Evidence map›Paper›PMID 31869412›Full record

ArticleBlood advances2019

Managing chronic myeloid leukemia for treatment-free remission: a proposal from the GIMEMA CML WP.

Michele Baccarani, Elisabetta Abruzzese, Vincenzo Accurso, Francesco Albano, Mario Annunziata, Sara Barulli, Germana Beltrami, Micaela Bergamaschi, Gianni Binotto, Monica Bocchia and 51 more

Abstract readMulticenter Study
In one paragraph

Article in Blood advances, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 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

49 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

61 authors.

Michele BaccaraniUniversità di Bologna, Bologna, Italy.
Elisabetta AbruzzeseUniversità La Sapienza Roma, Rome, Italy.
Vincenzo AccursoPoliclinico Giaccone, Palermo, Italy.
Francesco AlbanoUniversità Bari, Bari, Italy.
Mario AnnunziataOspedale Cardarelli Napoli, Naples, Italy.
Sara BarulliOspedale San Salvatore, Pesaro, Italy.
Germana BeltramiPoliclinico San Martino, Genoa, Italy.
Micaela BergamaschiPoliclinico San Martino, Genoa, Italy.
Gianni BinottoUniversità Padova, Padua, Italy.
Monica BocchiaUniversità Siena, Siena, Italy.
Giovanni CaocciUniversità Cagliari, Cagliari, Italy.
Isabella CapodannoAzienda Unità Sanitaria Locale-Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) di Reggio Emilia, Reggio Emilia, Italy.
Francesco CavazziniAzienda Ospedaliero Universitaria (AOU) Arcispedale S. Anna Ferrara, Ferrara, Italy.
Michele CedroneAOU San Giovanni Addolorata, Rome, Italy.
Marco CerranoUniversità Torino, Turin, Italy.
Monica CrugnolaAOU Parma, Parma, Italy.
Mariella D'AddaAzienda Socio Sanitaria Territoriale (ASST) Spedali Civili, Brescia, Italy.
Chiara ElenaFondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Carmen FavaUniversità Torino, Turin, Italy.
Paola FaziUniversità La Sapienza Roma, Rome, Italy.
Claudio FozzaUniversità Sassari, Sassari, Italy.
Sara GalimbertiUniversità Pisa, Pisa, Italy.
Valentina GiaiAzienda Ospedaliera (ASO) SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Antonella GozziniAOU Careggi, Firenze, Italy.
Gabriele GugliottaUniversità di Bologna, Bologna, Italy.
Alessandra IurloFondazione IRCCS Cà Granda Ospedale Maggiore, Milan, Italy.
Gaetano La BarbaOspedale Civile Spirito Santo, Pescara, Italy.
Luciano LevatoAO Pugliese Ciaccio, Catanzaro, Italy.
Alessandro LucchesiIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola, Italy.
Luigia LucianoUniversità Federico II, Naples, Italy.
Francesca LunghiIRCCS San Raffaele, Milan, Italy.
Monia LunghiAOU Maggiore della Carità, Novara, Italy.
Michele MalagolaUniversità Brescia, Brescia, Italy.
Roberto MarascaUniversity of Modena and Reggio Emilia, Modena, Italy.
Bruno MartinoUnità Operativa Ematologia Grande Ospedale, Reggio Calabria, Italy.
Angela MelpignanoOspedale A. Perrino, Brindisi, Italy.
Maria Cristina MiggianoOspedale San Bortolo, Vicenza, Italy.
Enrico MontefuscoAOU S. Andrea, Rome, Italy.
Caterina MusolinoUniversità Messina, Messina, Italy.
Fausto PalmieriAzienda Ospedaliera di Rilevo Nazionale (AORN) San Giuseppe (S.G.) Moscati, Avellino, Italy.
Patrizia PregnoAOU Città della Salute e della Scienza, Turin, Italy.
Davide RapezziASO Croce e Carle, Cuneo, Italy.
Giovanna Rege-CambrinUniversità Torino, Turin, Italy.
Serena RupoliUniversità Ancona, Ancona, Italy.
Marzia SalvucciOspedale Santa Maria delle Croci, Ravenna, Italy.
Rosaria SancettaULSS3 Serenissima, Venice, Italy.
Simona SicaFondazione Policlinico Universitario A. Gemelli-IRCCS, Rome, Italy.
Raffaele SpadanoCasa Sollievo della Sofferenza, San Giovanni Rotondo, Italy.
Fabio StagnoUniversità Catania, Catania, Italy.
Mario TiribelliUniversità Udine, Udine, Italy.
Simona TomassettiOspedale degli Infermi, Rimini, Italy.
Elena TrabacchiAzienda Unità Sanitaria Locale (AUSL) Ospedale Guglielmo di Saliceto, Piacenza, Italy; and.
Massimiliano BonifacioUniversità Verona, Verona, Italy.
Massimo BrecciaUniversità La Sapienza Roma, Rome, Italy.
Fausto CastagnettiUniversità di Bologna, Bologna, Italy.
Fabrizio PaneUniversità Federico II, Naples, Italy.
Domenico RussoUniversità Brescia, Brescia, Italy.
Giuseppe SaglioUniversità Torino, Turin, Italy.
Simona SoveriniUniversità di Bologna, Bologna, Italy.
Paolo VigneriUniversità Catania, Catania, Italy.
Gianantonio RostiUniversità di Bologna, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several papers authored by international experts have proposed recommendations on the management of BCR-ABL1+ chronic myeloid leukemia (CML). Following these recommendations, survival of CML patients has become very close to normal. The next, ambitious, step is to bring as many patients as possible into a condition of treatment-free remission (TFR). The Gruppo Italiano Malattie EMatologiche dell'Adulto (GIMEMA; Italian Group for Hematologic Diseases of the Adult) CML Working Party (WP) has developed a project aimed at selecting the treatment policies that may increase the probability of TFR, taking into account 4 variables: the need for TFR, the tyrosine kinase inhibitors (TKIs), the characteristics of leukemia, and the patient. A Delphi-like method was used to reach a consensus among the representatives of 50 centers of the CML WP. A consensus was reached on the assessment of disease risk (EUTOS Long Term Survival [ELTS] score), on the definition of the most appropriate age boundaries for the choice of first-line treatment, on the choice of the TKI for first-line treatment, and on the definition of the responses that do not require a change of the TKI (BCR-ABL1 ≤10% at 3 months, ≤1% at 6 months, ≤0.1% at 12 months, ≤0.01% at 24 months), and of the responses that require a change of the TKI, when the goal is TFR (BCR-ABL1 >10% at 3 and 6 months, >1% at 12 months, and >0.1% at 24 months). These suggestions may help optimize the treatment strategy for TFR.

Indexed as

AdolescentAdultAntineoplastic Combined Chemotherapy ProtocolsDisease ManagementFemaleFusion Proteins, bcr-ablHealth Care CostsHealth Care SurveysHumansItalyLeukemia, Myelogenous, Chronic, BCR-ABL PositiveMaleMiddle AgedPregnancyProtein Kinase InhibitorsRemission InductionBCR-ABL1 fusion protein, humanFusion Proteins, bcr-ablProtein Kinase Inhibitors

Identifiers

PMID31869412
PMCPMC6929396

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