Evidence map›Paper›PMID 32209087›Full record

ArticleBMC cancer2020

Longitudinal trajectory patterns of plasma albumin and C-reactive protein levels around diagnosis, relapse, bacteraemia, and death of acute myeloid leukaemia patients.

Kim Oren Gradel, Pedro Póvoa, Olav Sivertsen Garvik, Pernille Just Vinholt, Stig Lønberg Nielsen, Thøger Gorm Jensen, Ming Chen, Ram Benny Dessau, Jens Kjølseth Møller, John Eugenio Coia and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

14 citing papers in PubMed, 22 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

13 authors at 6 institutions in 2 countries.

Kim Oren GradelCenter for Clinical Epidemiology, Odense University Hospital, and Research Unit of Clinical Epidemiology, Department of Clinical Research, University of Southern Denmark, Kløvervænget 30, Entrance 216, ground floor, 5000, Odense C, Denmark. kim.gradel@rsyd.dk.
Pedro PóvoaCenter for Clinical Epidemiology, Odense University Hospital, and Research Unit of Clinical Epidemiology, Department of Clinical Research, University of Southern Denmark, Kløvervænget 30, Entrance 216, ground floor, 5000, Odense C, Denmark.
Olav Sivertsen GarvikCenter for Clinical Epidemiology, Odense University Hospital, and Research Unit of Clinical Epidemiology, Department of Clinical Research, University of Southern Denmark, Kløvervænget 30, Entrance 216, ground floor, 5000, Odense C, Denmark.
Pernille Just VinholtDepartment of Clinical Biochemistry and Pharmacology, Odense University Hospital, Sdr. Boulevard 29, entrance 40, 5000, Odense C, Denmark.
Stig Lønberg NielsenDepartment of Infectious Diseases, Odense University Hospital, J.B. Winsløws Vej 4, 5000, Odense, Denmark.
Thøger Gorm JensenDepartment of Clinical Microbiology, Odense University Hospital, J.B.Winsløws Vej 21, 2nd floor, 5000, Odense C, Denmark.
Ming ChenDepartment of Clinical Microbiology, Hospital of Southern Jutland, Sydvang 1, 6400, Sønderborg, Denmark.
Ram Benny DessauDepartment of Clinical Microbiology, Slagelse Hospital, Ingemannsvej 46, 4200, Slagelse, Denmark.
Jens Kjølseth MøllerDepartment of Clinical Microbiology, Hospital Lillebaelt, Beriderbakken 4, 7100, Vejle, Denmark.
John Eugenio CoiaDepartment of Clinical Microbiology, Hospital of South West Jutland, Finsensgade 35, 6700, Esbjerg, Denmark.
Pernille Sanberg LjungdalhDepartment of Regional Health Research, University of Southern Denmark, 5000, Odense C, Denmark.
Annmarie Touborg LassenDepartment of Emergency Medicine, Odense University Hospital, Kløvervænget 25, entrance 63-65, 5000, Odense C, Denmark.
Henrik FrederiksenDepartment of Haematology, Odense University Hospital, and Research Unit of Haematology, Department of Clinical Research, University of Southern Denmark, Kløvervænget 6, entrance 93, 12th floor, 5000, Odense C, Denmark.
Odense University Hospital · DKUniversity of Southern Denmark · DKHospital South West Jutland · DKLillebaelt Hospital · DKSlagelse Hospital · DKSygehus Sønderjylland · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNo study has evaluated C-reactive protein (CRP) and plasma albumin (PA) levels longitudinally in patients with acute myeloid leukaemia (AML).

methodsWe studied defined events in 818 adult patients with AML in relation to 60,209 CRP and PA measures. We investigated correlations between CRP and PA levels and daily CRP and PA levels in relation to AML diagnosis, AML relapse, or bacteraemia (all ±30 days), and death (─30-0 days).

resultsOn the AML diagnosis date (D0), CRP levels increased with higher WHO performance score (PS), e.g. patients with PS 3/4 had 68.1 mg/L higher CRP compared to patients with PS 0, adjusted for relevant covariates. On D0, the PA level declined with increasing PS, e.g. PS 3/4 had 7.54 g/L lower adjusted PA compared to PS 0. CRP and PA levels were inversely correlated for the PA interval 25-55 g/L (R = - 0.51, p < 10-5), but not for ≤24 g/L (R = 0.01, p = 0.57). CRP increases and PA decreases were seen prior to bacteraemia and death, whereas no changes occurred up to AML diagnosis or relapse. CRP increases and PA decreases were also found frequently in individuals, unrelated to a pre-specified event.

conclusionsPA decrease is an important biomarker for imminent bacteraemia in adult patients with AML.

Indexed as

AdolescentAdultAgedAged, 80 and overBacteremiaBiomarkers, TumorC-Reactive ProteinDenmarkDown-RegulationFemaleHumansLeukemia, Myeloid, AcuteLongitudinal StudiesMaleMiddle AgedNeoplasm Recurrence, LocalBiomarkers, TumorC-Reactive ProteinSerum AlbuminAcute myeloid leukaemiaC-reactive proteinInfectionInflammationPlasma albumin

Identifiers

PMID32209087
PMCPMC7092519
OpenAlexW3013096034

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.