Evidence map›Paper›PMID 31509472›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2019

MARS: Mutation-Adjusted Risk Score for Advanced Systemic Mastocytosis.

Mohamad Jawhar, Juliana Schwaab, Iván Álvarez-Twose, Khalid Shoumariyeh, Nicole Naumann, Johannes Lübke, Cecelia Perkins, Javier I Muñoz-González, Manja Meggendorfer, Vanessa Kennedy and 15 more

Abstract readMulticenter StudyValidation Study
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed
–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

63 citing papers in PubMed.

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  18. Mastocytosis.Nature reviews. Disease primers · 2025
    Review
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  20. Article

3 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

25 authors.

Mohamad JawharUniversity Hospital Mannheim, Heidelberg University, Mannheim, Germany.
Juliana SchwaabUniversity Hospital Mannheim, Heidelberg University, Mannheim, Germany.
Iván Álvarez-TwoseSpanish Network on Mastocytosis, Toledo and Salamanca, Spain.
Khalid ShoumariyehUniversity of Freiburg, Freiburg, Germany.
Nicole NaumannUniversity Hospital Mannheim, Heidelberg University, Mannheim, Germany.
Johannes LübkeUniversity Hospital Mannheim, Heidelberg University, Mannheim, Germany.
Cecelia PerkinsStanford University School of Medicine/Stanford Cancer Institute, Stanford, CA.
Javier I Muñoz-GonzálezSpanish Network on Mastocytosis, Toledo and Salamanca, Spain.
Manja MeggendorferMunich Leukemia Laboratory, Munich, Germany.
Vanessa KennedyStanford University School of Medicine/Stanford Cancer Institute, Stanford, CA.
Georgia MetzgerothUniversity Hospital Mannheim, Heidelberg University, Mannheim, Germany.
Alice FabariusUniversity Hospital Mannheim, Heidelberg University, Mannheim, Germany.
Dietmar PfeiferUniversity of Freiburg, Freiburg, Germany.
Karl SotlarParacelsus Medical University of Salzburg, Salzburg, Austria.
Hans-Peter HornyLudwig-Maximilians-University, Munich, Germany.
Nikolas von BubnoffUniversity of Freiburg, Freiburg, Germany.
Torsten HaferlachMunich Leukemia Laboratory, Munich, Germany.
Nicholas C P CrossWessex Regional Genetics Laboratory, Salisbury, United Kingdom.
Wolf-Karsten HofmannUniversity Hospital Mannheim, Heidelberg University, Mannheim, Germany.
Wolfgang R SperrMedical University of Vienna, Vienna, Austria.
Andrés C García-MonteroSpanish Network on Mastocytosis, Toledo and Salamanca, Spain.
Peter ValentMedical University of Vienna, Vienna, Austria.
Jason GotlibStanford University School of Medicine/Stanford Cancer Institute, Stanford, CA.
Alberto OrfaoSpanish Network on Mastocytosis, Toledo and Salamanca, Spain.
Andreas ReiterUniversity Hospital Mannheim, Heidelberg University, Mannheim, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo develop a risk score for patients with advanced systemic mastocytosis (AdvSM) that integrates clinical and mutation characteristics. PATIENTS AND

methodsThe study included 383 patients with AdvSM from the German Registry on Disorders of Eosinophils and Mast Cells (training set; n = 231) and several centers for mastocytosis in the United States and Europe, all within the European Competence Network on Mastocytosis (validation set; n = 152). A Cox multivariable model was used to select variables that were predictive of overall survival (OS).

resultsIn multivariable analysis, the following risk factors were identified as being associated with OS: age greater than 60 years, anemia (hemoglobin < 10 g/dL), thrombocytopenia (platelets < 100 × 10

conclusionThe MARS is a validated, five-parameter, WHO-independent prognostic score that defines three risk groups among patients with AdvSM and may improve up-front treatment stratification for these rare hematologic neoplasms.

Indexed as

Decision Support TechniquesDNA Mutational AnalysisMutationAdultAgedAged, 80 and overCarcinogenesisCore Binding Factor Alpha 2 SubunitDisease ProgressionEuropeFemaleGenetic Predisposition to DiseaseHumansLeukemia, Mast-CellLeukemia, Myeloid, AcuteMaleASXL1 protein, humanCore Binding Factor Alpha 2 SubunitRepressor ProteinsRUNX1 protein, humanSerine-Arginine Splicing FactorsSRSF2 protein, human

Identifiers

PMID31509472
PMCPMC6823885

What OpenQuestion holds

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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.