Evidence map›Paper›PMID 31770057›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2020

Asparaginase-Associated Pancreatitis in Acute Lymphoblastic Leukemia: Results From the NOPHO ALL2008 Treatment of Patients 1-45 Years of Age.

Cecilie U Rank, Benjamin O Wolthers, Kathrine Grell, Birgitte K Albertsen, Thomas L Frandsen, Ulrik M Overgaard, Nina Toft, Ove J Nielsen, Peder S Wehner, Arja Harila-Saari and 16 more

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
8.4field-weighted citation impact, top 2% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.

  1. Pooled it
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  11. Novel Therapeutic Approaches in Pediatric Acute Lymphoblastic Leukemia.International journal of molecular sciences · 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

26 authors at 15 institutions in 7 countries.

Cecilie U RankRigshospitalet, Copenhagen, Denmark.
Benjamin O WolthersRigshospitalet, Copenhagen, Denmark.
Kathrine GrellRigshospitalet, Copenhagen, Denmark.
Birgitte K AlbertsenAarhus University Hospital, Aarhus, Denmark.
Thomas L FrandsenRigshospitalet, Copenhagen, Denmark.
Ulrik M OvergaardRigshospitalet, Copenhagen, Denmark.
Nina ToftHerlev University Hospital, Herlev, Denmark.
Ove J NielsenRigshospitalet, Copenhagen, Denmark.
Peder S WehnerOdense University Hospital, Odense, Denmark.
Arja Harila-SaariUppsala University Hospital, Uppsala, Sweden.
Mats M HeymanKarolinska University Hospital, Stockholm, Sweden.
Johan MalmrosKarolinska University Hospital, Stockholm, Sweden.
Jonas AbrahamssonQueen Silvia Children's Hospital, Gothenburg, Sweden.
Ulrika Norén-NyströmUmeå University, Umeå, Sweden.
Beata Tomaszewska-ToporskaSkåne University Hospital, Lund, Sweden.
Bendik LundTrondheim University Hospital, Trondheim, Norway.
Kirsten B JarvisOslo University Hospital, Oslo, Norway.
Petter Quist-PaulsenTrondheim University Hospital, Trondheim, Norway.
Goda E VaitkevičienėVilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.
Laimonas GriškevičiusVilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.
Mervi TaskinenHelsinki University Hospital, Helsinki, Finland.
Ulla Wartiovaara-KauttoHelsinki University Hospital, Helsinki, Finland.
Kristi LepikTallinn Children's Hospital, Tallinn, Estonia.
Mari PunabTartu University Hospital, Tartu, Estonia.
Ólafur G JónssonReykjavik University Hospital, Reykjavík, Iceland.
Kjeld SchmiegelowRigshospitalet, Copenhagen, Denmark.
Rigshospitalet · DKUniversity of Copenhagen · DKHelsinki University Hospital · FIKarolinska University Hospital · SESt Olav's University Hospital · NOVilnius University Hospital Santariskiu Klinikos · LTAarhus University Hospital · DKDrottning Silvias barn- och ungdomssjukhus · SEOdense University Hospital · DKReykjavík University · ISSkåne University Hospital · SETallinn Health Care College · EETartu University Hospital · EEUmeå University · SEUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAsparaginase-associated pancreatitis (AAP) is common in patients with acute lymphoblastic leukemia (ALL), but risk differences across age groups both in relation to first-time AAP and after asparaginase re-exposure have not been explored. PATIENTS AND

methodsWe prospectively registered AAP (n = 168) during treatment of 2,448 consecutive ALL patients aged 1.0-45.9 years diagnosed from July 2008 to October 2018 and treated according to the Nordic Society of Pediatric Hematology and Oncology (NOPHO) ALL2008 protocol.

resultsCompared with patients aged 1.0-9.9 years, adjusted AAP hazard ratios (HRa) were associated with higher age with almost identical HRa (1.6; 95% CI, 1.1 to 2.3;

conclusionOlder children and adults had similar AAP risk, whereas morbidity was most pronounced among adolescents. Asparaginase re-exposure should be considered only for patients with an anticipated high risk of leukemic relapse, because multiple studies strongly indicate that reduction of asparaginase treatment intensity increases the risk of relapse.

Indexed as

AdolescentAdultAntineoplastic AgentsAsparaginaseChildChild, PreschoolEstoniaFemaleHumansIncidenceInfantLithuaniaMaleMiddle AgedPancreatitisPolyethylene GlycolsAntineoplastic AgentsAsparaginasepegaspargasePolyethylene Glycols

Identifiers

PMID31770057
PMCPMC6953441
OpenAlexW2990326114

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.