Evidence map›Paper›PMID 32074276›Full record

ArticleBlood advances2020

Outpatient intensive induction chemotherapy for acute myeloid leukemia and high-risk myelodysplastic syndrome.

Frances Linzee Mabrey, Kelda M Gardner, Kathleen Shannon Dorcy, Andrea Perdue, Heather A Smith, Alicyn M Davis, Cody Hammer, Donelle Rizzuto, Sunny Jones, Kim Quach and 7 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.5field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 26 citations in OpenAlex.

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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 at 2 institutions in 1 country.

Frances Linzee MabreyDivision of Hematology, Department of Medicine, University of Washington School of Medicine, Seattle, WA.
Kelda M GardnerDivision of Hematology, Department of Medicine, University of Washington School of Medicine, Seattle, WA.
Kathleen Shannon DorcySeattle Cancer Care Alliance, Seattle, WA.
Andrea PerdueSeattle Cancer Care Alliance, Seattle, WA.
Heather A SmithSeattle Cancer Care Alliance, Seattle, WA.
Alicyn M DavisSeattle Cancer Care Alliance, Seattle, WA.
Cody HammerDivision of Hematology, Department of Medicine, University of Washington School of Medicine, Seattle, WA.
Donelle RizzutoSeattle Cancer Care Alliance, Seattle, WA.
Sunny JonesSeattle Cancer Care Alliance, Seattle, WA.
Kim QuachDivision of Hematology, Department of Medicine, University of Washington School of Medicine, Seattle, WA.
Bart L ScottSeattle Cancer Care Alliance, Seattle, WA.
Paul C HendrieDivision of Hematology, Department of Medicine, University of Washington School of Medicine, Seattle, WA.
Mary-Elizabeth M PercivalDivision of Hematology, Department of Medicine, University of Washington School of Medicine, Seattle, WA.
Roland B WalterDivision of Hematology, Department of Medicine, University of Washington School of Medicine, Seattle, WA.
Frederick R AppelbaumSeattle Cancer Care Alliance, Seattle, WA.
Elihu H EsteyDivision of Hematology, Department of Medicine, University of Washington School of Medicine, Seattle, WA.
Pamela S BeckerDivision of Hematology, Department of Medicine, University of Washington School of Medicine, Seattle, WA.
Seattle Cancer Care Alliance · USUniversity of Washington · US

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Marian Esvelt · 1985 to 2026
$296.4M
NCI NIH HHS P30 CA015704
6 · The paper itself

Abstract

To improve patient quality of life and reduce health care costs, many conditions formerly thought to require inpatient care are now treated in the outpatient setting. Outpatient induction chemotherapy for acute myeloid leukemia (AML) may confer similar benefits. This possibility prompted a pilot study to explore the safety and feasibility of intensive outpatient initial or salvage induction chemotherapy administration for adults with AML and high-risk myelodysplastic syndrome (MDS). Patients with no significant organ dysfunction and a treatment-related mortality (TRM) score corresponding to a day 28 mortality rate of <5% to 10% were eligible for study. Patients were treated as outpatients with daily evaluation by providers and only admitted to the hospital if mandated by complications. Twenty patients were consented, and 17 were treated. Eight patients received initial induction chemotherapy and 9 received salvage induction chemotherapy. Fourteen patients completed induction chemotherapy administration in the outpatient setting (82.4%; exact 95% confidence interval [CI], 55.8-95.3). Three patients were admitted during the course of chemotherapy administration, 2 for neutropenic fever and 1 for grade 3 mucositis. No patients died within 14 days of the initiation of induction chemotherapy (exact 95% CI, 0-22.9). Results of this pilot study suggest it is feasible to complete outpatient induction chemotherapy in select patients with AML and high-risk MDS. A team including nurses, social workers, medical providers, and pharmacists was key to the successful implementation of outpatient induction.

Indexed as

Leukemia, Myeloid, AcuteMyelodysplastic SyndromesAdultAntineoplastic Combined Chemotherapy ProtocolsHumansInduction ChemotherapyOutpatientsPilot ProjectsQuality of Life

Identifiers

PMID32074276
PMCPMC7042997
OpenAlexW3007168322

What OpenQuestion holds

Textmetadata
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.