MarkevärnDepartment of Hematology, University Hospital, Umeå, Sweden.
U Olsson-StrömbergDepartment of Medical Science and Division of Hematology, University Hospital, Uppsala, Sweden.
H WadenvikDepartment of Hematology, Sahlgrenska University Hospital, Göteborg, Sweden.
J RichterDepartment of Hematology and Vascular Disorders, Skåne University Hospital, Lund, Sweden.
A SjälanderDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
Umeå University · SEKarolinska Institutet · SEUppsala University Hospital · SELinköping University Hospital · SERegional Research Council in Uppsala-Örebro Region · SESahlgrenska University Hospital · SESkåne University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We recently reported an increased incidence of second malignancies in chronic myeloid leukemia (CML) patients treated with tyrosine kinase inhibitors (TKI). To elucidate whether this increase may be linked, not to TKI but rather to a hereditary or acquired susceptibility to develop cancer, we estimated the prevalence of malignancies, autoimmune disease (AD) and chronic inflammatory disease (CID) in CML patients prior to their CML diagnosis. Nationwide population-based registers were used to identify patients diagnosed with CML in Sweden 2002-2012 and to estimate the prevalence of other malignancies, AD and CID prior to their CML diagnosis. For each patient with CML, five matched controls were selected from the general population. Conditional logistic regression was used to calculate odds ratios (OR). Nine hundred and eighty-four CML patients were assessed, representing more than 45 000 person-years of follow-up. Compared with matched controls, the prevalence of prior malignancies and AD was elevated in CML patients: OR 1.47 (95% confidence interval (CI) 1.20-1.82) and 1.55 (95% CI 1.21-1.98), respectively. No associations were detected between CML and previous CID. An increased prevalence of other malignancies and AD prior to the diagnosis of CML suggest that a hereditary or acquired predisposition to cancer and/or autoimmunity is involved in the pathogenesis of CML.

Indexed as

Disease SusceptibilityAdolescentAdultAgedAged, 80 and overAutoimmune DiseasesCase-Control StudiesFemaleHumansInflammationLeukemia, Myelogenous, Chronic, BCR-ABL PositiveMaleMiddle AgedNeoplasmsNeoplasms, Second PrimaryPrevalence

Identifiers

PMID27080811
OpenAlexW2336504935

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.