Evidence map›Paper›PMID 31872362›Full record

Trial reportAnnals of hematology2020

The classic prognostic factors in advanced Hodgkin's lymphoma patients are losing their meaning at the time of Pet-guided treatments.

Alessia Bari, Raffaella Marcheselli, Stefano Sacchi, Alessandro Re, Chiara Pagani, Alessandra Tucci, Barbara Botto, Umberto Vitolo, Anna Lia Molinari, Benedetta Puccini and 12 more

Erratum issuedOpen access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Annals of hematology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Circulating tumor DNA in Hodgkin lymphoma.Annals of hematology · 2022
    Review
  7. Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 11 institutions in 1 country.

Alessia BariUO Terapie Mirate in Oncoematologia ed Osteoncologia, Dipartimento di Scienze Mediche e Chirurgiche Materno-Infantili e dell'Adulto, Universita' di Modena e Reggio Emilia, Modena, Italy.
Raffaella MarcheselliFondazione Italiana Linfomi, Onlus, Alessandria, Italy.
Stefano SacchiUO Terapie Mirate in Oncoematologia ed Osteoncologia, Dipartimento di Scienze Mediche e Chirurgiche Materno-Infantili e dell'Adulto, Universita' di Modena e Reggio Emilia, Modena, Italy. stefano.sacchi@unimore.it.
Alessandro ReSC Ematologia ASST Spedali Civili, Brescia, Italy.
Chiara PaganiSC Ematologia ASST Spedali Civili, Brescia, Italy.
Alessandra TucciSC Ematologia ASST Spedali Civili, Brescia, Italy.
Barbara BottoStruttura Complessa Ematologia, AOU Città della salute e della scienza di Torino, Turin, Italy.
Umberto VitoloStruttura Complessa Ematologia, AOU Città della salute e della scienza di Torino, Turin, Italy.
Anna Lia MolinariUnità Operativa di Ematologia, Ospedale degli Infermi di Rimini, Rimini, Italy.
Benedetta PucciniSOD Ematologia AOU Careggi, Florence, Italy.
Alessandro PulsoniDipartimento di Biotecnologie Cellulari ed Ematologia, Sapienza Università di Roma, Rome, Italy.
Armando SantoroHumanitas Clinical and Research Center - IRCCS, Humanitas Cancer Center, via Manzoni 56, 20089, Rozzano, Milan, Italy.
Monica TaniU.O.C di Ematologia Ospedale Santa Maria delle Croci, Ravenna, Italy.
Luca NassiDepartment of Translational Medicine, Università del Piemonte Orientale Amedeo Avogadro, Azienda Ospedaliero-Universitaria Maggiore della Carità, 28100, Novara, Italy.
Erika MeliEmatologia, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Vincenzo PavoneA.O. C. Panico-U.O.C Ematologia e Trapianto, Tricase, Lecce, Italy.
Maurizio BonfichiDiv. di Ematologia, IRCCS Policlinico S. Matteo di Pavia, Pavia, Italy.
Andrea EvangelistaUnit of Clinical Epidemiology, AOU Citta' della Salute e della Scienza di Torino and CPO Piemonte, Turin, Italy.
Daniela GioiaFondazione Italiana Linfomi, Onlus, Alessandria, Italy.
Alessandro LevisFondazione Italiana Linfomi, Onlus, Alessandria, Italy.
Pierluigi ZinzaniPoliclinico S.Orsola-Malpighi, Istituto di Ematologia "Seragnoli", Bologna, Italy.
Fondazione Italiana Linfomi (Onlus)
Azienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITUniversity of Modena and Reggio Emilia · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITHumanitas University · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITAzienda Ospedaliero-Universitaria Careggi · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITFondazione Intergruppo Italiano Linfomi Onlus · ITOspedale degli Infermi · ITPoliclinico San Matteo Fondazione · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The International Prognostic Score (IPS) is the most commonly used risk stratification tool for patients with advanced Hodgkin lymphoma (HL). It incorporates seven clinical parameters independently associated with a poorer outcome: male sex, age, stage IV, hemoglobin level, white blood cell and lymphocyte counts, and albumin level. Since the development of the IPS, there have been significant advances in therapy and supportive care. Recent studies suggest that the IPS is less discriminating due to improved outcomes with ABVD therapy. The aim of the present study was to asses if classic prognostic factors maintain their prognostic meaning at the time of response-adapted treatment based on interim PET scans. We evaluated the prognostic significance of IPS in the 520 advanced stage HL patients enrolled in the PET-guided, HD0801 trial in which PET2-positive patients underwent a more intense treatment with an early stem-cell transplantation after 2 cycles of ABVD. We observed that in these patients, the IPS completely loses its prognostic value together with all the single parameters that contribute to the IPS. Furthermore, neutrophils, monocytes, lymphocytes, and the ratio among them also no longer had any predictive value. We believe that the substantial improvement in survival outcomes in PET2-positive patients treated with early autologous transplantation could explain the complete disappearance of the residual prognostic significance of the IPS.

Indexed as

Hodgkin DiseaseStem Cell TransplantationAdultAntineoplastic Combined Chemotherapy ProtocolsAutograftsBleomycinDacarbazineDisease-Free SurvivalDoxorubicinFemaleHumansMaleMiddle AgedNeoplasm StagingPositron-Emission TomographySurvival RateBleomycinDacarbazineDoxorubicinVinblastineAbsolute monocyte countHodgkin lymphomaInternational Prognostic ScoreNeutrophil lymphocyte ratioPET

Identifiers

PMID31872362
PMCPMC6976582
OpenAlexW2996615575

What OpenQuestion holds

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LicenceCC BY
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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.