Evidence map›Paper›PMID 31074910›Full record

ArticleEuropean journal of haematology2019

Survival in adult acute lymphoblastic leukaemia (ALL): A report from the Swedish ALL Registry.

Emma Lennmyr, Karin Karlsson, Lucia Ahlberg, Hege Garelius, Erik Hulegårdh, Antonio S Izarra, Joel Joelsson, Piotr Kozlowski, Andreea Moicean, Beata Tomaszewska-Toporska and 3 more

Open access · hybridAbstract read
In one paragraph

Article in European journal of haematology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.6field-weighted citation impact, top 8% 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

16 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
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  9. miRNAs in Lymphocytic Leukaemias-The miRror of Drug Resistance.International journal of molecular sciences · 2022
    Review
  10. Article
  11. Article
  12. The value ofOncology letters · 2020
    Article
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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

13 authors at 8 institutions in 1 country.

Emma LennmyrDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0002-1737-5568
Karin KarlssonDepartment of Haematology, Oncology and Radiophysics, Skåne University Hospital, Lund, Sweden.
Lucia AhlbergDepartment of Haematology, University Hospital of Linköping, Linköping, Sweden.
Hege GareliusDepartment of Medicine, Section of Haematology and Coagulation, Sahlgrenska University Hospital, Göteborg, Sweden.
Erik HulegårdhDepartment of Medicine, Section of Haematology and Coagulation, Sahlgrenska University Hospital, Göteborg, Sweden.
Antonio S IzarraDepartment of Haematology, Cancer Centre, University Hospital of Umeå, Umeå, Sweden.
Joel JoelssonDivision of Haematology, Department of Medicine, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden.
Piotr KozlowskiDepartment of Medicine, School of Medical Sciences, Örebro University, Örebro, Sweden.ORCID https://orcid.org/0000-0002-0283-4418
Andreea MoiceanDepartment of Medicine, Central Hospital Skövde, Skövde, Sweden.
Beata Tomaszewska-ToporskaDepartment of Haematology, Oncology and Radiophysics, Skåne University Hospital, Lund, Sweden.
Anna LübkingDepartment of Haematology, Oncology and Radiophysics, Skåne University Hospital, Lund, Sweden.
Helene HallböökDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.
Swedish Adult Acute Lymphoblastic Leukaemia Group (SVALL)
Skåne University Hospital · SESahlgrenska University Hospital · SEUppsala University · SEKarolinska University Hospital · SELinköping University Hospital · SEÖrebro University · SESkaraborg Hospital · SEUniversity Hospital of Umeå · SE

Funding

Lions Cancer Foundation UppsalaUppsala University and Uppsala County Council/Region agreement on medical training and clinical research (ALF)
6 · The paper itself

Abstract

objectivesAs new, effective therapies emerge for acute lymphoblastic leukaemia (ALL), the results of clinical trials need to relate to standard of care.

methodsWe used the population-based Swedish ALL Registry to evaluate characteristics, treatment and long-term outcome in 933 patients with diagnosis between 1997 and 2015.

resultsThe median age was 53 years. The frequency of Philadelphia (Ph)-positive leukaemia was 34% of examined B-ALL with a peak incidence at 50-59 years. Five-year overall survival (OS) improved between 1997-2006 and 2007-2015; in patients 18-45 years from 50% (95% CI 43-57) to 65% (95% CI 58-72), 46-65 years from 25% (95% CI 18-32) to 46% (95% CI 37-55) and >65 years from 7% (95% CI 2.6-11) to 11% (95% CI 5.9-16) (P < 0.05). Men with Ph-neg B-ALL 46-65 years had inferior OS compared with women (P < 0.01). Standardised mortality ratio was 5.7 (95% CI 5.0-6.3) for patients who survived 5 years from diagnosis. In multivariable analysis, Ph-positive disease was not associated with impaired prognosis but with lower risk of death in 2007-2015.

conclusionsIn a population-based cohort, OS has improved in adult ALL, especially for Ph-positive disease but for middle-aged men with Ph-negative B-ALL outcome was poor. Cure without late toxicity or relapse is still desired.

Indexed as

AdolescentAdultAgedAged, 80 and overCombined Modality TherapyFemaleHumansMaleMiddle AgedPhiladelphia ChromosomePrecursor Cell Lymphoblastic Leukemia-LymphomaPublic Health SurveillanceRegistriesRemission InductionSurvival AnalysisSwedenacute lymphoblastic leukaemiaadultPhiladelphia-positive

Identifiers

PMID31074910
PMCPMC6851994
OpenAlexW2944618076

What OpenQuestion holds

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LicenceCC BY-NC
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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.