Evidence map›Paper›PMID 30962090›Full record

Observational studyJournal of geriatric oncology2020

Inflammatory biomarkers, geriatric assessment, and treatment outcomes in acute myeloid leukemia.

Kah Poh Loh, Janet A Tooze, Barbara J Nicklas, Stephen B Kritchevsky, Jeff D Williamson, Leslie R Ellis, Bayard L Powell, Timothy S Pardee, Neha G Goyal, Heidi D Klepin

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of geriatric oncology, 2020. 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
2.3field-weighted citation impact, top 11% 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, 34 citations in OpenAlex.

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  8. The Prognostic Value of C-Reactive Protein and Albumin in Newly Diagnosed Patients with AML.International journal of hematology-oncology and stem cell research · 2025
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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

10 authors at 3 institutions in 1 country.

Kah Poh LohDivision of Hematology/Oncology, James P. Wilmot Cancer Institute, University of Rochester/Strong Memorial Hospital, Rochester, NY, United States. Electronic address: kahpoh_loh@urmc.rochester.edu.
Janet A ToozeDivision of Public Health Sciences, Wake Forest Baptist Health, Winston-Salem, NC, United States.
Barbara J NicklasSection Gerontology and Geriatric Medicine, Wake Forest Baptist Health, Winston-Salem, NC, United States.
Stephen B KritchevskySection Gerontology and Geriatric Medicine, Wake Forest Baptist Health, Winston-Salem, NC, United States.
Jeff D WilliamsonSection Gerontology and Geriatric Medicine, Wake Forest Baptist Health, Winston-Salem, NC, United States.
Leslie R EllisSection on Hematology and Oncology, Wake Forest Baptist Health, Winston-Salem, NC, United States.
Bayard L PowellSection on Hematology and Oncology, Wake Forest Baptist Health, Winston-Salem, NC, United States.
Timothy S PardeeSection on Hematology and Oncology, Wake Forest Baptist Health, Winston-Salem, NC, United States.
Neha G GoyalHelen Diller Family Comprehensive Cancer Center, University of California, San Francisco, United States.
Heidi D KlepinSection on Hematology and Oncology, Wake Forest Baptist Health, Winston-Salem, NC, United States.
Atrium Health Wake Forest Baptist · USStrong Memorial Hospital · USUniversity of California, San Francisco · US

Funding

Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
Wake Forest Claude D. Pepper OAIC - RenewalP30AG021332 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Jamie Nicole Justice · 2002 to 2026
$36.4M
Wake Forest Alzheimer's Disease Core CenterP30AG049638 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI RAPP, STEPHEN R · 2016 to 2020
$12.2M
Geriatric Oncology Research Infrastructure to Improve Clinical CareR33AG059206 · NIA · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI WILLIAM DALE, Heidi Diana Klepin · 2020 to 2026
$5.1M
Postdoctoral Training Program in Cancer SurvivorshipR25CA122061 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI AVIS, NANCY E · 2008 to 2018
$3.8M
Cancer Prevention And Control Training Grant (CAPACITY)T32CA122061 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KRISTIE L FOLEY, Kathryn Elizabeth Weaver · 2019 to 2026
$2.1M
Minimizing Physical Function Decline in Older Adults Receiving ChemotherapyK23AG038361 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI KLEPIN, HEIDI DIANA · 2011 to 2014
$562k
NCI NIH HHS P30 CA012197NCI NIH HHS R25 CA122061NCI NIH HHS T32 CA122061NIA NIH HHS K23 AG038361NIA NIH HHS P30 AG021332NIA NIH HHS P30 AG049638NIA NIH HHS R33 AG059206
6 · The paper itself

Abstract

objectivesTo investigate changes in inflammatory biomarkers during induction therapy for older adults with acute myeloid leukemia (AML) and their associations with geriatric assessment (GA) measures and outcomes.

methodsThis was a single institution ancillary study to a prospective observational study (N = 20 consecutive adults aged ≥60 with newly diagnosed AML who received induction chemotherapy). Biomarkers (Interleukin-6 [IL-6], IL-6 soluble receptor [IL-6 sR], tumor necrosis factor alpha [TNFα], TNFα soluble receptor 1 [TNFα sR1], interleukin-3 [IL-3], C-reactive protein [CRP]) were collected at start of induction, weekly for three weeks, and post-induction and were compared over time using paired t-tests. GA was administered at baseline and post-induction, and correlated with biomarker levels using Spearman correlations. Survival was estimated using Kaplan-Meier and compared by categorized biomarker level using Wilcoxon tests.

resultsBiomarker levels were stable during induction, except for CRP and IL-6 sR. Declines in objectively measured physical function [Short Physical Performance Battery (SPPB); r = 0.71, p < 0.01] and increases in self-reported limitation in instrumental activities of daily living (r = 0.81, p < 0.01) were correlated with increased TNFα sR1. Declines in SPPB were correlated with increased CRP (r = -0.73, p < 0.01). Improvement in depression was correlated with increased IL-6 sR (r = -0.59 p = 0.02). Survival was shorter in those with baseline TNFα or CRP levels above the median (6.1 vs. 40.2 months and 5.5 vs. 27.6 months respectively, p = 0.04 for both).

conclusionAmong older adults with AML, the relationships between TNFα sR1, CRP, and IL-6 sR with change in physical and emotional health during treatment warrants further investigation.

Indexed as

Geriatric AssessmentLeukemia, Myeloid, AcuteActivities of Daily LivingAgedBiomarkersC-Reactive ProteinFemaleHumansTreatment OutcomeBiomarkersC-Reactive ProteinAcute myeloid leukemiaBiomarkersGeriatric assessmentInflammationOlder adults

Identifiers

PMID30962090
PMCPMC6778500
OpenAlexW2927333068

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.