Evidence map›Paper›PMID 32766852›Full record

Trial reportBlood advances2020

In childhood mature B-NHL with CNS disease, patients with blasts in cerebrospinal fluid are at higher risk of failure.

Mathieu Simonin, Anne Auperin, Yves Bertrand, Nathalie Aladjidi, André Baruchel, Audrey Contet, Carole Coze, Virginie Gandemer, Stephanie Haouy, Thierry Leblanc and 4 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 53% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

14 authors at 11 institutions in 1 country.

Mathieu SimoninDepartment of Pediatric Oncology and Hematology, Armand Trousseau Hospital, Assistance Publique-Hôpitaux de Paris and Sorbonne University, Paris, France.
Anne AuperinUnit of Biostatistics and Epidemiology, Gustave Roussy, Paris-Saclay University, INSERM 1018, Villejuif, France.
Yves BertrandDepartment of Pediatric Hematology, Institute of Pediatric Hematology and Oncology, Claude Bernard University Lyon, Paris, France.
Nathalie AladjidiDepartment of Pediatric Oncology and Haematology, University Hospital of Bordeaux, Bordeaux, France.
André BaruchelDepartment of Pediatric Hematology and Immunology, Robert Debré Hospital, Assistance Publique-Hôpitaux de Paris and University Paris Diderot, Paris, France.
Audrey ContetDepartment of Pediatric Onco-Hematology, University Hospital of Nancy, Nancy, France.
Carole CozeDepartment of Pediatric Hematology and Oncology, Timone Enfants Hospital, Assistance Publique-Hôpitaux de Marseille and Aix-Marseille University, Marseille, France.
Virginie GandemerDepartment of Pediatric Onco-Hematology, University Hospital of Rennes, University of Rennes 1, Rennes, France.
Stephanie HaouyDepartment of Pediatric Onco-Hematology, University Hospital of Montpellier, Montpellier, France.
Thierry LeblancDepartment of Pediatric Hematology and Immunology, Robert Debré Hospital, Assistance Publique-Hôpitaux de Paris and University Paris Diderot, Paris, France.
Guy LevergerDepartment of Pediatric Oncology and Hematology, Armand Trousseau Hospital, Assistance Publique-Hôpitaux de Paris and Sorbonne University, Paris, France.
Jean MichonPediatric Oncology Unit, SIREDO, Institut Curie, Paris, France.
Catherine PatteDepartment of Pediatric and Adolescent Oncology, Gustave Roussy, Paris-Saclay University, Villejuif, France; and.
Veronique Minard-ColinDepartment of Pediatric and Adolescent Oncology, Gustave Roussy, Paris-Saclay University, Villejuif, France; and.
Inserm · FRSorbonne Université · FRUniversité Paris Cité · FRAix-Marseille Université · FRCentre Hospitalier Régional et Universitaire de Nancy · FRCentre Hospitalier Universitaire de Montpellier · FRCentre Hospitalier Universitaire de Rennes · FRInstitut Curie · FRUniversité Claude Bernard Lyon 1 · FRUniversité de Bordeaux · FRUniversité Paris-Saclay · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To identify the factors influencing outcome in childhood mature B-cell non-Hodgkin lymphoma and acute leukemia (B-NHL/AL) with central nervous system (CNS) disease (CNS+), we analyzed patients <18 years with newly diagnosed B-NHL/AL registered in 3 Lymphomes Malins B studies in France between 1989 to 2011. CNS+ was diagnosed on fulfillment of ≥1 of the following criteria: any L3 cerebrospinal fluid (CSF) blasts (CSF+), cranial nerve palsy, isolated intracerebral mass but also clinical spinal cord compression, and cranial or spinal parameningeal extension. Two hundred seventeen out of 1690 patients (12.8%) were CNS+. CNS+ was significantly associated with male gender, head/neck locations, Burkitt histology, high initial lactate dehydrogenase (LDH) level, and bone marrow involvement. CSF+ was the most frequent pattern of CNS+ (45%). For the 217 CNS+ patients, the 5-year event-free survival (EFS) and overall survival rates (95% confidence interval) were 81.5% (75.8% to 86.1%) and 83.9% (78.4% to 88.2%), respectively. In multivariate analysis, among CNS+ patients, low EFS was associated with CSF+, high initial LDH level, and poor response to cyclophosphamide, oncovin (vincristine), prednisone prephase. These findings have been considered for patient's stratification in the international randomized phase 3 trial Inter-B-NHL-ritux 2010 for children and adolescents with high-risk B-NHL/AL with CNS+ CSF+ patients only receiving intensified chemotherapy.

Indexed as

Central Nervous System DiseasesLymphoma, B-CellLymphoma, Non-HodgkinAdolescentAntineoplastic Combined Chemotherapy ProtocolsChildDisease-Free SurvivalHumansMale

Identifiers

PMID32766852
PMCPMC7422110
OpenAlexW3048084572

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.