Evidence map›Paper›PMID 31570040›Full record

ArticleLeukemia & lymphoma2020

Association of provider experience and clinical outcomes in patients with myelodysplastic syndromes receiving hypomethylating agents.

Amer M Zeidan, Xin Hu, Weiwei Zhu, Maximilian Stahl, Rong Wang, Scott F Huntington, Smith Giri, Jan Philipp Bewersdorf, Nikolai A Podoltsev, Steven D Gore and 2 more

Abstract read
In one paragraph

Article in Leukemia & lymphoma, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Are We Ready For "Triplet" Therapy in Higher-Risk MDS?Clinical hematology international · 2023
    Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  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

12 authors.

Amer M ZeidanDepartment of Internal Medicine, School of Medicine, Yale University, New Haven, CT, USA.
Xin HuCancer Outcomes, Public Policy, and Effectiveness Research (COPPER) Center, Yale University, New Haven, CT, USA.ORCID 0000-0003-1097-3300
Weiwei ZhuCancer Outcomes, Public Policy, and Effectiveness Research (COPPER) Center, Yale University, New Haven, CT, USA.
Maximilian StahlDepartment of Internal Medicine, School of Medicine, Yale University, New Haven, CT, USA.
Rong WangCancer Outcomes, Public Policy, and Effectiveness Research (COPPER) Center, Yale University, New Haven, CT, USA.
Scott F HuntingtonDepartment of Internal Medicine, School of Medicine, Yale University, New Haven, CT, USA.
Smith GiriDepartment of Internal Medicine, School of Medicine, Yale University, New Haven, CT, USA.
Jan Philipp BewersdorfDepartment of Internal Medicine, School of Medicine, Yale University, New Haven, CT, USA.ORCID 0000-0003-3352-0902
Nikolai A PodoltsevDepartment of Internal Medicine, School of Medicine, Yale University, New Haven, CT, USA.
Steven D GoreDepartment of Internal Medicine, School of Medicine, Yale University, New Haven, CT, USA.
Xiaomei MaCancer Outcomes, Public Policy, and Effectiveness Research (COPPER) Center, Yale University, New Haven, CT, USA.
Amy J DavidoffCancer Outcomes, Public Policy, and Effectiveness Research (COPPER) Center, Yale University, New Haven, CT, USA.

Funding

Yale Pathology Tissue Services Shared ResourceP30CA016359 · NCI · YALE UNIVERSITY · PI DAVID L RIMM · 1985 to 2026
$85.0M
NCI NIH HHS N01 PC035136NCI NIH HHS N01 PC035139NCI NIH HHS N02 PC015105NCI NIH HHS P30 CA016359
6 · The paper itself

Abstract

Population level survival of patients with myelodysplastic syndromes (MDS) treated with hypomethylating agents (HMA) is inferior to clinical trials. Using SEER-Medicare data, we identified 2086 MDS patients diagnosed in 2004-13, aged ≥66 years at diagnosis, and receiving ≥1 HMA cycle after 2005. We used multivariate logistic regression and Cox proportional hazards models to assess the impact of provider experience on persistent HMA therapy and overall survival (OS), respectively. Median number of HMA cycles was 4 and median OS was 10 months. Thirty-two percent of patients were treated by providers with ≥1 prior HMA initiation in the last 2 years and were more likely to receive ≥4 cycles of HMA therapy (OR = 1.29, 95% CI = 1.06-1.57;

Indexed as

Antimetabolites, AntineoplasticMyelodysplastic SyndromesAgedHumansMedicareProportional Hazards ModelsUnited StatesAntimetabolites, Antineoplastichypomethylating agentMDSMedicareMyelodysplastic syndromeoutcomeSEER

Identifiers

PMID31570040
PMCPMC7732188

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.