Evidence map›Paper›PMID 32703750›Full record

ArticleClinical lymphoma, myeloma & leukemia2020

Maintenance Therapy for Cutaneous T-cell Lymphoma After Total Skin Electron Irradiation: Evidence for Improved Overall Survival With Ultraviolet Therapy.

Matthew R Kudelka, Jeffrey M Switchenko, Mary Jo Lechowicz, Natia Esiashvili, Christopher R Flowers, Mohammad K Khan, Pamela B Allen

Open access · greenAbstract read
In one paragraph

Article in Clinical lymphoma, myeloma & leukemia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 25% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Review
  4. Total skin electron beam therapy.Frontiers in oncology · 2025
    Article
  5. Radiation therapy in mycosis fungoides.Dermatology reports · 2024
    Review
  6. The evolving role of reduced-dose total skin electron beam therapy in skin malignancies: the renaissance of a rare indication.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2023
    Article
  7. 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

7 authors at 3 institutions in 1 country.

Matthew R KudelkaMedical Scientist Training Program, Emory School of Medicine, Atlanta, GA.
Jeffrey M SwitchenkoDepartment of Biostatistics and Bioinformatics, Rollins School of Public Health, Atlanta, GA.
Mary Jo LechowiczWinship Cancer Institute of Emory University, Atlanta, GA.
Natia EsiashviliDepartment of Radiation Oncology, Winship Cancer Institute, Emory University, Atlanta, GA.
Christopher R FlowersDepartment of Lymphoma and Myeloma, MD Anderson Cancer Center, Houston, TX.
Mohammad K KhanDepartment of Radiation Oncology, Winship Cancer Institute, Emory University, Atlanta, GA.
Pamela B AllenWinship Cancer Institute of Emory University, Atlanta, GA. Electronic address: pamela.b.allen@emory.edu.
Emory University · USEmory Healthcare · USThe University of Texas MD Anderson Cancer Center · US

Funding

Winship Cancer Institute Cancer Center Support GrantP30CA138292 · NCI · EMORY UNIVERSITY · PI Suresh S Ramalingam · 2009 to 2026
$47.5M
NCI NIH HHS P30 CA138292
6 · The paper itself

Abstract

backgroundTreatment of cutaneous T-cell lymphoma (CTCL) with total skin electron beam (TSEB) therapy has been associated with deep responses but short progression-free intervals. Maintenance therapy might prolong the response duration; however, limited data assessing the outcomes with maintenance therapy after TSEB are available. We evaluated the effect of maintenance therapy on the outcomes for patients with CTCL receiving TSEB therapy. MATERIALS AND

methodsWe conducted a single-center retrospective analysis of 101 patients with CTCL who had received TSEB therapy from 1998 to 2018 at the Winship Cancer Institute of Emory University and compared the overall survival (OS) and progression-free survival (PFS) for patients had received maintenance therapy, including retinoids, interferon, ultraviolet therapy, nitrogen mustard, and extracorporeal photopheresis compared with those who had not.

resultsWe found that pooled maintenance therapies improved PFS (hazard ratio [HR], 0.60; P = .026) but not OS (median HR, 0.73; P = .264). The median PFS and OS was 7.2 months versus 9.6 months and 2.4 years versus 4.2 years for the no maintenance and maintenance groups, respectively. On exploratory analysis of the individual regimens, ultraviolet therapy was associated with improved OS (HR, 0.21; P = .034) and PFS (HR, 0.26; P = .002) compared with no maintenance.

conclusionAmong the patients with CTCL who had received TSEB therapy, maintenance therapy improved PFS for all patients, and ultraviolet-based maintenance improved both PFS and OS in a subset of patients.

Indexed as

AdolescentAdultAgedAged, 80 and overFemaleHumansLymphoma, T-Cell, CutaneousMaleMiddle AgedRadiotherapy DosageRetrospective StudiesSkinSkin NeoplasmsUltraviolet TherapyWhole-Body IrradiationYoung AdultCTCLMaintenance therapyPUVATotal skin electron beamTSEBUltra-violet

Identifiers

PMID32703750
PMCPMC9126313
OpenAlexW3038448876

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.