Evidence map›Paper›PMID 30511461›Full record

Trial reportPediatric blood & cancer2019

Survival after diffuse large B-cell lymphoma among children, adolescents, and young adults in California, 2001-2014: A population-based study.

Renata Abrahão, Raul C Ribeiro, Daphne Y Lichtensztajn, Aaron S Rosenberg, Theresa H M Keegan

Erratum issuedOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in Pediatric blood & cancer, 2019. 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.3field-weighted citation impact, top 36% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Renata AbrahãoGreater Bay Area Cancer Registry, Cancer Prevention Institute of California, Fremont, California.ORCID 0000-0002-1644-0313
Raul C RibeiroDepartment of Oncology and Global Pediatric Medicine, Division of Leukemia and Lymphoma, St. Jude Children's Research Hospital, Memphis, Tennessee.
Daphne Y LichtensztajnGreater Bay Area Cancer Registry, Cancer Prevention Institute of California, Fremont, California.
Aaron S RosenbergDivision of Hematology and Oncology, Center of Oncology Hematology Outcomes Research and Training, University of California Davis School of Medicine, Sacramento, California.
Theresa H M KeeganDivision of Hematology and Oncology, Center of Oncology Hematology Outcomes Research and Training, University of California Davis School of Medicine, Sacramento, California.
Cancer Prevention Institute of California · USUniversity of California, Davis · USSt. Jude Children's Research Hospital · US

Funding

CDC HHS 5NU58DP003862-04/DP003862NCCDPHP CDC HHS U58 DP003862NCI NIH HHS HHSN261201000034CNCI NIH HHS HHSN261201000035CNCI NIH HHS HHSN261201000035INCI NIH HHS HHSN261201000140CNIH HHS HHSN261201000034CNIH HHS HHSN261201000035C
6 · The paper itself

Abstract

backgroundThis population-based study considered the influence of rituximab on the survival of children (0-19 years), adolescents, and young adults (AYAs, 20-39 years) with diffuse large B-cell lymphoma (DLBCL), including patients with human immunodeficiency virus (HIV) infection.

methodsData on 642 children and AYAs diagnosed with DLBCL during 2001-2014 were obtained from the Greater Bay Area Cancer Registry in California. Facility-level reports provided treatment details. The Kaplan-Meier method estimated survival and Cox regression models examined the association between survival and rituximab use, adjusting for sociodemographic and clinical factors.

resultsRituximab use increased from 2001-2007 to 2008-2014 among children (from 32% to 48%), AYAs (from 68% to 84%), and HIV patients (from 57% to 67%). Five-year survival was higher among children (91%) than AYAs (82%). On multivariable analysis, the hazard of death was 44% lower among rituximab recipients, and higher among uninsured patients, those with HIV, and those with advanced stage at diagnosis. HIV patients who received rituximab were 60% less likely to die than nonrecipients.

conclusionsOur study suggests a benefit of rituximab on the treatment of AYAs and HIV patients with DLBCL. The worse survival observed among HIV-positive and uninsured patients is of concern and calls for further investigation. Careful consideration should be given on whether to recommend rituximab more often on the front-line treatment of children and HIV-positive patients with DLBCL.

Indexed as

HIV-1HIV InfectionsLymphoma, Large B-Cell, DiffuseAdolescentAdultAge FactorsCaliforniaChildChild, PreschoolDisease-Free SurvivalFemaleHumansInfantInfant, NewbornMaleRituximabRituximabAYAchildrenDLBCLpopulation-based studyrituximabsurvival

Identifiers

PMID30511461
PMCPMC9423938
OpenAlexW2903446164

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.