Evidence map›Paper›PMID 32211877›Full record

ArticleBlood2020

Stage I-II nodular lymphocyte-predominant Hodgkin lymphoma: a multi-institutional study of adult patients by ILROG.

Michael S Binkley, M Shahzad Rauf, Sarah A Milgrom, Chelsea C Pinnix, Richard Tsang, Michael Dickinson, Andrea K Ng, Kenneth B Roberts, Sarah Gao, Alex Balogh and 27 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Blood, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.2field-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

20 citing papers in PubMed, 45 citations in OpenAlex.

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  8. Real-world therapy and persistence of patients with neovascular age-related macular degeneration and diabetic retinopathy or diabetic macular edema: a German claims data analysis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
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  15. Individualized patient care in nodular lymphocyte-predominant Hodgkin lymphoma.Hematology. American Society of Hematology. Education Program · 2022
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

37 authors at 18 institutions in 8 countries.

Michael S BinkleyDepartment of Radiation Oncology, Stanford Cancer Institute, Stanford, CA.
M Shahzad RaufDepartment of Medical Oncology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Sarah A MilgromDepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX.
Chelsea C PinnixDepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, TX.
Richard TsangDepartment of Radiation Oncology, Princess Margaret Cancer Center, Toronto, ON, Canada.
Michael DickinsonDepartment of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.
Andrea K NgDepartment of Radiation Oncology, Dana-Farber Cancer Institute, Boston, MA.
Kenneth B RobertsDepartment of Radiation Oncology, Yale University, New Haven, CT.
Sarah GaoDepartment of Radiation Oncology, Yale University, New Haven, CT.
Alex BaloghTom Baker Cancer Center, Calgary, AB, Canada.
Umberto RicardiDepartment of Radiation Oncology, University of Turin, Torino, Italy.
Mario LevisDepartment of Radiation Oncology, University of Turin, Torino, Italy.
Carla CasuloDepartment of Medical Oncology and.
Michael StoltenDepartment of Radiation Oncology, University of Rochester, Rochester, NY.
Lena SpechtDepartment of Oncology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
John P PlastarasDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA.
Christopher WrightDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, PA.
Christopher R KelseyDepartment of Radiation Oncology, Duke University School of Medicine, Durham, NC.
Jessica L BradyDepartment of Clinical Oncology, Guy's Cancer Centre, Guy's and St Thomas' NHS Hospital, London, United Kingdom.
N George MikhaeelDepartment of Clinical Oncology, Guy's Cancer Centre, Guy's and St Thomas' NHS Hospital, London, United Kingdom.
Bradford S HoppeDepartment of Radiation Oncology, University of Florida, Gainesville, FL.
Stephanie A TerezakisDepartment of Radiation Oncology, The Johns Hopkins University School of Medicine, Baltimore, MD.
Marco PicardiDepartment of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Roberta Della PepaDepartment of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
Youlia KirovaDepartment of Radiation Oncology, Institut Curie, Paris, France.
Saad AkhtarDepartment of Medical Oncology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Irfan MaghfoorDepartment of Medical Oncology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Julie L KoenigDepartment of Radiation Oncology, Stanford Cancer Institute, Stanford, CA.
Christopher JacksonDepartment of Radiation Oncology, Yale University, New Haven, CT.
Erin SongDepartment of Radiation Oncology, Duke University School of Medicine, Durham, NC.
Shuchi SehgalDepartment of Radiation Oncology, The Johns Hopkins University School of Medicine, Baltimore, MD.
Ranjana H AdvaniDepartment of Medical Oncology and.
Yasodha NatkunamDepartment of Pathology, Stanford University School of Medicine, Stanford, CA.
Louis S ConstineDepartment of Radiation Oncology, University of Rochester, Rochester, NY.
Hans T EichDepartment of Radiation Oncology, Munster University, Munster, Germany; and.
Andrew WirthDepartment of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.
Richard T HoppeDepartment of Radiation Oncology, Stanford Cancer Institute, Stanford, CA.
King Faisal Specialist Hospital & Research Centre · SAStanford Cancer InstituteYale University · USDuke University · USFederico II University Hospital · ITJohns Hopkins University · USPeter MacCallum Cancer Centre · AUThe University of Texas MD Anderson Cancer Center · USUniversity of Pennsylvania · USUniversity of Rochester · USUniversity of Turin · ITHarvard University · USInstitut Curie · FRPrincess Margaret Cancer Centre · CAStanford University · USUniversity of Copenhagen · DKUniversity of Münster · DEWinnMed · US

Funding

University of Rochester Wilmot Cancer Institute Support GrantP30CA272302 · NCI · UNIVERSITY OF ROCHESTER · PI JONATHAN W FRIEDBERG · 2025 to 2026
$6.4M
NCI NIH HHS P30 CA272302
6 · The paper itself

Abstract

Nodular lymphocyte-predominant Hodgkin lymphoma (NLPHL) is an uncommon histologic variant, and the optimal treatment of stage I-II NLPHL is undefined. We conducted a multicenter retrospective study including patients ≥16 years of age with stage I-II NLPHL diagnosed from 1995 through 2018 who underwent all forms of management, including radiotherapy (RT), combined modality therapy (CMT; RT+chemotherapy [CT]), CT, observation after excision, rituximab and RT, and single-agent rituximab. End points were progression-free survival (PFS), freedom from transformation, and overall survival (OS) without statistical comparison between management groups. We identified 559 patients with median age of 39 years: 72.3% were men, and 54.9% had stage I disease. Median follow-up was 5.5 years (interquartile range, 3.1-10.1). Five-year PFS and OS in the entire cohort were 87.1% and 98.3%, respectively. Primary management was RT alone (n = 257; 46.0%), CMT (n = 184; 32.9%), CT alone (n = 47; 8.4%), observation (n = 37; 6.6%), rituximab and RT (n = 19; 3.4%), and rituximab alone (n = 15; 2.7%). The 5-year PFS rates were 91.1% after RT, 90.5% after CMT, 77.8% after CT, 73.5% after observation, 80.8% after rituximab and RT, and 38.5% after rituximab alone. In the RT cohort, but not the CMT cohort, variant immunoarchitectural pattern and number of sites >2 were associated with worse PFS (P < .05). Overall, 21 patients (3.8%) developed large-cell transformation, with a significantly higher transformation rate in those with variant immunoarchitectural pattern (P = .049) and number of involved sites >2 (P = .0006). OS for patients with stage I-II NLPHL was excellent after all treatments.

Indexed as

AdultAgedCombined Modality TherapyFemaleFollow-Up StudiesHodgkin DiseaseHumansKaplan-Meier EstimateLymphoma, Large B-Cell, DiffuseMaleMiddle AgedNeoplasms, Radiation-InducedNeoplasms, Second PrimaryNeoplasm StagingPositron Emission Tomography Computed TomographyProgression-Free Survival

Identifiers

PMID32211877
PMCPMC13127297
OpenAlexW3013244600

What OpenQuestion holds

Textmetadata
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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.