Evidence map›Paper›PMID 31142846›Full record

ArticleLeukemia2019

Second cancer in Philadelphia negative myeloproliferative neoplasms (MPN-K). A nested case-control study.

Tiziano Barbui, Arianna Ghirardi, Arianna Masciulli, Alessandra Carobbio, Francesca Palandri, Nicola Vianelli, Valerio De Stefano, Silvia Betti, Ambra Di Veroli, Alessandra Iurlo and 31 more

Open access · greenAbstract readMulticenter Study
PubMed Publisher
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 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
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

50 citing papers in PubMed, 87 citations in OpenAlex.

  1. Review
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  8. Review
  9. Article
  10. Polycythaemia vera.Nature reviews. Disease primers · 2025
    Review
  11. Review
  12. Observational
  13. Secondary Solid Cancers in Patients with Philadelphia Chromosome-Negative Myeloproliferative Neoplasms: A Multicenter StudyTurkish journal of haematology : official journal of Turkish Society of Haematology · 2024
    Article
  14. Review
  15. 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

41 authors at 20 institutions in 6 countries.

Tiziano BarbuiFROM Research Foundation, Papa Giovanni XXIII Hospital, Bergamo, Italy. tbarbui@fondazionefrom.it.
Arianna GhirardiFROM Research Foundation, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Arianna MasciulliFROM Research Foundation, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Alessandra CarobbioFROM Research Foundation, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Francesca PalandriInstitute of Hematology "L. and A. Seràgnoli", S. Orsola-Malpighi Hospital, Bologna, Italy.ORCID http://orcid.org/0000-0001-8367-5668
Nicola VianelliInstitute of Hematology "L. and A. Seràgnoli", S. Orsola-Malpighi Hospital, Bologna, Italy.
Valerio De StefanoInstitute of Hematology, Catholic University, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.ORCID http://orcid.org/0000-0002-5178-5827
Silvia BettiInstitute of Hematology, Catholic University, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.
Ambra Di VeroliRete laziale MPN, Roma, Italy.
Alessandra IurloHematology Division, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico and University of Milan, Milan, Italy.
Daniele CattaneoHematology Division, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico and University of Milan, Milan, Italy.
Federica DelainiHematology Division, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Massimiliano BonifacioDepartment of Medicine, Section of Hematology, University of Verona, Verona, Italy.
Luigi ScaffidiDepartment of Medicine, Section of Hematology, University of Verona, Verona, Italy.
Andrea PatriarcaDivision of Hematology, Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy.ORCID http://orcid.org/0000-0003-4415-2906
Elisa RumiDepartment of Molecular Medicine, University of Pavia, Pavia, Italy.ORCID http://orcid.org/0000-0002-7572-9504
Ilaria Carola CasettiDepartment of Molecular Medicine, University of Pavia, Pavia, Italy.
Clemency StephensonGuy's and St Thomas' NHS Foundation Trust, London, UK.
Paola GuglielmelliCRIMM-Center of Research and Innovation of Myeloproliferative Neoplasms, Azienda Ospedaliera Universitaria Careggi, Department of Experimental and Clinical Medicine, and Denothe Center, University of Florence, Florence, Italy.ORCID http://orcid.org/0000-0003-1809-284X
Elena Maria ElliHematology Division, Ospedale San Gerardo, ASST Monza, Monza, Italy.
Miroslava PalovaDepartment of Hemato-oncology, University Hospital Olomouc, Olomouc, Czech Republic.
Laura BertolottiS.C. Ematologia, Azienda Ospedaliera S. Croce e Carle, Cuneo, Italy.
Daniel ErezHematology Institute and Blood Bank, Meir Medical Center, Kfar Saba, Israel.
Montse GomezHematology Department, Hospital Clínico Universitario, Valencia, Spain.
Kai WilleUniversity Clinic for Hematology and Oncology Minden, University of Bochum, Bochum, Germany.
Manuel Perez-EncinasHematology Department, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, Spain.
Francesca LunghiHematology and Bone Marrow Transplantation Unit, IRCCS San Raffaele Scientific Institute, Milano, Italy.
