Evidence map›Paper›PMID 31832751›Full record

ArticleAnnals of hematology2020

Tracing the decision-making process for myelofibrosis: diagnosis, stratification, and management of ruxolitinib therapy in real-word practice.

Massimo Breccia, Claudia Baratè, Giulia Benevolo, Massimiliano Bonifacio, Elena Maria Elli, Paola Guglielmelli, Margherita Maffioli, Alessandra Malato, Francesco Mendicino, Giuseppe Alberto Palumbo and 7 more

Abstract read
In one paragraph

Article in Annals of hematology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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

17 authors.

Massimo BrecciaHematology, Department of Precision and Translational Medicine, Policlinico Umberto 1, Sapienza University, Rome, Italy. breccia@bce.uniroma1.it.ORCID https://orcid.org/0000-0003-1163-6162
Claudia BaratèDepartment of Clinical and Experimental Medicine, Section of Hematology, University of Pisa, Pisa, Italy.
Giulia BenevoloHematology, Città della Salute e della Scienza, Turin, Italy.
Massimiliano BonifacioDepartment of Medicine, Section of Hematology, University of Verona, Verona, Italy.
Elena Maria ElliHematology Division and Bone Marrow Transplant Unit, ASST Monza, Ospedale San Gerardo, Monza, Italy.
Paola GuglielmelliCenter of Research and Innovation of Myeloproliferative Neoplasms, AOU Careggi, University of Florence, Florence, Italy.
Margherita MaffioliHematology Unit, ASST Sette Laghi, Ospedale di Circolo, Varese, Italy.
Alessandra MalatoDivision of Hematology and Bone Marrow Transplant, Villa Sofia-Cervello Hospital, 90146, Palermo, Italy.
Francesco MendicinoHematology Unit, Department of Hemato-Oncology, Ospedale Annunziata, Via San Martino, snc -, 87100, Cosenza, Italy.
Giuseppe Alberto PalumboDipartimento di Scienze Mediche, Chirurgiche e Tecnologie Avanzate "G.F. Ingrassia", University of Catania, Catania, Italy.
Novella PuglieseDepartment of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy.
Elena RossiIstituto di Ematologia, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy.
Elisa RumiDepartment of Hematology Oncology, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy.
Emanuela Sant'AntonioDepartment of Oncology, Division of Hematology, Azienda USL Toscana Nord Ovest, Lucca, Italy.
Alessandra RiccoDepartment of Emergency and Organ Transplantation (DETO), Hematology Section, University of Bari, Bari, Italy.
Mario TiribelliDivision of Hematology and Bone Marrow Transplantation, Department of Medical Area, University of Udine, Udine, Italy.
Francesca PalandriInstitute of Hematology "L. and A. Seràgnoli", Sant'Orsola-Malpighi University Hospital, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The management of patients with myelofibrosis (MF) has dramatically changed since the introduction of ruxolitinib as a tailored treatment strategy. However, the perceptions about the use of this drug in clinical practice remain, at times, a matter of discussion. We conducted a survey about the diagnostic evaluation, prognostic assessment, and management of ruxolitinib in real-life clinical practice in 18 Italian hematology centers. At diagnosis, most hematologists do not use genetically or molecularly inspired score systems to assess prognosis, mainly due to scarce availability of next-generation sequencing (NGS) methodology, with NGS conversely reserved only for a subset of lower-risk MF patients with the aim of possibly improving the treatment strategy. Some common points in the management of ruxolitinib were 1) clinical triggers for ruxolitinib therapy, regardless of risk category; 2) evaluation of infectious risk before the starting of the drug; and 3) schedule of monitoring during the first 12 weeks with the need, in some instances, of supportive treatment. Further development of international recommendations and insights will allow the achievement of common criteria for the management of ruxolitinib in MF, before and after treatment, and for the definition of response and failure.

Indexed as

Clinical Decision-MakingFemaleHumansMaleNitrilesPrimary MyelofibrosisPrognosisPyrazolesPyrimidinesNitrilesPyrazolesPyrimidinesruxolitinibMyelofibrosisReal-life practiceRuxolitinibSurveyTherapy

Identifiers

PMID31832751
PMCPMC6944647

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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.