Evidence map›Paper›PMID 28797213›Full record

ArticleLeukemia & lymphoma2018

Surveillance imaging in mantle cell lymphoma in first remission lacks clinical utility.

Daniel M Guidot, Jeffrey M Switchenko, Loretta J Nastoupil, Jean L Koff, Kristie A Blum, Joseph Maly, Christopher R Flowers, Jonathon B Cohen

Abstract readComparative StudyEvaluation StudyMulticenter Study
In one paragraph

Article in Leukemia & lymphoma, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Daniel M Guidota Winship Cancer Institute, Emory University , Atlanta , GA , USA.ORCID 0000-0002-3165-2496
Jeffrey M Switchenkob Department of Biostatistics , Emory University , Atlanta , GA , USA.
Loretta J Nastoupilc MD Anderson Cancer Center, University of Texas , Houston , TX , USA.
Jean L Koffa Winship Cancer Institute, Emory University , Atlanta , GA , USA.ORCID 0000-0003-4414-0489
Kristie A Blumd James Comprehensive Cancer Center, The Ohio State University , Columbus , OH , USA.
Joseph Malyd James Comprehensive Cancer Center, The Ohio State University , Columbus , OH , USA.
Christopher R Flowersa Winship Cancer Institute, Emory University , Atlanta , GA , USA.
Jonathon B Cohena Winship Cancer Institute, Emory University , Atlanta , GA , USA.

Funding

Winship Cancer Institute Cancer Center Support GrantP30CA138292 · NCI · EMORY UNIVERSITY · PI Suresh S Ramalingam · 2009 to 2026
$47.5M
Mentored Patient Oriented Research in LymphomaK24CA208132 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI FLOWERS, CHRISTOPHER R · 2016 to 2020
$822k
NCI NIH HHS K24 CA208132NCI NIH HHS L30 CA188979NCI NIH HHS P30 CA138292
6 · The paper itself

Abstract

Mantle cell lymphoma (MCL) is a heterogeneous disease with high relapse rates. Limited data guide the use of surveillance imaging following treatment. We constructed a retrospective cohort from two academic institutions of patients with MCL who completed first-line therapy and underwent follow-up for relapse, analyzing the effect of surveillance imaging on survival. Of 217 patients, 102 had documented relapse, with 38 (37%) diagnosed by surveillance imaging and 64 (63%) by other methods. Relapse diagnosis by surveillance imaging had no significant advantage in overall survival from diagnosis date (hazard ratio [HR] = 0.80, p = .39) or relapse date (HR = 0.72, p = .22). Of 801 surveillance images, PET/CT had a positive predictive value (PPV) of 24% and number needed-to-scan/treat (NNT) of 51 to detect one relapse, and CT had a PPV of 49% and NNT of 24. For MCL after first-line therapy, relapse detection by surveillance imaging was not associated with improved survival and lacks clinical benefit.

Indexed as

Positron Emission Tomography Computed TomographyAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsDisease-Free SurvivalFemaleFollow-Up StudiesHumansLymphoma, Mantle-CellMaleMiddle AgedNeoplasm Recurrence, LocalPredictive Value of TestsProportional Hazards ModelsRetrospective StudiesCTMantle cell lymphomaPET/CTrelapsesurveillance imagingsurvival

Identifiers

PMID28797213
PMCPMC6374125

What OpenQuestion holds

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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.