Evidence map›Paper›PMID 32417942›Full record

ReviewAnnals of hematology2020

Modern management of splenomegaly in patients with myelofibrosis.

Douglas Tremblay, Myron Schwartz, Richard Bakst, Rahul Patel, Thomas Schiano, Marina Kremyanskaya, Ronald Hoffman, John Mascarenhas

Open access · greenAbstract readReview
In one paragraph

Review in Annals of hematology, 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
2.2field-weighted citation impact, top 12% 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, 37 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

8 authors at 3 institutions in 1 country.

Douglas TremblayDivision of Hematology and Medical Oncology, Icahn School of Medicine at Mount Sinai, Tisch Cancer Institute, New York, NY, USA.
Myron SchwartzRecanati/Miller Transplantation Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Richard BakstDepartment of Radiation of Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Rahul PatelDivision of Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Thomas SchianoRecanati/Miller Transplantation Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Marina KremyanskayaDivision of Hematology and Medical Oncology, Icahn School of Medicine at Mount Sinai, Tisch Cancer Institute, New York, NY, USA.
Ronald HoffmanDivision of Hematology and Medical Oncology, Icahn School of Medicine at Mount Sinai, Tisch Cancer Institute, New York, NY, USA.
John MascarenhasDivision of Hematology and Medical Oncology, Icahn School of Medicine at Mount Sinai, Tisch Cancer Institute, New York, NY, USA. john.mascarenhas@mssm.edu.ORCID http://orcid.org/0000-0002-8400-0483
Icahn School of Medicine at Mount Sinai · USTisch Cancer InstituteTisch Hospital · US

Funding

Tissue BankP01CA108671 · NCI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI Ross L Levine · 2006 to 2026
$82.0M
TARGETING RETROVIRAL VECTORS TO HEMATOPOIETIC STEM CELLSP01HL053762 · NHLBI · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI KAN, YUET W · 1994 to 2004
$5.1M
NCI NIH HHS P01 CA108671NHLBI NIH HHS P01 HL053762
6 · The paper itself

Abstract

Myelofibrosis (MF) is a chronic myeloproliferative neoplasm which can lead to massive splenomegaly secondary to extramedullary hematopoiesis. Patients frequently exhibit debilitating symptoms including pain and early satiety, in addition to cellular sequestration causing severe cytopenias. JAK 1/2 inhibitors, such as ruxolitinib and fedratinib, are the mainstay of therapy and produce significant and durable reductions in spleen volume. However, many patients are not eligible for JAK 2 inhibitor therapy or become refractory to treatment over time. Novel therapies are in development that can reduce the degree of splenomegaly for some of these patients. However, splenectomy, splenic irradiation, and partial splenic artery embolization remain valuable therapeutic options in select patients. In this review, we will discuss currently available pharmacologic therapies and describe promising drugs currently in development. We will also delve into the efficacy and safety concerns of splenectomy, splenic irradiation, and partial splenic artery embolization. Finally, we will propose a treatment algorithm to help guide clinicians in the management of symptomatic splenomegaly in patients with MF.

Indexed as

Embolization, TherapeuticHumansPrimary MyelofibrosisProtein Kinase InhibitorsSpleenSplenectomySplenic ArterySplenomegalyProtein Kinase InhibitorsJAK inhibitorMyelofibrosisSplenectomySplenic artery embolizationSplenic irradiationSplenomegaly

Identifiers

PMID32417942
PMCPMC7809704
OpenAlexW3025483714

What OpenQuestion holds

Textmetadata
LicenceTDM
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.