Evidence map›Paper›PMID 31526283›Full record

ArticleJournal of global oncology2019

Procalcitonin and C-Reactive Protein As Markers of Bacteremia in Patients With Febrile Neutropenia Who Receive Chemotherapy for Acute Leukemia: A Prospective Study From Nepal.

Ramila Shilpakar, Bishnu Dutta Paudel, Prakash Neupane, Aarati Shah, Bibek Acharya, Soniya Dulal, Lori Anne Wood, Rukmani Shahi, Usha Khanal, Bishesh Sharma Poudyal

Open access · goldAbstract read
In one paragraph

Article in Journal of global oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. PCT-to-albumin ratio and CRP-to-albumin ratio as predictors of febrile neutropenia complications: a prospective observational trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Observational
  6. Observational
  7. Article
  8. Utility of procalcitonin and C-reactive protein as predictors of Gram-negative bacteremia in febrile hematological outpatients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  9. Highlights fromEcancermedicalscience · 2022
    Article
  10. Article
  11. Review
  12. Article
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

10 authors at 5 institutions in 3 countries.

Ramila ShilpakarNational Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.
Bishnu Dutta PaudelNational Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.
Prakash NeupaneThe University of Kansas Medical Center, Kansas City, KS.
Aarati ShahNational Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.
Bibek AcharyaNational Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.
Soniya DulalNational Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.
Lori Anne WoodQueen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada.
Rukmani ShahiCivil Service Hospital, Kathmandu, Nepal.
Usha KhanalCivil Service Hospital, Kathmandu, Nepal.
Bishesh Sharma PoudyalCivil Service Hospital, Kathmandu, Nepal.
Civil Service Hospital · NPNational Academy of Medical Sciences · NPBir Hospital · NPQueen Elizabeth II Health Sciences Centre · CAUniversity of Kansas Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to evaluate the clinical significance of the biomarkers procalcitonin (PCT) and C-reactive protein (CRP) in patients with febrile neutropenia (FN) undergoing chemotherapy for acute leukemia.

methodsWe conducted a prospective, observational study in patients who developed FN while undergoing chemotherapy for acute leukemia. PCT and CRP were obtained in patients who presented with FN. Blood cultures also were obtained. The primary goals were to evaluate the ability of PCT and CRP to predict bacteremia in patients with FN. The secondary goals were to assess the prognostic role of PCT and CRP and to assess the microbiologic profile and culture sensitivity patterns in the study population.

resultsA total of 124 episodes of FN that involved 67 patients with acute leukemia occurred in the study. PCT was superior to CRP in the prediction of bacteremia. The median PCT level in the bacteremia group was 3.25 ng/mL compared with 0.51 ng/mL in the group without bacteremia (

conclusionPCT is an effective biomarker to predict bacteremia in patients with FN undergoing chemotherapy for acute leukemia.

Indexed as

Acute DiseaseAdolescentAdultBacteremiaC-Reactive ProteinFebrile NeutropeniaHumansLeukemiaMiddle AgedNepalProcalcitoninProspective StudiesYoung AdultC-Reactive ProteinProcalcitonin

Identifiers

PMID31526283
PMCPMC6872183
OpenAlexW2974719254

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.