Evidence map›Paper›PMID 29051524›Full record

Trial reportScientific reports2017

The international staging system improves the IPI risk stratification in patients with diffuse large B-cell lymphoma treated with R-CHOP.

Xiaolei Wei, Xiaoxiao Hao, Lizhi Zhou, Qi Wei, Yuankun Zhang, Weimin Huang, Jialin Song, Ru Feng, Yongqiang Wei

Erratum issuedOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Xiaolei WeiDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Xiaoxiao HaoDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Lizhi ZhouDepartment of Biostatistics, School of Public Health, Southern Medical University, Guangzhou, China.
Qi WeiDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yuankun ZhangDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Weimin HuangDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Jialin SongDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Ru FengDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yongqiang WeiDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China. wyq1973@163.com.
Nanfang Hospital · CNSouthern Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The international staging system (ISS), based on serum beta-2 microglobulin and albumin, is used to predict survival in multiple myeloma, but its prognostic significance in diffuse large B-cell lymphoma (DLBCL) remains unknown. Herein, we retrospectively analyzed 215 de novo DLBCL patients. According to ISS, there were 90 of 215 (41.9%) patients in stage I, 98 of 215 (45.6%) in stage II and 27 of 215 (12.6%) in stage III group. Patients with ISS stage II/III showed shorter overall survival (OS) and event free survival (EFS) than those with stage I treated with R-CHOP (p = 0.012 and p = 0.043, respectively), but not those treated with CHOP regimen (p > 0.05). Multivariable analysis revealed that ISS, independent of IPI, indicated different survival in both OS (HR, 5.690; 95% CI, 1.270-25.495, p = 0.023) and EFS (HR, 2.116; 95% CI, 1.005-4.455, p = 0.049) in DLBCL patients treated with R-CHOP. ISS could identify patients with better outcome in intermediate-high/high IPI risk patients (p < 0.05). Our data suggests that advanced ISS stage is associated with inferior outcome in DLBCL patients treated with R-CHOP. ISS could identify a subgroup of DLBCL patients with superior outcome from high IPI risk patients, which may help to avoid intensive therapy.

Indexed as

AdultAgedAged, 80 and overAntibodies, Monoclonal, Murine-DerivedAntineoplastic Combined Chemotherapy ProtocolsCyclophosphamideDisease-Free SurvivalDoxorubicinFemaleHumansLymphoma, Large B-Cell, DiffuseMaleMiddle AgedNeoplasm StagingPrednisoneRisk AssessmentAntibodies, Monoclonal, Murine-DerivedCyclophosphamideDoxorubicinPrednisoneR-CHOP protocolRituximabVincristine

Identifiers

PMID29051524
PMCPMC5648852
OpenAlexW2761492342

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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.