Evidence map›Paper›PMID 30940907›Full record

ArticleLeukemia2019

Clinical, histopathological and molecular characterization of hypoplastic myelodysplastic syndrome.

Elisa Bono, Donal McLornan, Erica Travaglino, Shreyans Gandhi, Anna Gallì, Alesia Abigael Khan, Austin G Kulasekararaj, Emanuela Boveri, Kavita Raj, Chiara Elena and 9 more

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In one paragraph

Article in Leukemia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
8.0field-weighted citation impact, top 2% 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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.

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  17. Risk stratifying MDS in the time of precision medicine.Hematology. American Society of Hematology. Education Program · 2022
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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 5 institutions in 2 countries.

Elisa BonoDepartment of Hematology, IRCCS Policlinico S. Matteo Foundation, Pavia, Italy.
Donal McLornanDepartment of Haematological Medicine, King's College Hospital, London, UK.
Erica TravaglinoDepartment of Hematology, IRCCS Policlinico S. Matteo Foundation, Pavia, Italy.
Shreyans GandhiDepartment of Haematological Medicine, King's College Hospital, London, UK.
Anna GallìDepartment of Hematology, IRCCS Policlinico S. Matteo Foundation, Pavia, Italy.
Alesia Abigael KhanGuy's and St Thomas' NHS Foundation Trust, London, UK.
Austin G KulasekararajDepartment of Haematological Medicine, King's College Hospital, London, UK.
Emanuela BoveriUnit of Pathology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Kavita RajDepartment of Haematological Medicine, King's College Hospital, London, UK.
Chiara ElenaDepartment of Hematology, IRCCS Policlinico S. Matteo Foundation, Pavia, Italy.
Robin M IrelandDepartment of Haematological Medicine, King's College Hospital, London, UK.
Antonio BianchessiDepartment of Hematology, IRCCS Policlinico S. Matteo Foundation, Pavia, Italy.
Jie JiangDepartment of Haematological Medicine, King's College Hospital, London, UK.
Gabriele TodiscoDepartment of Hematology, IRCCS Policlinico S. Matteo Foundation, Pavia, Italy.
Virginia Valeria FerrettiDepartment of Molecular Medicine, University of Pavia, Pavia, Italy.
Mario CazzolaDepartment of Hematology, IRCCS Policlinico S. Matteo Foundation, Pavia, Italy.
Judith C W MarshDepartment of Haematological Medicine, King's College Hospital, London, UK.
Luca MalcovatiDepartment of Hematology, IRCCS Policlinico S. Matteo Foundation, Pavia, Italy. luca.malcovati@unipv.it.
Ghulam J MuftiDepartment of Haematological Medicine, King's College Hospital, London, UK. ghulam.mufti@kcl.ac.uk.
King's College Hospital · GBUniversity of Pavia · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITPoliclinico San Matteo Fondazione · ITGuy's and St Thomas' NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diagnostic criteria for hypoplastic myelodysplasic syndrome (h-MDS) have not been clearly established, making the differential diagnosis from other bone marrow failure syndromes (BMF) challenging. In this study, we aimed to delineate clinical, histopathological, and molecular features of h-MDS, based on a large and well-annotated cohort of patients with bone marrow (BM) hypocellularity. The study included 534 consecutive adult patients with hypocellular BM (278 h-MDS and 136 aplastic anemia), and 727 with normo- or hypercellular MDS (n-MDS). Comparison of clinical features of patients with h-MDS as defined by BM cellularity ≤25% (n = 204) or reduced age-adjusted cellularity (n = 74) did not reveal significant differences. We developed a diagnostic score to discriminate h-MDS from non-malignant BMF based on histological and cytological variables with the highest specificity for MDS (h-score). The information from chromosomal abnormalities and somatic mutation patterns was then integrated into a cyto-histological/genetic score (hg-score). This score was able to segregate two groups of h-MDS with a significantly different risk of blast progression (P < 0.001). The integration of cyto-histological and genetic features in adult patients with hypocellular BM facilitated segregation into two distinct groups, one with clinical and genetic features highly consistent with myeloid neoplasm, and one with features more consistent with non-malignant BMF.

Indexed as

AdolescentAdultAgedAged, 80 and overAnemia, AplasticBone MarrowChromosome AberrationsCohort StudiesDiagnosis, DifferentialFemaleHumansKaryotypingMaleMiddle AgedMyelodysplastic SyndromesYoung Adult

Identifiers

PMID30940907
OpenAlexW2930782420

What OpenQuestion holds

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Read underepoch 390

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.