Evidence map›Paper›PMID 27515251›Full record

ArticleHaematologica2016

Non-Hodgkin lymphoma and pre-existing conditions: spectrum, clinical characteristics and outcome in 213 children and adolescents.

Andishe Attarbaschi, Elisa Carraro, Oussama Abla, Shlomit Barzilai-Birenboim, Simon Bomken, Laurence Brugieres, Eva Bubanska, Birgit Burkhardt, Alan K S Chiang, Monika Csoka and 17 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Haematologica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
6.4field-weighted citation impact, top 3% 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

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. An unusual cranial manifestation of B-cell precursor lymphoblastic lymphoma in 10-year-old girl.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  4. Navigating primary and secondary immunodeficiency intersections: how to find IEI hidden within SID.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2026
    Review
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  10. Observational
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  18. Inborn errors of immunity caused by defects in the DNA damage response pathways: Importance of minimizing treatment-related genotoxicity.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2022
    Review
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  20. 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

27 authors at 20 institutions in 21 countries.

Andishe AttarbaschiPediatric Hematology and Oncology, St. Anna Children's Hospital, Medical University of Vienna, Austria andishe.attarbaschi@stanna.at.
Elisa CarraroPediatric Hematology and Oncology, University of Padova, Italy.
Oussama AblaDepar tment of Pediatrics, Division of Hematology and Oncology, Hospital for Sick, Children, Toronto, Canada.
Shlomit Barzilai-BirenboimPediatric Hematology and Oncology, Schneider Children's, Medical Center of Israel, Petah-Tivka, Israel and Sackler Faculty of Medicine, Tel Aviv, University, Israel.
Simon BomkenNorthern Institute for Cancer Research, Newcastle University, UK.
Laurence BrugieresDepartment of Pediatric Oncology, Institute Gustave-Roussy, Villejuif, France.
Eva BubanskaDepartment of Pediatric Oncology and Hematology, University Children's Hospital, Banska Bystrica, Slovakia.
Birgit BurkhardtPediatric Hematology and Oncology, University of Munster, Germany.
Alan K S ChiangDepartment of Pediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong.
Monika CsokaPediatric Hematology and Oncology, Semmelweis University, Budapest, Hungary.
Alina FedorovaBelarusian Research Center for Pediatric Oncology, Hematology and Immunology, Minsk, Belarus.
Janez JazbecDivision of Pediatrics, Hematology and Oncology, University Medical Center Ljubljana, Slovenia.
Edita KabickovaPediatric Hematology and Oncology, Charles University and University Hospital Motol, Prague, Czech Republic.
Zdenka KrenovaPediatric Hematology and Oncology, University Hospital, Brno, Czech Republic.
Jelena LazicPediatric Hematology and Oncology, University Children's Hospital, School of Medicine University of Belgrade, Serbia.
Jan LoeffenPediatric Hematology and Oncology, Erasmus MC - Sophia Children's Hospital, Rotterdam, the Netherlands.
Georg MannPediatric Hematology and Oncology, St. Anna Children's Hospital, Medical University of Vienna, Austria.
Felix NiggliPediatric Hematology and Oncology, University Hospital, Zurich, Switzerland.
Natalia MiakovaPediatric Hematology and Oncology, Federal Center for Pediatric Hematology, Oncology and Immunology, Moscow, Russia.
Tomoo OsumiChildren's Cancer Center, National Center for Child Health and Development, Tokyo, Japan.
Leila RoncerayPediatric Hematology and Oncology, St. Anna Children's Hospital, Medical University of Vienna, Austria.
Anne UyttebroeckPediatric Hematology and Oncology, University Hospitals Leuven, Belgium.
Denise WilliamsPediatric Hematology and Oncology, Cambridge University Hospitals Foundation Trust, Addenbrooke's Hospital, Cambridge, UK.
Wilhelm WoessmannPediatric Hematology and Oncology, Justus Liebig University, Giessen, Germany.
Grazyna WrobelBone Marrow Transplantation and Pediatric Hematology and Oncology, Wroclaw Medical University, Poland.
Marta PillonPediatric Hematology and Oncology, University of Padova, Italy.
European Intergroup for Childhood Non-Hodgkin Lymphoma (EICNHL) and the International Berlin-Frankfur t-Münster (i-BFM) Study Group
St Anna Children's Hospital · ATUniversity of Padua · ITBelarusian Research Center For Pediatric Oncology and Hematology · BYCambridge University Hospitals NHS Foundation Trust · GBCharles University · CZErasmus MC - Sophia Children’s Hospital · NLFederal State Institution Hematology Research Center · RUHospital for Sick Children · CAInstitut Gustave Roussy · FRKU Leuven · BELjubljana University Medical Centre · SIMedical University of Vienna · ATNational Center For Child Health and Development · JPNewcastle University · GBQueen Mary Hospital · CNSemmelweis University · HUTel Aviv University · ILUniversity Hospital Bratislava · SKUniversity Hospital Brno · CZUniversity Hospital of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Children and adolescents with pre-existing conditions such as DNA repair defects or other primary immunodeficiencies have an increased risk of non-Hodgkin lymphoma. However, large-scale data on patients with non-Hodgkin lymphoma and their entire spectrum of pre-existing conditions are scarce. A retrospective multinational study was conducted by means of questionnaires sent out to the national study groups or centers, by the two largest consortia in childhood non-Hodgkin lymphoma, the European Intergroup for Childhood non-Hodgkin Lymphoma, and the international Berlin-Frankfurt-Münster Study Group. The study identified 213 patients with non-Hodgkin lymphoma and a pre-existing condition. Four subcategories were established: a) cancer predisposition syndromes (n=124, 58%); b) primary immunodeficiencies not further specified (n=27, 13%); c) genetic diseases with no increased cancer risk (n=40, 19%); and d) non-classifiable conditions (n=22, 10%). Seventy-nine of 124 (64%) cancer predispositions were reported in groups with more than 20 patients: ataxia telangiectasia (n=32), Nijmegen breakage syndrome (n=26), constitutional mismatch repair deficiency (n=21). For the 151 patients with a known cancer risk, 5-year event-free survival and overall survival rates were 40%±4% and 51%±4%, respectively. Five-year cumulative incidences of progression/relapse and treatment-related death as a first event were 22%±4% and 24%±4%, respectively. Ten-year incidence of second malignancy was 24%±5% and 7-year overall survival of the 21 patients with a second malignancy was 41%±11%. Patients with non-Hodgkin lymphoma and pre-existing conditions have an inferior survival rate with a large proportion of therapy-related deaths compared to patients with non-Hodgkin lymphoma and no pre-existing conditions. They may require special vigilance when receiving standard or modified/reduced-intensity chemotherapy or when undergoing allogeneic stem cell transplantation.

Indexed as

ComorbidityDisease SusceptibilityPublic Health SurveillanceAdolescentChildChild, PreschoolCombined Modality TherapyDisease ProgressionFemaleHumansInfantInfant, NewbornKaplan-Meier EstimateLymphoma, Non-HodgkinMaleNeoplasms, Second Primary

Identifiers

PMID27515251
PMCPMC5479624
OpenAlexW2513682947

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.