Evidence map›Paper›PMID 33144877›Full record

ArticleEcancermedicalscience2020

Lymphopenia during chemoradiation-foe or friend.

Vijay M Patil, Gunjesh Kumar Singh, Vanita Noronha, Amit Joshi, Nandini Menon, Sarbani Ghosh Lashkar, Vijayalakshmi Mathrudev, Kavita Nawale Satam, Sadaf Abdulazeez Mukadam, Kumar Prabhash

Open access · goldAbstract read
In one paragraph

Article in Ecancermedicalscience, 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
0.6field-weighted citation impact, top 30% 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, 10 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

10 authors at 2 institutions in 2 countries.

Vijay M PatilDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai 400012, India.
Gunjesh Kumar SinghDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai 400012, India.
Vanita NoronhaDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai 400012, India.
Amit JoshiDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai 400012, India.
Nandini MenonDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai 400012, India.
Sarbani Ghosh LashkarDepartment of Radiotherapy, Tata Memorial Hospital, Mumbai 400012, India.
Vijayalakshmi MathrudevDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai 400012, India.
Kavita Nawale SatamDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai 400012, India.
Sadaf Abdulazeez MukadamDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai 400012, India.
Kumar PrabhashDepartment of Medical Oncology, Tata Memorial Hospital, Mumbai 400012, India.
Tata Memorial Hospital · INHealth First · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere lymphopenia during treatment is considered to be a poor prognostic factor. The current literature lacks information regarding its impact on various outcomes in locally advanced head-and-neck cancer patients in a prospective setting.

methodsWe recently published a randomised study comparing cisplatin-radiation with nimotuzumab cisplatin-radiation. The database of this study was used for the present analysis. The impact of severe lymphopenia (grade 4 lymphopenia) on progression-free survival (PFS), locoregional control (LRC) and overall survival (OS) was studied using the Kaplan-Meier method and Cox regression analysis. The binary logistic regression analysis was used to see the effect of various factors on the development of severe lymphopenia.

resultsWe had a total of 536 patients, of which 521 patients (97.7%) developed lymphopenia. Grade 1 lymphopenia was noted in 10 (1.9%) patients, grade 2 in 100 (18.8%), grade 3 in 338 (63.1%) and grade 4 in 73 (13.7%) patients. The median PFS was 20.53 and 60.33 months in severe and non-severe lymphopenia, respectively (hazard ratio, 0.797;

conclusionThe occurrence of severe lymphopenia was not significantly associated with the outcomes. Gender is the only risk factor significantly linked to severe lymphopenia.

Indexed as

chemoradiationhead-and-neck cancerlymphopenia

Identifiers

PMID33144877
PMCPMC7581337
OpenAlexW3088947639

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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.