Evidence map›Paper›PMID 31048353›Full record

ReviewHaematologica2019

Proposed diagnostic criteria for classical chronic myelomonocytic leukemia (CMML), CMML variants and pre-CMML conditions.

Peter Valent, Attilio Orazi, Michael R Savona, Mrinal M Patnaik, Francesco Onida, Arjan A van de Loosdrecht, Detlef Haase, Torsten Haferlach, Chiara Elena, Lisa Pleyer and 20 more

Open access · goldAbstract readReview
In one paragraph

Review in Haematologica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 1 pooled it
12.4field-weighted citation impact, top 1% 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

80 citing papers in PubMed, 1 synthesis or guideline pooled it, 133 citations in OpenAlex.

  1. [Guideline of the diagnosis and treatment of chronic myelomonocytic leukemia (2021)].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2021
    Guideline
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Review
  7. [How I diagnose and treat chronic myelomonocytic leukemia].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2026
    Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Myeloid Neoplasms With Oligomonocytosis Exhibit Heterogenous Pathologic and Genetic Features.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2025
    Article
  15. Article
  16. Allogeneic Transplant for CMML.Current hematologic malignancy reports · 2025
    Review
  17. Clinical management of CMML-State of the art.British journal of haematology · 2025
    Review
  18. Review
  19. Review
  20. Article

20 more citing papers are in PubMed but not listed here.

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

30 authors at 20 institutions in 6 countries.

Peter ValentDepartment of Internal Medicine I, Division of Hematology & Hemostaseology, Medical University of Vienna, Vienna, Austria peter.valent@meduniwien.ac.at.
Attilio OraziDepartment of Pathology, Texas Tech University Health Sciences Center, El Paso, TX, USA.
Michael R SavonaDepartment of Medicine, Vanderbilt University School of Medicine, Vanderbilt-Ingram Cancer Center, Nashville, TN, USA.
Mrinal M PatnaikDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Francesco OnidaFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy.
Arjan A van de LoosdrechtDepartment of Hematology, Amsterdam UMC, location VU University Medical Center, Cancer Center Amsterdam, the Netherlands.
Detlef HaaseClinic of Hematology and Medical Oncology, University Medical Center Göttingen, Göttingen, Germany.
Torsten HaferlachMLL Munich Leukemia Laboratory, Munich, Germany.
Chiara ElenaDepartment of Molecular Medicine, University of Pavia, Pavia, Italy.
Lisa Pleyer3 Medical Department with Hematology and Medical Oncology, Hemostaseology, Rheumatology and Infectious Diseases, Paracelsus Medical University, Salzburg, Austria.
Wolfgang KernMLL Munich Leukemia Laboratory, Munich, Germany.
Tea PemovskaCeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.
Gregory I VladimerCeMM Research Center for Molecular Medicine of the Austrian Academy of Sciences, Vienna, Austria.
Julie SchanzClinic of Hematology and Medical Oncology, University Medical Center Göttingen, Göttingen, Germany.
Alexandra KellerDepartment of Internal Medicine I, Division of Hematology & Hemostaseology, Medical University of Vienna, Vienna, Austria.
Michael LübbertDepartment of Medicine I, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Thomas LionChildren's Cancer Research Institute and Department of Pediatrics, Medical University of Vienna, Vienna, Austria.
Karl SotlarInstitute of Pathology, Paracelsus Medical University, Salzburg, Austria.
Andreas ReiterDepartment of Hematology and Oncology, University Hospital Mannheim, University of Heidelberg, Mannheim, Germany.
Theo De WitteDepartment of Tumor Immunology-Nijmegen Center for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, the Netherlands.
Michael PfeilstöckerLudwig Boltzmann Institute for Hematology & Oncology, Vienna, Austria.
Klaus GeisslerSigmund Freud University, Vienna, Austria.
Eric PadronMalignant Hematology Department, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.
Michael DeiningerHuntsman Cancer Institute & Division of Hematology and Hematologic Malignancies, University of Utah, Salt Lake City, UT, USA.
Alberto OrfaoServicio Central de Citometría, Centro de Investigación del Cáncer (IBMCC, CSIC-USAL), CIBERONC and IBSAL, Universidad de Salamanca, Salamanca, Spain.
Hans-Peter HornyInstitute of Pathology, Ludwig-Maximilians University, Munich, Germany.
Peter L GreenbergStanford University Cancer Institute, Stanford, CA, USA.
Daniel A ArberDepartment of Pathology, University of Chicago, Chicago, IL, USA.
Luca MalcovatiDepartment of Molecular Medicine, University of Pavia, Pavia, Italy.
John M BennettDepartment of Pathology, Hematopathology Unit and James P Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY, USA.
Medical University of Vienna · ATAustrian Academy of Sciences · ATMunich Leukemia Laboratory (Germany) · DEParacelsus Medical University · ATUniversitätsmedizin Göttingen · DEUniversity of Pavia · ITCancer Center AmsterdamCentro de Investigación Biomédica en Red de Cáncer · ESLudwig Boltzmann Institute for Digital Health and PreventionLudwig-Maximilians-Universität München · DEMayo Clinic in Arizona · USMoffitt Cancer Center · USRadboud Institute for Molecular Life Sciences · NLSigmund Freud University Vienna · ATStanford University · USTexas Tech University Health Sciences Center · USUniversity Hospital Heidelberg · DEUniversity of Chicago · USUniversity of Freiburg · DEUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic myelomonocytic leukemia (CMML) is a myeloid neoplasm characterized by dysplasia, abnormal production and accumulation of monocytic cells and an elevated risk of transforming into acute leukemia. Over the past two decades, our knowledge about the pathogenesis and molecular mechanisms in CMML has increased substantially. In parallel, better diagnostic criteria and therapeutic strategies have been developed. However, many questions remain regarding prognostication and optimal therapy. In addition, there is a need to define potential pre-phases of CMML and special CMML variants, and to separate these entities from each other and from conditions mimicking CMML. To address these unmet needs, an international consensus group met in a Working Conference in August 2018 and discussed open questions and issues around CMML, its variants, and pre-CMML conditions. The outcomes of this meeting are summarized herein and include diag nostic criteria and a proposed classification of pre-CMML conditions as well as refined minimal diagnostic criteria for classical CMML and special CMML variants, including oligomonocytic CMML and CMML associated with systemic mastocytosis. Moreover, we propose diagnostic standards and tools to distinguish between 'normal', pre-CMML and CMML entities. These criteria and standards should facilitate diagnostic and prognostic evaluations in daily practice and clinical studies in applied hematology.

Indexed as

AgedCongresses as TopicFemaleHumansLeukemia, Myelomonocytic, ChronicMaleMiddle AgedPractice Guidelines as TopicPrecancerous Conditions

Identifiers

PMID31048353
PMCPMC6886439
OpenAlexW2943165310

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.