Evidence map›Paper›PMID 32108361›Full record

ArticleAllergy2020

Clinical features and survival of patients with indolent systemic mastocytosis defined by the updated WHO classification.

Jakub Trizuljak, Wolfgang R Sperr, Lucie Nekvindová, Hanneke O Elberink, Karoline V Gleixner, Aleksandra Gorska, Magdalena Lange, Karin Hartmann, Anja Illerhaus, Massimiliano Bonifacio and 33 more

Open access · bronzeAbstract read
In one paragraph

Article in Allergy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

33 citing papers in PubMed, 74 citations in OpenAlex.

  1. Article
  2. Review
  3. Diagnosing Systemic Mastocytosis: State of the Art.International journal of laboratory hematology · 2026
    Review
  4. Management of skeletal-related events and fracture prevention in systemic mastocytosis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Review
  5. Review
  6. Review
  7. Review
  8. Article
  9. Observational
  10. Review
  11. Mastocytosis.Nature reviews. Disease primers · 2025
    Review
  12. Review
  13. Article
  14. MASTering systemic mastocytosis: Lessons learned from a large patient cohort.The journal of allergy and clinical immunology. Global · 2024
    Article
  15. Article
  16. [Mastocytosis-a frequently unrecognized disease].Dermatologie (Heidelberg, Germany) · 2024
    Article
  17. Review
  18. Review
  19. Review
  20. Article
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

43 authors at 20 institutions in 12 countries.

