Evidence map›Paper›PMID 29252084›Full record

ArticleLeukemia & lymphoma2018

Hyperglycemia during first-line R-CHOP or dose adjusted R-EPOCH chemotherapy for non-Hodgkin lymphoma is prevalent and associated with chemotherapy alteration - a retrospective study.

Zanetta S Lamar, Andrew Dothard, LeAnne Kennedy, Scott Isom, Mac Robinson, Rakhee Vaidya, David Hurd, Donald McClain, Glenn Lesser

Abstract read
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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Influence of Hyperglycemia on the Prognosis of Patients with Diffuse Large B-Cell Lymphoma.Diabetes, metabolic syndrome and obesity : targets and therapy · 2022
    Article
  8. Review
  9. Article
  10. Article
  11. The clinicopathological features of parotid lymphoma.International journal of clinical and experimental pathology · 2020
    Article
  12. 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

9 authors.

Zanetta S Lamara Department of Internal Medicine - Section of Hematology and Oncology , Wake Forest Baptist Medical Center , Winston-Salem , NC , USA.ORCID 0000-0002-0647-3963
Andrew Dotharda Department of Internal Medicine - Section of Hematology and Oncology , Wake Forest Baptist Medical Center , Winston-Salem , NC , USA.
LeAnne Kennedyc Department of Pharmacy , Wake Forest Baptist Medical Center , Winston-Salem , NC , USA.
Scott Isoma Department of Internal Medicine - Section of Hematology and Oncology , Wake Forest Baptist Medical Center , Winston-Salem , NC , USA.
Mac Robinsonb Wake Forest Baptist Comprehensive Cancer Center, Wake Forest Baptist Medical Center , Winston-Salem , NC , USA.
Rakhee Vaidyaa Department of Internal Medicine - Section of Hematology and Oncology , Wake Forest Baptist Medical Center , Winston-Salem , NC , USA.
David Hurda Department of Internal Medicine - Section of Hematology and Oncology , Wake Forest Baptist Medical Center , Winston-Salem , NC , USA.
Donald McClaine Department of Internal Medicine - Section of Endocrinology and Metabolism , Wake Forest Baptist Medical Center , Winston-Salem , NC , USA.
Glenn Lessera Department of Internal Medicine - Section of Hematology and Oncology , Wake Forest Baptist Medical Center , Winston-Salem , NC , USA.

Funding

Wake Forest NCORP Research BaseUG1CA189824 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Emily Van Meter Dressler, GLENN J LESSER · 2014 to 2026
$57.9M
Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
Wake Forest Clinical and Translational Science AwardUL1TR001420 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARD, JAMY D, FOLEY, KRISTIE L · 2015 to 2023
$32.3M
NCATS NIH HHS UL1 TR001420NCI NIH HHS L30 CA220731NCI NIH HHS P30 CA012197NCI NIH HHS UG1 CA189824
6 · The paper itself

Abstract

High-dose glucocorticoids such as prednisone are combined with cytotoxic chemotherapy in the R-CHOP or dose adjusted R-EPOCH regimens used for non-Hodgkin lymphoma (NHL). In this retrospective study, our primary objective was to evaluate the incidence of hyperglycemia during first-line R-CHOP or DA-EPOCH-R. The secondary objectives were to evaluate the incidence of chemotherapy alteration and overall survival in those with and without hyperglycemia. One hundred and sixty patients were eligible. We found that 47% of all patients had at least one hyperglycemic episode and hyperglycemia was associated with chemotherapy alteration (p = .028). Multivariate analysis revealed international prognostic index (IPI) ≥ 3 (p = .045) and chemotherapy alteration (p = .001) were associated with decreased overall survival. We conclude that hyperglycemia is common during first-line NHL treatment with R-CHOP or DA-EPOCH-R, even in the absence of known diabetes and is associated with alterations of chemotherapy. Baseline pre-PET scan fasting blood glucose of 100 mg/dL or higher may predict hyperglycemia during therapy.

Indexed as

AgedAntibodies, Monoclonal, Murine-DerivedAntineoplastic Combined Chemotherapy ProtocolsBlood GlucoseCyclophosphamideDoxorubicinEtoposideFemaleHumansHyperglycemiaKaplan-Meier EstimateLymphoma, Non-HodgkinMaleMiddle AgedPrednisoneRetrospective StudiesAntibodies, Monoclonal, Murine-DerivedBlood GlucoseCyclophosphamideDoxorubicinEtoposidePrednisoneRituximabVincristinechemotherapyhyperglycemiaLymphomanon-Hodgkin lymphoma

Identifiers

PMID29252084
PMCPMC6005713

What OpenQuestion holds

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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.