Evidence map›Paper›PMID 31303457›Full record

ArticleClinical lymphoma, myeloma & leukemia2019

Symptom Burden and Blood Counts in Patients With Polycythemia Vera in the United States: An Analysis From the REVEAL Study.

Michael R Grunwald, John M Burke, David J Kuter, Aaron T Gerds, Brady Stein, Mark A Walshauser, Shreekant Parasuraman, Philomena Colucci, Dilan Paranagama, Michael R Savona and 1 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Clinical lymphoma, myeloma & leukemia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02252159 (Prospective, Non-interventional Study of Disease Progression and Treatment of Patients With Polycythemia Vera in United States Academic or Community Clinical Practices), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.4field-weighted citation impact, top 18% 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.

NCT02252159 completednot on this map

Prospective, Non-interventional Study of Disease Progression and Treatment of Patients With Polycythemia Vera in United States Academic or Community Clinical Practices

TypeobservationalSponsorIncyte CorporationRan2014 to 2019Enrolled2,544ConditionsMPN (Myeloproliferative Neoplasms)
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 25 citations in OpenAlex.

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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

11 authors at 9 institutions in 1 country.

Michael R GrunwaldDepartment of Hematologic Oncology and Blood Disorders, Levine Cancer Institute, Atrium Health, Charlotte, NC. Electronic address: michael.grunwald@atriumhealth.org.
John M BurkeUS Oncology Hematology Research Program, Rocky Mountain Cancer Centers, Aurora, CO.
David J KuterCenter for Hematology, Massachusetts General Hospital, Boston, MA.
Aaron T GerdsDepartment of Hematology and Medical Oncology, Cleveland Clinic, Cleveland, OH.
Brady SteinDepartment of Hematology and Oncology, Northwestern University, Chicago, IL.
Mark A WalshauserDepartment of Medical Oncology and Hematology, Cancer Care Specialists of Illinois, Swansea, IL.
Shreekant ParasuramanIncyte Corporation, Wilmington, DE.
Philomena ColucciIncyte Corporation, Wilmington, DE.
Dilan ParanagamaIncyte Corporation, Wilmington, DE.
Michael R SavonaDepartment of Medicine, Vanderbilt-Ingram Cancer Center, Vanderbilt University School of Medicine, Nashville, TN.
Ruben MesaDepartment of Hematology and Oncology, The University of Texas Health Science Center, San Antonio, TX.
Incyte (United States) · USCancer Care Specialists of Illinois · USCleveland Clinic · USLevine Cancer Institute · USMassachusetts General Hospital · USNorthwestern University · USRocky Mountain Cancer Centers · USThe University of Texas Health Science Center · USVanderbilt University · US

Funding

TISSUE CULTURE---COREP30CA054174 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Robin Jean Leach · 1991 to 2026
$59.1M
NCI NIH HHS P30 CA054174
6 · The paper itself

Abstract

backgroundApproximately 50% of patients with polycythemia vera (PV) have PV-related symptoms at diagnosis; these symptoms might develop or worsen with time. Symptoms have been shown to negatively affect quality of life and interfere with daily activities. To our knowledge, an analysis to evaluate the relationship between blood count control and symptoms has not been published. PATIENTS AND

methodsThe Prospective Observational Study of Patients with Polycythemia Vera in US Clinical Practices (REVEAL; NCT02252159) is a multicenter, noninterventional, nonrandomized prospective observational study of patients with PV in the United States. Patients included were required to have a complete blood count result within 30 days before completing the at-enrollment Myeloproliferative Neoplasm Self-Assessment Form Total Symptom Score (MPN-SAF TSS). Symptom severity was compared between those who had blood count control versus those who did not.

resultsAt the time of enrollment, 1714 patients (94.5%) were being managed with cytoreductive therapy; 468 patients (25.8%) had complete hematologic remission (CHR), 1614 patients (89.0%) had ≥1 controlled blood count, and 1122 patients (61.9%) had ≥2 controlled blood counts. Mean MPN-SAF TSSs were similar across patients in different blood count control groups. Fatigue was the most frequently reported symptom. The severity of individual symptoms, except those of pruritus and night sweats, was not affected by CHR or the number of blood counts that were controlled.

conclusionSymptom burden in patients with PV can persist despite control of blood counts, which suggests some discordance between laboratory values and symptom burden. Consequently, regular monitoring of symptom burden should be factored into the assessment of disease control.

Indexed as

Blood Cell CountAdultAgedAged, 80 and overAntineoplastic AgentsDisease ManagementFemaleHumansMaleMiddle AgedPolycythemia VeraProspective StudiesSeverity of Illness IndexSymptom AssessmentTreatment OutcomeUnited StatesAntineoplastic AgentsBlood count controlMPN-SAF TSSPolycythemia veraREVEALSymptom burden

Identifiers

PMID31303457
PMCPMC8148986
OpenAlexW2950500026

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.