Jakub TrizuljakDepartment of Hematology and Oncology, University Hospital, CEITEC Masaryk University, Brno, Czech Republic.ORCID 0000-0002-8948-5387
Wolfgang R SperrDepartment of Internal Medicine I, Division of Hematology and Hemostaseology, Ludwig Boltzmann Institute for Hematology and Oncology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-3288-8027
Lucie NekvindováInstitute of Biostatistics and Analyses, Ltd., Spinoff Company of Masaryk University, Brno, Czech Republic.ORCID 0000-0002-8866-2310
Hanneke O ElberinkDepartment of Allergology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.ORCID 0000-0003-2844-2196
Karoline V GleixnerDepartment of Internal Medicine I, Division of Hematology and Hemostaseology, Ludwig Boltzmann Institute for Hematology and Oncology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-5753-0203
Aleksandra GorskaDepartment of Allergology, Medical University of Gdańsk, Gdańsk, Poland.
Magdalena LangeDepartment of Dermatology, Venereology and Allergology, Medical University of Gdańsk, Gdańsk, Poland.ORCID 0000-0002-6967-1393
Karin HartmannDivision of Allergy, Department of Dermatology, University of Basel, Basel, Switzerland.ORCID 0000-0002-4595-8226
Anja IllerhausDepartment of Dermatology, University of Cologne, Cologne, Germany.ORCID 0000-0003-0521-203X
Massimiliano BonifacioDepartment of Medicine, Section of Hematology, University of Verona, Verona, Italy.ORCID 0000-0003-0716-1686
Cecelia PerkinsDivision of Hematology, Department of Medicine, Stanford University, School of Medicine/Stanford Cancer Institute, Stanford, CA, USA.ORCID 0000-0002-1277-7699
Chiara ElenaDivision of Hematology, Fondazione IRCCS Policlinico San Matteo & University of Pavia, Pavia, Italy.ORCID 0000-0003-2699-7462
Luca MalcovatiDivision of Hematology, Fondazione IRCCS Policlinico San Matteo & University of Pavia, Pavia, Italy.ORCID 0000-0002-1460-1611
Anna B FortinaPediatric Dermatology Unit, Department of Medicine, University of Padova, Padova, Italy.ORCID 0000-0001-5791-0775
Khalid ShoumariyehDepartment of Hematology, Oncology and Stem Cell Transplantation, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.ORCID 0000-0001-7969-1972
Mohamad JawharHämatologie und Onkologie, III. Medizinische Klinik, Universitätsmedizin Mannheim, Universität Heidelberg, Mannheim, Germany.ORCID 0000-0001-6312-237X
Roberta ZanottiDepartment of Medicine, Section of Hematology, University of Verona, Verona, Italy.ORCID 0000-0003-2871-9730
Patrizia BonadonnaAllergy Unit, Verona University Hospital, Verona, Italy.ORCID 0000-0003-0476-1934
Francesca CaroppoPediatric Dermatology Unit, Department of Medicine, University of Padova, Padova, Italy.ORCID 0000-0003-3583-0816
Alexander ZinkDepartment of Dermatology and Allergy Biederstein, School of Medicine, Technical University of Munich, Munich, Germany.ORCID 0000-0002-5424-0523
Massimo TriggianiDivision of Allergy and Clinical Immunology, University of Salerno, Salerno, Italy.ORCID 0000-0001-7318-2093
Roberta ParenteDivision of Allergy and Clinical Immunology, University of Salerno, Salerno, Italy.ORCID 0000-0002-4187-6477
Nikolas von BubnoffDepartment of Hematology, Oncology and Stem Cell Transplantation, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.ORCID 0000-0001-9593-8947
Akif S YavuzDivision of Hematology, Istanbul Medical School, University of Istanbul, Istanbul, Turkey.ORCID 0000-0001-9049-4654
Hans HägglundDepartment of Medical Sciences, Uppsala University, Section of Hematology, Uppsala University Hospital, Uppsala, Sweden.ORCID 0000-0002-4382-4945
Mattias MattssonDepartment of Medical Sciences, Uppsala University, Section of Hematology, Uppsala University Hospital, Uppsala, Sweden.ORCID 0000-0002-9510-8801
Jens PanseDepartment of Oncology, Haematology, Haemostaseology and Stem Cell Transplantation, University Hospital RWTH Aachen, Aachen, Germany.ORCID 0000-0001-6316-3112
Nadja JäkelDepartment of Internal Medicine IV, University Hospital Halle, Halle, Germany.ORCID 0000-0001-6162-515X
Alex KilbertusDepartment of Dermatology and Venereology, Kepler University Hospital, Johannes Kepler University, Linz, Austria.ORCID 0000-0002-4686-5582
Olivier HermineDepartement of Hematology, Centre National de Référence des Mastocytoses, Imagine Institute, INSERM U1123, Université Paris Descartes, Sorbonne, Paris Cité, Hôpital Necker, Assistance Publique des Hôpitaux de Paris (APHP), Paris, France.ORCID 0000-0003-2574-3874
Michel ArockLaboratory of Hematology, Pitié-Salpêtrière Hospital, Paris, France.ORCID 0000-0001-6714-7478
David FuchsDepartment of Internal Medicine 3, Hematology and Oncology, Kepler University Hospital, Johannes Kepler University, Linz, Austria.ORCID 0000-0003-3909-0499
Vito SabatoFaculty of Medicine and Health Sciences, Department of Immunology-Allergology-Rheumatology, University of Antwerp and Antwerp University Hospital, Antwerp, Belgium.ORCID 0000-0002-1321-314X
Knut BrockowDepartment of Dermatology and Allergy Biederstein, School of Medicine, Technical University of Munich, Munich, Germany.ORCID 0000-0002-2775-3681
Agnes BretterklieberDepartment of Dermatology and Venereology, Medical University of Graz, Graz, Austria.ORCID 0000-0002-6288-7693
Marek NiedoszytkoDepartment of Allergology, Medical University of Gdańsk, Gdańsk, Poland.ORCID 0000-0003-1089-1911
Björn van AnrooijDepartment of Allergology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.ORCID 0000-0003-0149-5087
Andreas ReiterHämatologie und Onkologie, III. Medizinische Klinik, Universitätsmedizin Mannheim, Universität Heidelberg, Mannheim, Germany.ORCID 0000-0002-6338-2136
Jason GotlibDivision of Hematology, Department of Medicine, Stanford University, School of Medicine/Stanford Cancer Institute, Stanford, CA, USA.ORCID 0000-0001-8253-6156
Hanneke C Kluin-NelemansDepartment of Hematology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.ORCID 0000-0003-2617-9427
Jiri MayerDepartment of Hematology and Oncology, University Hospital, CEITEC Masaryk University, Brno, Czech Republic.ORCID 0000-0003-0567-9887
Michael DoubekDepartment of Hematology and Oncology, University Hospital, CEITEC Masaryk University, Brno, Czech Republic.ORCID 0000-0002-1269-6282
Peter ValentDepartment of Internal Medicine I, Division of Hematology and Hemostaseology, Ludwig Boltzmann Institute for Hematology and Oncology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-7017-6640
Masaryk University · CZGdańsk Medical University · PLMedical University of Vienna · ATUniversity Medical Center Groningen · NLUniversity of Verona · ITHeidelberg University · DEJohannes Kepler University of Linz · ATStanford Medicine · USTechnical University of Munich · DEUniversity of Cologne · DEUniversity of Freiburg · DEUniversity of Padua · ITUniversity of Pavia · ITUniversity of Salerno · ITUppsala University Hospital · SEDélégation Paris 5 · FRIstanbul University · TRMedical University of Graz · ATRWTH Aachen University · DESorbonne Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn indolent systemic mastocytosis (ISM), several risk factors of disease progression have been identified. Previous studies, performed with limited patient numbers, have also shown that the clinical course in ISM is stable and comparable to that of cutaneous mastocytosis (CM). The aim of this project was to compare the prognosis of patients with ISM with that of patients with CM.

methodsWe employed a dataset of 1993 patients from the registry of the European Competence Network on Mastocytosis (ECNM) to compare outcomes of ISM and CM.

resultsWe found that overall survival (OS) is worse in ISM compared to CM. Moreover, in patients with typical ISM, bone marrow mastocytosis (BMM), and smoldering SM (SSM), 4.1% of disease progressions have been observed (4.9% of progressions in typical ISM group, 1.7% in BMM, and 9.4% in SSM). Progressions to advanced SM were observed in 2.9% of these patients. In contrast, six patients with CM (1.7%) converted to ISM and no definitive progression to advanced SM was found. No significant differences in OS and event-free survival (EFS) were found when comparing ISM, BMM, and SSM. Higher risk of both progression and death was significantly associated with male gender, worse performance status, and organomegaly.

conclusionOur data confirm the clinical impact of the WHO classification that separates ISM from CM and from other SM variants.

Indexed as

MastocytosisMastocytosis, SystemicBone MarrowHumansMaleMast CellsPrognosisWorld Health Organizationcutaneous mastocytosisindolent systemic mastocytosisprognosticationsurvivalWHO classification

Identifiers

PMID32108361
PMCPMC7115854
OpenAlexW3007311636

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