Evidence map›Paper›PMID 33224392›Full record

ArticleJournal of hematology2020

Treatment-Related Mortality From Infectious Complications in an Acute Leukemia Clinic.

Jorge Torres-Flores, Ramiro Espinoza-Zamora, Jorge Garcia-Mendez, Eduardo Cervera-Ceballos, Alejandro Sosa-Espinoza, Nidia Zapata-Canto

Open access · greenAbstract read
In one paragraph

Article in Journal of hematology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

12 citing papers in PubMed, 22 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

6 authors at 1 institution in 1 country.

Jorge Torres-FloresHematology Department, Instituto Nacional de Cancerologia Mexico (INCan), Mexico City, Mexico.
Ramiro Espinoza-ZamoraHematology Department, Instituto Nacional de Cancerologia Mexico (INCan), Mexico City, Mexico.
Jorge Garcia-MendezInfectious Diseases Department, Instituto Nacional de Cancerologia Mexico (INCan), Mexico City, Mexico.
Eduardo Cervera-CeballosTeaching Department, Instituto Nacional de Cancerologia Mexico (INCan), Mexico City, Mexico.
Alejandro Sosa-EspinozaTeaching Department, Instituto Nacional de Cancerologia Mexico (INCan), Mexico City, Mexico.
Nidia Zapata-CantoHematology Department, Instituto Nacional de Cancerologia Mexico (INCan), Mexico City, Mexico.
Instituto Nacional de Cancerología · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe main causes of mortality in patients with acute leukemia are the infectious complications. The author wanted to know the induction-related mortality and treatment-related mortality in the acute leukemia patients at the Instituto Nacional de Cancerologia (INCan), Mexico. Also the author is interested in finding out the micro-organism and the main site of infection to make some changes in the management of patients in these clinics. Primary objective was induction chemotherapy-related mortality and treatment-related mortality. Secondary objective was to determine the site of infection, micro-organism, type of chemotherapy related with more mortality and relapse mortality.

methodsThis was a retrospective case-series analysis of all patients who were admitted to the INCan Acute Leukemia Clinic between January 2012 and December 2015 with febrile neutropenic complications. We reviewed the case histories of all patients, including those with acute lymphoblastic leukemia (ALL), acute myeloblastic leukemia (AML), acute biphenotypic leukemia and acute promyelocytic leukemia, regardless of disease status (newly diagnosed or relapsed) at the time of clinic attendance. Patients who died as the result of an infectious complication during the analysis window were identified, and their demographics, disease characteristics, treatment history (chemotherapy within 45 days of date of death) and details of the infectious complication resulting in death were collected.

resultsOf the 313 patients studied during that time period, 84 (27%) died as a result of infectious complications. Lung infections were the most common, accounting for 67% of all deaths from infectious complications.

conclusionsOur findings suggest a need for long-term management and supportive care to prevent infectious complication-associated fatalities during both initial chemotherapy and subsequent disease relapse in patients with acute leukemia. The use of prophylaxis will help patients to prevent complications.

Indexed as

BacteremiaChemotherapyFebrile neutropeniaInfectionsLeukemiaNeutropeniaProphylaxis

Identifiers

PMID33224392
PMCPMC7665858
OpenAlexW3098516408

What OpenQuestion holds

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LicenceCC BY-NC
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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.