Evidence map›Paper›PMID 32794362›Full record

ArticleCancer medicine2020

The effectiveness of rituximab and HIV on the survival of Ontario patients with diffuse large B-cell lymphoma.

Steven Habbous, Helen Guo, Jaclyn Beca, Wei Fang Dai, Wanrudee Isaranuwatchai, Matthew Cheung, Kelvin K W Chan

Open access · goldAbstract readComparative Study
In one paragraph

Article in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

4 citing papers in PubMed, 9 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

7 authors at 3 institutions in 1 country.

Steven HabbousOntario Health (Cancer Care Ontario), Toronto, ON, Canada.ORCID 0000-0002-9650-9105
Helen GuoOntario Health (Cancer Care Ontario), Toronto, ON, Canada.
Jaclyn BecaOntario Health (Cancer Care Ontario), Toronto, ON, Canada.ORCID 0000-0001-8858-9566
Wei Fang DaiOntario Health (Cancer Care Ontario), Toronto, ON, Canada.ORCID 0000-0002-1416-1070
Wanrudee IsaranuwatchaiCentre for Excellence in Economic Analysis Research, St. Michael's Hospital, Toronto, ON, Canada.ORCID 0000-0002-8368-6065
Matthew CheungHematology, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.ORCID 0000-0003-3193-5872
Kelvin K W ChanCanadian Centre for Applied Research in Cancer Control, Toronto, ON, Canada.ORCID 0000-0002-2501-3057
Cancer Care Ontario · CASunnybrook Health Science Centre · CASt. Michael's Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFor patients with diffuse large B-cell lymphoma (DLBCL), standard-care is rituximab administered with CHOP or CHOP-like chemotherapy (R-CHOP). However, the effectiveness and safety of R-CHOP among DLBCL patients with human immunodeficiency virus (HIV) infection is less clear, as HIV+ patients were omitted from most clinical trials and population-level data from unselected patients are limited. R-CHOP was funded for HIV-associated DLBCL patients with CD4 >50/mm

methodsPatients with a new diagnosis of DLBCL were identified from the Ontario Cancer Registry between April 2010 and March 2018. HIV diagnosis and chemotherapy regimen were ascertained using administrative databases at Ontario Health. The effect of rituximab and HIV on overall survival was assessed in the HIV+ subgroup (R-CHOP vs CHOP) and in the R-CHOP subgroup (HIV+ vs HIV-).

resultsAmong HIV+ patients, receipt of R-CHOP was associated with a fivefold improvement in overall survival (hazard ratio [HR] 0.29 (0.13-0.66) compared with CHOP), after adjustment. Among patients who received R-CHOP (n = 6106), older age, male sex, lower neighborhood income, and higher comorbidity were associated with worse overall survival, after adjustment (P < .001 for all), but HIV positivity was not prognostic (HR 1.12 (0.60-2.10)). Within 1-year after diagnosis, HIV+ patients receiving R-CHOP had a similar proportion of patients who visited the emergency department (67% vs 66% P = .43) or admitted to hospital (58% vs 52%, P = .43) and as HIV- patients receiving R-CHOP.

conclusionHIV status did not affect prognosis for patients with DLBCL receiving R-CHOP in an unselected general population when rituximab was used according to funding criteria. R-CHOP was safe and effective for DLBCL treatment, regardless of HIV status.

Indexed as

HIV InfectionsAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsCyclophosphamideDatabases, FactualDoxorubicinFemaleHumansLymphoma, Large B-Cell, DiffuseMaleMiddle AgedOntarioPrednisoneRegistriesCyclophosphamideDoxorubicinPrednisoneR-CHOP protocolRituximabVincristineAIDSCD4CHOPHIVlymphomarituximabsurvival

Identifiers

PMID32794362
PMCPMC7541135
OpenAlexW3049596273

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.