Evidence map›Paper›PMID 31079659›Full record

ArticleHematology, transfusion and cell therapy

Management of chronic myeloid leukemia during pregnancy: a retrospective analysis at a single center.

Ariella Cássia de Moura, Márcia Torresan Delamain, Gislaine Borba Oliveira Duarte, Irene Lorand-Metze, Cármino Antônio de Souza, Kátia Borgia Barbosa Pagnano

Abstract read
In one paragraph

Article in Hematology, transfusion and cell therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Treatment of CML in pregnancy.Hematology. American Society of Hematology. Education Program · 2022
    Article
  5. Challenges in Chronic Myeloid Leukemia Management in South America.Current hematologic malignancy reports · 2021
    Review
  6. Review
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

6 authors.

Ariella Cássia de MouraUniversidade Estadual de Campinas (Unicamp), Campinas, SP, Brazil; A.C. Camargo Cancer Center, São Paulo, SP, Brazil.
Márcia Torresan DelamainUniversidade Estadual de Campinas (Unicamp), Campinas, SP, Brazil.
Gislaine Borba Oliveira DuarteUniversidade Estadual de Campinas (Unicamp), Campinas, SP, Brazil.
Irene Lorand-MetzeUniversidade Estadual de Campinas (Unicamp), Campinas, SP, Brazil.
Cármino Antônio de SouzaUniversidade Estadual de Campinas (Unicamp), Campinas, SP, Brazil.
Kátia Borgia Barbosa PagnanoUniversidade Estadual de Campinas (Unicamp), Campinas, SP, Brazil. Electronic address: kborgia@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We analyzed the management and outcomes of pregnancies of patients with chronic myeloid leukemia at a single center over fifteen years. Among the 203 CML female patients, there were ten pregnancies in seven women, all of them not planned. In three cases, the chronic myeloid leukemia diagnosis was made during pregnancy. Five patients received tyrosine kinase inhibitors in the first weeks of pregnancy and the drug was interrupted until delivery. One patient lost complete cytogenetic response, and two patients lost the hematological response. A patient with a stable major molecular response had two successful pregnancies without loss of response. There were four premature births. There were no maternal adverse events, fetal malformation or death. All patients received Interferon-alpha during gestation, and two received hydroxyurea for a short period. Leukapheresis was performed in two patients for hyperleukocytosis control. One patient with sickle cell disease died from disease progression six months after delivery.

conclusionsThe tyrosine kinase inhibitors ministration should be interrupted during pregnancy. Patients should be advised to achieve a stable and deep molecular response if they plan to conceive, to avoid the risk of disease progression.

Indexed as

Chronic myeloid leukemiaDasatinibHydroxyureaImatinibInterferon-alphaPregnancy

Identifiers

PMID31079659
PMCPMC6517617

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.