Evidence map›Paper›PMID 31675431›Full record

ArticleInternational journal of cancer2020

Risk of mature B-cell neoplasms and precursor conditions after joint replacement: A report from the Haematological Malignancy Research Network.

Eleanor Kane, Daniel Painter, Alexandra Smith, Maxine Lamb, Steven E Oliver, Russell Patmore, Eve Roman

Abstract read
In one paragraph

Article in International journal of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
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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

7 authors.

Eleanor KaneEpidemiology and Cancer Statistics Group, Department of Health Sciences, University of York, York, United Kingdom.ORCID 0000-0002-7438-9982
Daniel PainterEpidemiology and Cancer Statistics Group, Department of Health Sciences, University of York, York, United Kingdom.
Alexandra SmithEpidemiology and Cancer Statistics Group, Department of Health Sciences, University of York, York, United Kingdom.
Maxine LambEpidemiology and Cancer Statistics Group, Department of Health Sciences, University of York, York, United Kingdom.
Steven E OliverEpidemiology and Cancer Statistics Group, Department of Health Sciences, University of York, York, United Kingdom.
Russell PatmoreQueens Centre for Oncology, Castle Hill Hospital, Hull, United Kingdom.
Eve RomanEpidemiology and Cancer Statistics Group, Department of Health Sciences, University of York, York, United Kingdom.ORCID 0000-0001-7603-3704

Funding

Cancer Research UK 15037Cancer Research UK 18362Cancer Research UK 29685
6 · The paper itself

Abstract

Associations between previous joint replacement and B-cell lymphoid malignancies have been reported, but despite numerous reports, associations with the disease subtypes have received little attention. Using a UK-based register of haematological malignancies and a matched general population-based cohort, joint replacements from linked hospital inpatient records were examined. Cases diagnosed 2009-2015 who were aged 50 years or more were included; 8,013 mature B-cell neoplasms comprising myeloma (n = 1,763), diffuse large B-cell lymphoma (DLBCL, n = 1,676), chronic lymphocytic leukaemia (CLL, n = 1,594), marginal zone lymphoma (MZL, n = 957), follicular lymphoma (FL, n = 725) and classical Hodgkin lymphoma (CHL, n = 255), together with monoclonal gammopathy of uncertain significance (MGUS, n = 2,138) and monoclonal B-cell lymphocytosis (MBL, n = 632). Odds ratios (OR) and 95% confidence intervals (95%CI) were calculated relative to 10 age- and sex-matched controls using conditional logistic regression. Having had a joint replacement before diagnosis was associated with myeloma (OR = 1.3, 95% CI 1.1-1.5, p = 0.008) and MGUS (OR = 1.3, 95% CI 1.1-1.5, p < 0.001). Excluding replacements in the year before diagnosis, the MGUS risk remained, elevated where two or more joints were replaced (OR = 1.5, 95% CI 1.2-2.0, p = 0.001), with hip (OR = 1.2, 95% CI 1.0-1.5, p = 0.06) or knee replacements (OR = 1.5, 95% CI 1.2-1.8, p < 0.001). Associations with CHL and two or more replacements (OR = 2.7, 95% CI 1.3-5.6, p = 0.005) or hip replacements (OR = 1.9, 95% CI 1.0-3.4, p = 0.04); and between DLBCL and knee replacements (OR = 1.3, 95% CI 1.0-1.6, p = 0.04) were also observed. Our study reports for the first time a relationship between joint replacements and MGUS; while absolute risks of disease are low and not of major public health concern, these findings warrant further investigation.

Indexed as

AgedArthroplasty, ReplacementFemaleHumansLogistic ModelsLymphoma, B-CellMaleMiddle AgedOdds Ratiojoint replacementlymphomamonoclonal B-cell lymphocytosismonoclonal gammopathy of uncertain significancemyeloma

Identifiers

PMID31675431
PMCPMC7317514

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Registered trials

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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.