Evidence map›Paper›PMID 31712595›Full record

Trial reportBlood cancer journal2019

EASIX for prediction of survival in lower-risk myelodysplastic syndromes.

Almuth Merz, Ulrich Germing, Guido Kobbe, Jennifer Kaivers, Anna Jauch, Aleksandar Radujkovic, Manuela Hummel, Axel Benner, Maximilian Merz, Peter Dreger and 1 more

Abstract readClinical TrialMulticenter StudyValidation Study
In one paragraph

Trial report in Blood cancer journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
–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

54 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  18. The role of the EASIX score in patients with hypertension: a cross-sectional study.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2025
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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

11 authors.

Almuth MerzDepartment of Internal Medicine V, University Hospital Heidelberg, Heidelberg, Germany.
Ulrich GermingDepartment of Hematology and Oncology, University Hospital Dusseldorf, Dusseldorf, Germany.
Guido KobbeDepartment of Hematology and Oncology, University Hospital Dusseldorf, Dusseldorf, Germany.
Jennifer KaiversDepartment of Hematology and Oncology, University Hospital Dusseldorf, Dusseldorf, Germany.
Anna JauchDepartment of Human Genetics, University Hospital Heidelberg, Heidelberg, Germany.
Aleksandar RadujkovicDepartment of Internal Medicine V, University Hospital Heidelberg, Heidelberg, Germany.
Manuela HummelDivision of Biostatistics, German Cancer Research Center Heidelberg, Heidelberg, Germany.
Axel BennerDivision of Biostatistics, German Cancer Research Center Heidelberg, Heidelberg, Germany.
Maximilian MerzDepartment of Internal Medicine V, University Hospital Heidelberg, Heidelberg, Germany.
Peter DregerDepartment of Internal Medicine V, University Hospital Heidelberg, Heidelberg, Germany.
Thomas LuftDepartment of Internal Medicine V, University Hospital Heidelberg, Heidelberg, Germany. thomas.luft@med.uni-heidelberg.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with myelodysplastic syndromes (MDS) are at risk of early death from cardiovascular complications due to the link between clonal hematopoiesis and endothelial dysfunction. EASIX (Endothelial Activation and Stress Index) has been established to predict endothelial complications after allogeneic transplantation. We investigated the impact of EASIX measured at first diagnosis on survival of patients with lower- and higher-risk MDS (no allogeneic transplantation) in two independent institutions: n = 192 (training cohort) and n = 333 (validation cohort). Serum markers of endothelial cell distress were measured and correlated to EASIX. While no effects of EASIX on survival were observed in higher-risk patients, EASIX was associated with shorter survival in patients with lower-risk MDS in both cohorts (univariate: Cohort I: hazard ratio (HR): 1.46; 95% confidence interval (CI) 1.24-1.71; p-value < 0.001/Cohort II: HR 1.31 [1.17-1.48]; p-value < 0.001). Multivariate Cox regression analysis and prediction error analyses confirmed that EASIX remained a significant predictor of survival after adjustment for age, sex, cytogenetic abnormalities and bone marrow blasts in lower-risk patients. The model of the training cohort could be validated. Serum levels of Angiopioetin-2 correlated significantly with EASIX. We introduce EASIX as an easily accessible and independent predictor for survival in patients with lower-risk MDS.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteModels, BiologicalMyelodysplastic SyndromesAdultAgedAged, 80 and overAge FactorsDisease-Free SurvivalFemaleFollow-Up StudiesHumansMaleMiddle AgedPredictive Value of TestsProportional Hazards Models

Identifiers

PMID31712595
PMCPMC6848148

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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.