Evidence map›Paper›PMID 27436336›Full record

ArticleInternational journal of hematology2016

NPM1, FLT3 and CEBPA mutations in pediatric patients with AML from Argentina: incidence and prognostic value.

Patricia Rubio, B Campos, J A Digiorge, M S Gallego, A Medina, J G Rossi, M S Felice, C N Alonso

Abstract read
PubMed Publisher
In one paragraph

Article in International journal of hematology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
0.9field-weighted citation impact, top 22% 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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Case Report: Pediatric AML withFrontiers in oncology · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. 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 1 institution in 1 country.

Patricia RubioDepartment of Hematology and Oncology, Hospital de Pediatría Prof. Dr. J. P. Garrahan, Combate de los Pozos 1881, 1245, Buenos Aires, Argentina. patrirubio13@gmail.com.
B CamposDepartment of Hematology and Oncology, Hospital de Pediatría Prof. Dr. J. P. Garrahan, Combate de los Pozos 1881, 1245, Buenos Aires, Argentina.
J A DigiorgeDepartment of Hematology and Oncology, Hospital de Pediatría Prof. Dr. J. P. Garrahan, Combate de los Pozos 1881, 1245, Buenos Aires, Argentina.
M S GallegoDepartment of Genetics, Hospital de Pediatría Prof. Dr. J. P. Garrahan, Buenos Aires, Argentina.
A MedinaDepartment of Hematology and Oncology, Hospital de Pediatría Prof. Dr. J. P. Garrahan, Combate de los Pozos 1881, 1245, Buenos Aires, Argentina.
J G RossiDepartment of Immunology and Rheumatology, Hospital de Pediatría Prof. Dr. J. P. Garrahan, Buenos Aires, Argentina.
M S FeliceDepartment of Hematology and Oncology, Hospital de Pediatría Prof. Dr. J. P. Garrahan, Combate de los Pozos 1881, 1245, Buenos Aires, Argentina.
C N AlonsoDepartment of Hematology and Oncology, Hospital de Pediatría Prof. Dr. J. P. Garrahan, Combate de los Pozos 1881, 1245, Buenos Aires, Argentina.
Garrahan Hospital · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mutations in NPM1, FLT3 and CEBPA genes are found in 25-35 % of adult acute myeloblastic leukemia (AML) cases and correlate with prognosis. To date, there have been no reports about these mutations in pediatric AML from Argentina. The aims of the present study were to describe the incidence of NPM1, FLT3 and CEBPA mutations and to analyze their prognostic impact in this population. The incidences of these mutations within a population of 216 pediatric AML cases were: NPM1-mutated 4.2 %, CEBPA-mutated 1.9 %, FLT3-ITD 10.2 % and FLT3-TKD 7.9 %. Among 33 patients with normal karyotype, we found significantly higher frequencies for NPM1-mutated 24.2 % and CEBPA-mutated 12.1 %. Overall survival (pOS) for the 163 eligible non-acute promyelocytic leukemia cases was 46.2 ± 4.3 %, while leukemia-free survival probability was 51.0 ± 4.4 % (n = 135). The NPM1-mutated/FLT3-ITD-negative genotype showed better outcome than any other combined NPM1/FLT3 genotype; this difference was statistically significant within the group of high-risk patients (pOS ± SE 83.3 ± 15.2 % versus 33.1 ± 4.7 %; p = 0.0251). This is the first report of the frequencies of these mutations in Argentina. Despite the limited number of patients, a favorable prognosis of AML with genotype NPM1-mutated/FLT3-ITD-negative was confirmed. This is especially relevant within the high-risk group of patients, as it may contribute to the detection of patients with better prognosis, and thus avoid unnecessary treatment intensification.

Indexed as

MutationAdolescentArgentinaCCAAT-Enhancer-Binding ProteinsChildChild, Preschoolfms-Like Tyrosine Kinase 3HumansIncidenceLeukemia, Myeloid, AcuteNuclear ProteinsNucleophosminPrognosisSurvival AnalysisTandem Repeat SequencesCCAAT-Enhancer-Binding ProteinsCEBPA protein, humanFLT3 protein, humanfms-Like Tyrosine Kinase 3NPM1 protein, humanNuclear ProteinsNucleophosminAMLCEBPAChildhoodFLT3NPM1Prognostic

Identifiers

PMID27436336
OpenAlexW2500091786

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.