Evidence map›Paper›PMID 27492732›Full record

ArticleInternational journal of hematology2016

Charlson comorbidity index predicts poor outcome in CML patients treated with tyrosine kinase inhibitor.

Makiko Uemura, Osamu Imataki, Yasunori Kawachi, Kimihiro Kawakami, Yasuo Hoshijima, Akihito Matsuoka, Norimitsu Kadowaki

Abstract read
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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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
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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

7 authors.

Makiko UemuraDivision of Hematology, Rheumatology and Respiratory Medicine, Department of Internal Medicine, Faculty of Medicine, Kagawa University, Miki-town, Japan.
Osamu ImatakiDivision of Hematology, Rheumatology and Respiratory Medicine, Department of Internal Medicine, Faculty of Medicine, Kagawa University, Miki-town, Japan. oima@med.kagawa-u.ac.jp.
Yasunori KawachiDivision of Hematology, Department of Internal Medicine, Kaisei General Hospital, The Taijukai Foundation, Sakaide City, Kagawa, 762-0007, Japan.
Kimihiro KawakamiDivision of Hematology, Department of Internal Medicine, Kagawa Prefectural Central Hospital, 5-4-16 Ban-cho, Takamatsu City, Kagawa, 760-8557, Japan.
Yasuo HoshijimaDepartment of Internal Medicine, Takamatsu Municipal Hospital, 2-36-1 Miyawaki-cho, Takamatsu City, Kagawa, 760-8538, Japan.
Akihito MatsuokaDepartment of Internal Medicine, Sakaide City Hospital, 1-6-43 Bunkyo-cho, Sakaide City, Kagawa, 762-0031, Japan.
Norimitsu KadowakiDivision of Hematology, Rheumatology and Respiratory Medicine, Department of Internal Medicine, Faculty of Medicine, Kagawa University, Miki-town, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although the Sokal and Hasford scoring systems are well-known prognostic models specific to chronic myeloid leukemia (CML), whether they can effectively predict outcomes in elderly CML patients with comorbidities has not been fully elucidated. We evaluated the association between comorbidity at diagnosis with treatment outcome and survival in chronic phase CML patients. A questionnaire was administered to patients diagnosed with CML between 2001 and 2012 and treated with tyrosine kinase inhibitors (TKIs). The Charlson comorbidity index (CCI) was used to determine concomitant diseases. In total, 79 patients (33 females; median age, 57 years) were enrolled. CCI scores at diagnosis were between 2 and 11. At the last follow-up, 46 patients showed a major molecular response. Complete cytogenetic response was achieved in 73.4 % of the cases 12 months after TKI administration. We observed only five deaths during the 55.5-month median follow-up period. The risk categories (low/intermediate/high) associated with Sokal and Hasford scores were 33/27/7 and 21/43/3, respectively. The 27 cases with a CCI score >3 had significantly poorer survival after diagnosis (52 cases had a CCI score <2). CCI scores were inversely associated to overall survival. Concomitant comorbidity at diagnosis is associated with poor outcome in CML patients treated with TKIs.

Indexed as

ComorbidityFemaleHumansLeukemia, Myelogenous, Chronic, BCR-ABL PositiveMaleMiddle AgedProtein Kinase InhibitorsProtein-Tyrosine KinasesSeverity of Illness IndexSurveys and QuestionnairesSurvival RateTreatment OutcomeProtein Kinase InhibitorsProtein-Tyrosine KinasesCharlson comorbidity indexChronic myeloid leukemiaHasford scoreSokal scoreTyrosine kinase inhibitor

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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.