Evidence map›Paper›PMID 32970275›Full record

ArticleInternational journal of hematology2021

Optimal treatments for TAFRO syndrome: a retrospective surveillance study in Japan.

Shino Fujimoto, Hiroshi Kawabata, Tomoyuki Sakai, Hiroto Yanagisawa, Momoko Nishikori, Kenji Nara, Shin Ohara, Norifumi Tsukamoto, Nozomu Kurose, Sohsuke Yamada and 3 more

Abstract read
PubMed Publisher
In one paragraph

Article in International journal of hematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
0.5field-weighted citation impact, top 21% 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

31 citing papers in PubMed, 38 citations in OpenAlex.

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  14. Review
  15. TAFRO Syndrome and COVID-19.Biomedicines · 2024
    Review
  16. Review
  17. Article
  18. Stepwise Treatment for TAFRO Syndrome.Journal of medical cases · 2023
    Article
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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

13 authors at 7 institutions in 1 country.

Shino FujimotoDepartment of Hematology and Immunology, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Ishikawa-ken, 920-0293, Japan.
Hiroshi KawabataDepartment of Hematology and Immunology, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Ishikawa-ken, 920-0293, Japan. hkawabat@kanazawa-med.ac.jp.ORCID http://orcid.org/0000-0002-1918-8635
Tomoyuki SakaiDepartment of Hematology and Immunology, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Ishikawa-ken, 920-0293, Japan.
Hiroto YanagisawaDepartment of Hematology and Immunology, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Ishikawa-ken, 920-0293, Japan.
Momoko NishikoriDepartment of Hematology and Oncology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Kenji NaraDepartment of Hematology, Seirei Mikatahara General Hospital, Hamamatsu, Japan.
Shin OharaDepartment of Hematology, Eiju General Hospital, Tokyo, Japan.
Norifumi TsukamotoOncology Centre, Gunma University Hospital, Maebashi, Japan.
Nozomu KuroseDepartment of Pathology and Laboratory Medicine, Kanazawa Medical University, Uchinada, Japan.
Sohsuke YamadaDepartment of Pathology and Laboratory Medicine, Kanazawa Medical University, Uchinada, Japan.
Kazue TakaiDepartment of Hematology, Niigata City General Hospital, Niigata, Japan.
Sadao AokiDepartment of Pathophysiology, Faculty of Pharmaceutical Sciences, Niigata University of Pharmacy and Applied Life Sciences, Niigata, Japan.
Yasufumi MasakiDepartment of Hematology and Immunology, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Ishikawa-ken, 920-0293, Japan.
Kanazawa Medical University · JPEiju General Hospital · JPGunma University Hospital · JPKyoto University · JPNiigata City General Hospital · JPNiigata University of Pharmacy and Medical and Life Sciences · JPSeirei Mikatabara General Hospital · JP

Funding

Japan Society for the Promotion of Science Grant No.17591060 and 15K09510Kanazawa Medical University S2004-16, S2007-5, H2011-11, AR2012-06Ministry of Health, Labour and Welfare H27-28 Nanchi, etc. (Nan)- General-002; H27-Nanchi, etc. (Nan)-General-008; H29-Nanchi, etc. (Nan)-General-008; H29-Nanchi, etc. (Nan)-General-019; H29-Nanchi, etc. (Nan)-General-058Ministry of Health, Labour and Welfare H27-Nanchi, etc. (Nan)- General-002; H27-Nanchi, etc. (Nan)-General-008; H29-Nanchi, etc. (Nan)-General-019
6 · The paper itself

Abstract

TAFRO syndrome is a systemic inflammatory disorder of unknown etiology characterized by thrombocytopenia, anasarca, fever, reticulin myelofibrosis, renal dysfunction, and organomegaly. Mortality in patients with this syndrome is high; however, an optimal treatment strategy has not been established. To explore the strategy, we retrospectively analyzed 81 patients with TAFRO syndrome registered in the Multicenter Collaborative Retrospective Study for Establishing the Concept of TAFRO Syndrome in Japan by December 2019. Sixty-eight patients received corticosteroid therapy as the first-line treatment, and as the second-line treatment, 21 received tocilizumab (Toc), 14 received cyclosporine A (CsA), and 8 received rituximab (Rit) in addition to corticosteroids. We compared these second-line treatment groups by setting the primary endpoint as time to next treatment or death (TTNT). Kaplan-Meier analysis showed that the median TTNT in the Toc, CsA, and Rit groups were 2.8 months, 9.2 months, and not reached, respectively. The TTNT of the Rit group was significantly longer than that of the Toc group. In contrast, there were no significant differences in overall survival between groups, indicating that subsequent salvage therapies rescued a large proportion of patients who failed the second-line treatments. Further studies are warranted to establish the optimal treatment strategies for this syndrome.

Indexed as

Adrenal Cortex HormonesAdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedCastleman DiseaseCyclosporineFemaleHumansJapanMaleMiddle AgedRetrospective StudiesRituximabSalvage TherapySurvival RateAdrenal Cortex HormonesAntibodies, Monoclonal, HumanizedCyclosporineRituximabtocilizumabCorticosteroidsCyclosporine ARituximabSurvivalTocilizumab

Identifiers

PMID32970275
OpenAlexW3088952690

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.