Anna AngonaHematology Department, Hospital del Mar, Barcelona, Spain.
Maria Laura FoxHematology Department, Hospital Universitario Vall d'Hebron, Barcelona, Spain.
Eloise BeggiatoUnit of Hematology, Department of Oncology, University of Torino, Torino, Italy.
Giulia BenevoloHematology Division, Città della Salute e della Scienza Hospital, Torino, Italy.
Giuseppe CarliHematology Division, San Bortolo Hospital, Vicenza, Italy.
Rossella CacciolaHAEMOSTASIS UNIT, Department of Clinical and Experimental Medicine, University of Catania, "Policlinico-Vittorio Emanuele" Hospital, Catania, Italy.
Mary Frances McMullinQueen's University, Belfast, UK.
Alessia TieghiHematology Unit, Azienda Unità Sanitaria-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Valle RecasensHematology Department, Hospital Universitario Miguel Servet, Zaragoza, Spain.ORCID http://orcid.org/0000-0001-5129-8597
Monia MarchettiOncology Unit, Cardinal Massaia Hospital, Asti, Italy.
Martin GriesshammerUniversity Clinic for Hematology and Oncology Minden, University of Bochum, Bochum, Germany.
Alberto Alvarez-LarranHematology Department, Hospital Clínic, Barcelona, Spain.
Alessandro Maria VannucchiCRIMM-Center of Research and Innovation of Myeloproliferative Neoplasms, Azienda Ospedaliera Universitaria Careggi, Department of Experimental and Clinical Medicine, and Denothe Center, University of Florence, Florence, Italy.ORCID http://orcid.org/0000-0001-5755-0730
Guido FinazziHematology Division, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Ospedale Papa Giovanni XXIII · ITAgostino Gemelli University Polyclinic · ITAzienda Ospedaliero-Universitaria Careggi · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITUniversity Hospitals of the Ruhr-University of Bochum · DEUniversity of Milan · ITUniversity of Pavia · ITUniversity of Verona · ITAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITAzienda Ospedaliera San Gerardo · ITAzienda Sanitaria Locale di Asti · ITAzienda Sanitaria Ospedaliera S.Croce e Carle Cuneo · ITAzienda Sanitaria Unità Locale di Reggio Emilia · ITComplejo Hospitalario Universitario de Santiago · ESGuy's and St Thomas' NHS Foundation Trust · GBHospital Clínic de Barcelona · ESHospital Clínico Universitario de Valencia · ESHospital Del Mar · ESHospital Universitario Miguel Servet · ESOspedale San Bortolo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We conducted a large international nested case-control study including 1881 patients with Philadelphia-negative myeloproliferative neoplasms (MPN). Cases (n = 647) were patients with second cancer (SC: carcinoma, non-melanoma skin cancer, hematological second cancer, and melanoma) and controls (n = 1234) were patients without SC, matched with cases for sex, age at MPN diagnosis, date of MPN diagnosis, and MPN disease duration. The aim was to evaluate the risk of SC after exposure to cytoreductive drugs. Patients exposed to hydroxyurea (HU) (median: 3 years) had a risk of SC similar to unexposed patients (OR = 1.06, 95% CI 0.82-1.38). In contrast, in cancer-specific stratified multivariable analysis, HU had two-fold higher risk of non-melanoma (NM) skin cancer (OR = 2.28, 95% CI 1.15-4.51). A significantly higher risk of NM-skin cancer was also documented for pipobroman (OR = 3.74, 95% CI 1.00-14.01), ruxolitinib (OR = 3.87, 95% CI 1.18-12.75), and for drug combination (OR = 3.47, 95% CI 1.55-7.75). These three drugs did not show excess risk of carcinoma and hematological second cancer compared with unexposed patients. Exposure to interferon, busulfan, and anagrelide did not increase the risk. In summary, while it is reassuring that no excess of carcinoma was documented, a careful dermatologic active surveillance before and during the course of treatments is recommended.

Indexed as

Philadelphia ChromosomeAntineoplastic AgentsCase-Control StudiesHumansHydroxyureaNeoplasms, Second PrimaryNitrilesPipobromanPolycythemia VeraPrimary MyelofibrosisPyrazolesPyrimidinesThrombocythemia, EssentialAntineoplastic AgentsHydroxyureaNitrilesPipobromanPyrazolesPyrimidinesruxolitinib

Identifiers

PMID31142846
OpenAlexW2946901694

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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.