Evidence map›Paper›PMID 31650290›Full record

ReviewAnnals of hematology2020

The prognostic value of serum erythropoietin in patients with lower-risk myelodysplastic syndromes: a review of the literature and expert opinion.

Sophie Park, Charikleia Kelaidi, Mathieu Meunier, Nicole Casadevall, Aaron T Gerds, Uwe Platzbecker

Erratum issuedOpen access · hybridAbstract readReview
In one paragraph

Review in Annals of hematology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

16 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Review
  6. Iron-Loading Anemias.Advances in experimental medicine and biology · 2025
    Review
  7. Article
  8. Review
  9. Article
  10. Role of Luspatercept in the Management of Lower-Risk Myelodysplastic Syndromes.Journal of the advanced practitioner in oncology · 2023
    Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 4 countries.

Sophie ParkCHU Grenoble, Université Grenoble Alpes, Institute for Advanced Biosciences, INSERM U1209, CNRS UMR 5309, CS 10217, 38043, Grenoble, France. spark@chu-grenoble.fr.ORCID http://orcid.org/0000-0003-0514-5789
Charikleia KelaidiAghia Sophia Children's Hospital, Athens, Greece.
Mathieu MeunierCHU Grenoble, Université Grenoble Alpes, Institute for Advanced Biosciences, INSERM U1209, CNRS UMR 5309, CS 10217, 38043, Grenoble, France.
Nicole CasadevallHôpital Saint-Antoine, Paris, France.
Aaron T GerdsTaussig Cancer Institute, Cleveland Clinic, Cleveland, OH, USA.
Uwe PlatzbeckerMedical Clinic and Policlinic 1, Hematology and Cellular Therapy, Leipzig University Hospital, Leipzig, Germany.
Centre National de la Recherche Scientifique · FRChildren's Hospital Agia Sophia · GRCleveland Clinic · USSorbonne Université · FRUniversity Hospital Leipzig · DE

Funding

Celgene N/A
6 · The paper itself

Abstract

Myelodysplastic syndromes (MDS) are hematopoietic stem cell malignancies associated with an erythroid maturation defect, resulting in anemia. Treatments for MDS include erythropoiesis-stimulating agents (ESAs). The identification of prognostic markers is important to help predict response and improve outcomes. Various scoring systems have been developed to help predict response to ESAs. Despite limitations in its assessment, serum erythropoietin (sEPO) level is an important predictor of hematologic response to ESAs in patients with lower-risk MDS. Numerous studies have reported significantly lower sEPO levels among responders versus non-responders. Furthermore, treatment response is significantly more likely among those with sEPO levels below versus those above various cutoffs. Other prognostic indicators for response to ESAs include lower transfusion requirement, fewer bone marrow blasts, higher hemoglobin, lower serum ferritin, lower-risk MDS, and more normal cytogenetics. Studies of other MDS therapies (e.g., lenalidomide and luspatercept) have also reported that lower sEPO levels are indicative of hematologic response. In addition, lower sEPO levels (up to 500 IU/L) have been included in treatment algorithms for patients with lower-risk MDS to define whether ESAs are indicated. Lower sEPO levels are predictive of hematologic response-particularly to ESAs. Further, clinical trials should use sEPO thresholds to ensure more homogeneous cohorts.

Indexed as

Activin Receptors, Type IIBone Marrow CellsErythropoietinFemaleFerritinsHemoglobinsHumansImmunoglobulin Fc FragmentsLenalidomideMaleMyelodysplastic SyndromesPrognosisRecombinant Fusion ProteinsRisk FactorsActivin Receptors, Type IIEPO protein, humanErythropoietinFerritinsHemoglobinsImmunoglobulin Fc FragmentsLenalidomideluspaterceptRecombinant Fusion ProteinsErythropoiesis-stimulating agentsErythropoietinHematologic responseMyelodysplastic syndromesPrognosis

Identifiers

PMID31650290
PMCPMC6944671
OpenAlexW2981831363

What OpenQuestion holds

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LicenceCC BY
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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.