Evidence map›Paper›PMID 30916801›Full record

Trial reportAmerican journal of hematology2019

The utility of prognostic indices, early events, and histological subtypes on predicting outcomes in non-follicular indolent B-cell lymphomas.

Sean I Tracy, Melissa C Larson, Andrew L Feldman, Matthew J Maurer, Anne J Novak, Susan L Slager, Jose C Villasboas, Cristine Allmer, Thomas M Habermann, Umar Farooq and 3 more

Abstract readClinical Trial
In one paragraph

Trial report in American journal of hematology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

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

  1. [The guideline for the diagnosis and treatment of marginal zone lymphoma in China (2025)].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2025
    Guideline
  2. Article
  3. Article
  4. Article
  5. Review
  6. [Clinical features and prognosis of splenic marginal zone lymphoma with POD24].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Management of marginal zone lymphomas.Hematology. American Society of Hematology. Education Program · 2022
    Article
  16. Article
  17. Article
  18. Gastric MALT Lymphoma: A 8-Year Experience.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2022
    Article
  19. Article
  20. 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

13 authors.

Sean I TracyDivision of Hematology, Oncology, and Bone Marrow Transplantation, University of Minnesota, Minneapolis, Minnesota.ORCID 0000-0001-7047-2589
Melissa C LarsonDepartment of Internal Medicine, Mayo Clinic, Rochester, Minnesota.
Andrew L FeldmanDepartment of Internal Medicine, Mayo Clinic, Rochester, Minnesota.
Matthew J MaurerDepartment of Internal Medicine, Mayo Clinic, Rochester, Minnesota.
Anne J NovakDepartment of Internal Medicine, Mayo Clinic, Rochester, Minnesota.
Susan L SlagerDepartment of Internal Medicine, Mayo Clinic, Rochester, Minnesota.
Jose C VillasboasDepartment of Internal Medicine, Mayo Clinic, Rochester, Minnesota.
Cristine AllmerDepartment of Internal Medicine, Mayo Clinic, Rochester, Minnesota.
Thomas M HabermannDepartment of Internal Medicine, Mayo Clinic, Rochester, Minnesota.
Umar FarooqDivision Hematology, Oncology, and Bone Marrow Transplantation, University of Iowa, Iowa City, Iowa.
Sergei SyrbuDivision Hematology, Oncology, and Bone Marrow Transplantation, University of Iowa, Iowa City, Iowa.
James R CerhanDepartment of Internal Medicine, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0002-7482-178X
Brian K LinkDivision Hematology, Oncology, and Bone Marrow Transplantation, University of Iowa, Iowa City, Iowa.

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Christopher K Laubenthal · 2000 to 2026
$70.0M
The Role of Monocytes in non-Hodgkin LymphomaP50CA097274 · NCI · UNIVERSITY OF IOWA · PI LENTZ, STEVEN R · 2002 to 2021
$45.7M
The Lymphoma Epidemiology of Outcomes (LEO) Cohort Study (Supplement)U01CA195568 · NCI · MAYO CLINIC ROCHESTER · PI CERHAN, JAMES R, FLOWERS, CHRISTOPHER R · 2015 to 2025
$22.1M
Henry J. Predolin FoundationNCI NIH HHS P30 CA086862NCI NIH HHS P50 CA097274NCI NIH HHS U01 CA195568NIH HHS P50 CA CA97274
6 · The paper itself

Abstract

Indolent B-cell lymphomas other than follicular lymphoma account for up to 10% of all B-cell neoplasms. While they typically follow a slowly progressive course, some patients experience rapid progression and early mortality. Prognostic scoring systems have not been adopted, hindering the ability of clinicians or researchers to predict outcomes, or risk-stratify patients during clinical trials. To address this, we evaluated the utility of existing prognostic indices and novel, early disease-related outcomes, to predict subsequent long term survival. Baseline characteristics and outcomes data were generated from a longitudinal cohort study that prospectively enrolled 632 patients newly diagnosed with marginal zone lymphoma, lymphoplasmacytic lymphomas, or B-cell lymphomas not otherwise specified, beginning in 2002. The International Prognostic Index (IPI), Follicular Lymphoma International Prognostic Index (FLIPI), and MALT International prognostic index (MALT-IPI) demonstrated c-statistics that ranged from 0.593-0.612 for event-free survival (EFS), and 0.683-0.714 for overall survival (OS). Patients who attained event-free survival at 12 months (EFS12) experienced similar mortality to the US general population (standardized mortality ratio [SMR] 1.19; 95% CI 0.95-1.46). Patients who did not attain EFS12 had subsequent worse morality (SMR 3.14 (95% CI 2.05-4.59). The MALT-IPI demonstrated utility in predicting subsequent long-term outcomes among patients with non-follicular indolent B-cell lymphomas. This index should be used by clinicians giving guidance to patients at the time of initial diagnosis, and risk stratification during clinical studies. The divergent long-term outcomes experienced by patients who do or do not attain EFS12 suggest there exists a subset of patients who harbor high-risk disease. Future research efforts should focus on methods to identify these patients at the time of diagnosis, in order to enable risk-tailored therapy.

Indexed as

AdolescentAdultAgedAged, 80 and overDisease-Free SurvivalFemaleHumansLongitudinal StudiesLymphoma, B-Cell, Marginal ZoneMaleMiddle AgedPredictive Value of TestsProspective StudiesRisk AssessmentSurvival Rate

Identifiers

PMID30916801
PMCPMC7137349

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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.