Evidence map›Paper›PMID 29209924›Full record

Observational studyAnnals of hematology2018

Treatment of sporadic Burkitt lymphoma in adults, a retrospective comparison of four treatment regimens.

L E M Oosten, M E D Chamuleau, F W Thielen, L C de Wreede, C Siemes, J K Doorduijn, O S Smeekes, M J Kersten, L Hardi, J W Baars and 9 more

Open access · hybridAbstract readComparative StudyMulticenter StudyObservational Study
In one paragraph

Observational study in Annals of hematology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. [Efficacy and safety of rituximab in children and adolescents with mature B-cell non-Hodgkin's lymphoma: a Meta analysis].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2023
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Refractory Burkitt Lymphoma: Diagnosis and Interventional Strategies.Blood and lymphatic cancer : targets and therapy · 2024
    Review
  10. Article
  11. Rare central nervous system lymphomas.British journal of haematology · 2022
    Review
  12. Article
  13. Comparison Between CHOP and DAEPOCH with or Without Rituximab in Adult High Grade B Cell Lymphoma, Not Otherwise Specified; A Retrospective Study From a Tertiary Cancer Hospital in South India.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2022
    Article
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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

19 authors at 12 institutions in 1 country.

L E M OostenDepartment of Immunohematology and Blood Transfusion, Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands. l.e.m.oosten@lumc.nl.
M E D ChamuleauDepartment of Hematology, VU University Medical Center, Amsterdam, The Netherlands.
F W ThielenErasmus School of Health Policy & Management / Institute for Medical Technology Assessment, Erasmus University, Rotterdam, The Netherlands.
L C de WreedeDepartment of Medical Statistics and Bioinformatics, Leiden University Medical Center, Leiden, The Netherlands.
C SiemesDepartment of Hematology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
J K DoorduijnDepartment of Hematology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
O S SmeekesDepartment of Hematology, Academic Medical Center, Amsterdam, The Netherlands.
M J KerstenDepartment of Hematology, Academic Medical Center, Amsterdam, The Netherlands.
L HardiDepartment of Hematology, VU University Medical Center, Amsterdam, The Netherlands.
J W BaarsDepartment of Medical Oncology, Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
A M P DemandtDepartment of Hematology, Maastricht University Medical Center, Maastricht, The Netherlands.
W B C StevensDepartment of Hematology, Radboud University Medical Center Nijmegen, Nijmegen, The Netherlands.
M NijlandDepartment of Hematology, University Medical Center Groningen, Groningen, The Netherlands.
G W van ImhoffDepartment of Hematology, University Medical Center Groningen, Groningen, The Netherlands.
R BrouwerDepartment of Hematology, Reinier de Graaf Hospital, Delft, The Netherlands.
C A Uyl-de GrootErasmus School of Health Policy & Management / Institute for Medical Technology Assessment, Erasmus University, Rotterdam, The Netherlands.
P M KluinDepartment of Pathology and Medical Biology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
D de JongDepartment of Pathology, VU University Medical Center, Amsterdam, The Netherlands.
H VeelkenDepartment of Hematology, Leiden University Medical Center, Leiden, The Netherlands.
Leiden University Medical Center · NLAcademic Medical Center · NLAmsterdam UMC Location VUmc · NLErasmus MC Cancer Institute · NLErasmus University Rotterdam · NLUniversity Medical Center Groningen · NLAlrijne Ziekenhuis · NLMaastricht University · NLRadboud University Medical Center · NLReinier de Graaf Hospital · NLThe Netherlands Cancer Institute · NLUniversity of Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Burkitt lymphoma is an aggressive B cell malignancy accounting for 1-2% of all adult lymphomas. Treatment with dose-intensive, multi-agent chemotherapy is effective but associated with considerable toxicity. In this observational study, we compared real-world efficacy, toxicity, and costs of four frequently employed treatment strategies for Burkitt lymphoma: the Lymphome Malins B (LMB), the Berlin-Frankfurt-Münster (BFM), the HOVON, and the CODOX-M/IVAC regimens. We collected data from 147 adult patients treated in eight referral centers. Following central pathology assessment, 105 of these cases were accepted as Burkitt lymphoma, resulting in the following treatment groups: LMB 36 patients, BFM 19 patients, HOVON 29 patients, and CODOX-M/IVAC 21 patients (median age 39 years, range 14-74; mean duration of follow-up 47 months). There was no significant difference between age, sex ratio, disease stage, or percentage HIV-positive patients between the treatment groups. Five-year progression-free survival (69%, p = 0.966) and 5-year overall survival (69%, p = 0.981) were comparable for all treatment groups. Treatment-related toxicity was also comparable with only hepatotoxicity seen more frequently in the CODOX/M-IVAC group (p = 0.004). Costs were determined by the number of rituximab gifts and the number of inpatients days. Overall, CODOX-M/IVAC had the most beneficial profile with regards to costs, treatment duration, and percentage of patients completing planned treatment. We conclude that the four treatment protocols for Burkitt lymphoma yield nearly identical results with regards to efficacy and safety but differ in treatment duration and costs. These differences may help guide future choice of treatment.

Indexed as

Cost-Benefit AnalysisAdolescentAdultAgedAntineoplastic Combined Chemotherapy ProtocolsBurkitt LymphomaCarmustineCyclophosphamideCytarabineEtoposideFemaleHIV InfectionsHumansIfosfamideMaleMelphalanCarmustineCyclophosphamideCytarabineEtoposideIfosfamideMelphalanMethotrexateRituximabBurkitt lymphomaCost analysisDrug therapySurvival

Identifiers

PMID29209924
PMCPMC5754407
OpenAlexW2773985729

What OpenQuestion holds

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LicenceCC BY
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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.