Evidence map›Paper›PMID 32311013›Full record

ArticleBlood advances2020

Patterns of care and clinical outcomes with cytarabine-anthracycline induction chemotherapy for AML patients in the United States.

Amer M Zeidan, Nikolai A Podoltsev, Xiaoyi Wang, Chi Zhang, Jan Philipp Bewersdorf, Rory M Shallis, Scott F Huntington, Natalia Neparidze, Smith Giri, Steven D Gore and 3 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 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 4% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. The global epidemiology of acute myeloid leukaemia.Nature reviews. Clinical oncology · 2026
    Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. The approach of HMA plus VEN with or without BMT for all patients with AML.Hematology. American Society of Hematology. Education Program · 2023
    Article
  16. Article
  17. Facility type and cancer outcomes in the United States.Annals of cancer epidemiology · 2023
    Article
  18. Article
  19. Article
  20. Review
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 1 institution in 1 country.

Amer M ZeidanDepartment of Internal Medicine, Yale School of Medicine and Yale Cancer Center, New Haven, CT.
Nikolai A PodoltsevDepartment of Internal Medicine, Yale School of Medicine and Yale Cancer Center, New Haven, CT.
Xiaoyi WangYale Cancer Outcomes, Public Policy, and Effectiveness Research Center, New Haven, CT; and.
Chi ZhangDepartment of Chronic Disease Epidemiology and.
Jan Philipp BewersdorfDepartment of Internal Medicine, Yale School of Medicine and Yale Cancer Center, New Haven, CT.
Rory M ShallisDepartment of Internal Medicine, Yale School of Medicine and Yale Cancer Center, New Haven, CT.
Scott F HuntingtonDepartment of Internal Medicine, Yale School of Medicine and Yale Cancer Center, New Haven, CT.
Natalia NeparidzeDepartment of Internal Medicine, Yale School of Medicine and Yale Cancer Center, New Haven, CT.
Smith GiriDepartment of Internal Medicine, Yale School of Medicine and Yale Cancer Center, New Haven, CT.
Steven D GoreDepartment of Internal Medicine, Yale School of Medicine and Yale Cancer Center, New Haven, CT.
Amy J DavidoffYale Cancer Outcomes, Public Policy, and Effectiveness Research Center, New Haven, CT; and.
Xiaomei MaYale Cancer Outcomes, Public Policy, and Effectiveness Research Center, New Haven, CT; and.
Rong WangYale Cancer Outcomes, Public Policy, and Effectiveness Research Center, New Haven, CT; and.
Yale Cancer Center · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Cytarabine-anthracycline based intensive induction chemotherapy (IC) remains the standard of care for remission induction among fit patients with newly diagnosed acute myeloid leukemia (AML) in the United States (US). However, the mortality rate outside of clinical IC trials, predictors of death, and resource utilization during admission for IC have not been thoroughly examined. We used the Premier Healthcare database to identify adult patients (aged 18-89 years) treated with cytarabine-anthracycline-based IC during their first recorded inpatient stay for AML during the contemporary period of 2010 to 2017. We identified factors associated with inpatient death or discharge to hospice, using multivariable logistic regression models. We also assessed the patterns of inpatient healthcare resource utilization. A total of 6442 patients with AML from 313 hospitals who were treated with IC were identified. Median age was 61 years (interquartile range [IQR], 50-68 years), and 56% were men. Median length of stay was 29 (IQR, 25-38) days, with rates of in-hospital death and discharge to hospice of 12.3% and 3.7% (17.9% and 6.3% among patients aged ≥65 years), respectively. Predictors of in-hospital death or discharge to hospice included older age, geographic region, and lower hospital volume. During admission, 28.0%, 12.6%, and 4.0% of patients required treatment in intensive care units, mechanical ventilation, and dialysis, respectively. Despite improvements in supportive care in the contemporary era, inpatient mortality during first hospitalization for adult patients with AML treated with IC in the US remains high particularly among older patients.

Indexed as

CytarabineLeukemia, Myeloid, AcuteAdolescentAdultAgedAged, 80 and overAnthracyclinesFemaleHospital MortalityHumansInduction ChemotherapyMaleMiddle AgedUnited StatesYoung AdultAnthracyclinesCytarabine

Identifiers

PMID32311013
PMCPMC7189301
OpenAlexW3016792110

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.