Evidence map›Paper›PMID 33284946›Full record

ArticleBlood advances2020

International evidence-based consensus diagnostic and treatment guidelines for unicentric Castleman disease.

Frits van Rhee, Eric Oksenhendler, Gordan Srkalovic, Peter Voorhees, Megan Lim, Angela Dispenzieri, Makoto Ide, Sophia Parente, Stephen Schey, Matthew Streetly and 19 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02817997 (ACCELERATE), which is not on this map. Cited by 133 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
133citing papers in PubMed, 3 pooled it
8.2field-weighted citation impact, top 2% 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.

NCT02817997 recruitingnot on this map

ACCELERATE (Advancing Castleman Care With an Electronic Longitudinal Registry, E-Repository, And Treatment/Effectiveness Research): An International Registry for Patients With Castleman Disease

Typeobservational_patient_registrySponsorUniversity of PennsylvaniaRan2016 to 2027Enrolled1,000ConditionsCastleman Disease, Castleman's Disease, Giant Lymph Node Hyperplasia, Angiofollicular Lymph Hyperplasia
3 · Its place in the literature

Who cites it

133 citing papers in PubMed, 3 syntheses or guidelines pooled it, 202 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Article
  7. [Clinical diagnosis and treatment of four cases of Castleman disease in children].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Castleman disease arising from the pleura: a case report and literature review.Journal of cancer research and clinical oncology · 2026
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Snapshot Look at Castleman Disease.Journal of cellular and molecular medicine · 2026
    Review
  18. Mesenteric Castleman disease: Two case reports and review of literature.World journal of gastrointestinal surgery · 2026
    Article
  19. Article
  20. Article

73 more citing papers are in PubMed but not listed here.

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

29 authors at 18 institutions in 7 countries.

Frits van RheeMyeloma Center, University of Arkansas for Medical Sciences, Little Rock, AR.
Eric OksenhendlerDepartment of Clinical Immunology, Hospital Saint-Louis, Paris, France.
Gordan SrkalovicSparrow Cancer Center, Edward W. Sparrow Hospital Association, Lansing, MI.
Peter VoorheesDepartment of Hematologic Oncology and Blood Disorders, Levine Cancer Institute, Atrium Health, Charlotte, NC.
Megan LimDepartment of Pathology & Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Angela DispenzieriDivision of Hematology, Mayo Clinic, Rochester, MN.
Makoto IdeDepartment of Hematology, Takamatsu Red Cross Hospital, Takamatsu, Japan.
Sophia ParenteDivision of Translational Medicine and Human Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Stephen ScheyGuy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Matthew StreetlyGuy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Raymond WongSir Y.K. Pao Centre for Cancer, Department of Medicine & Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong.
David WuDepartment of Laboratory Medicine, University of Washington, Seattle, WA.
Ivan MaillardDivison of Hematology/Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Joshua BrandstadterDivison of Hematology/Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Nikhil MunshiDana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
Wilbur BowneDepartment of General Surgery and Surgical Oncology, Thomas Jefferson University, Philadelphia, PA.
Kojo S Elenitoba-JohnsonDepartment of Pathology & Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Alexander FössaDepartment of Oncology, Oslo University Hospital-Norwegian Radium Hospital, Oslo, Norway.
Mary Jo LechowiczDepartment of Hematology and Medical Oncology, Emory University, Atlanta, GA.
Shanmuganathan ChandrakasanAflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, Emory University, Atlanta, GA.
Sheila K PiersonDivision of Translational Medicine and Human Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Amy GreenwayMyeloma Center, University of Arkansas for Medical Sciences, Little Rock, AR.
Sunita NastaDivison of Hematology/Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Kazuyuki YoshizakiDepartment of Organic Fine Chemicals, Institute of Scientific and Industrial Research, Osaka University, Osaka, Japan.
Razelle KurzrockCenter for Personalized Therapy and Clinical Trials Office, Moores Cancer Center, UC San Diego, La Jolla, CA.
Thomas S UldrickFred Hutchinson Cancer Research Center and Medical Oncology, University of Washington, Seattle, WA.
Corey CasperInfectious Disease Research Institute, Department of Medicine and Global Health, University of Washington, Seattle, WA; and.
Amy ChadburnDepartment of Pathology and Laboratory Medicine, Weill Cornell Medical College, New York, NY.
David C FajgenbaumDivision of Translational Medicine and Human Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
University of Pennsylvania · USEmory University · USGuy's and St Thomas' NHS Foundation Trust · GBUniversity of Arkansas for Medical Sciences · USUniversity of Washington · USChinese University of Hong Kong · HKCornell University · USHarvard University · USHôpital Saint-Louis · FRInfectious Disease Research Institute · USLevine Cancer Institute · USMayo Clinic in Arizona · USOsaka Research Institute of Industrial Science and Technology · JPOslo University Hospital · NOSparrow Hospital · USTakamatsu Red Cross Hospital · JPThomas Jefferson University · USUniversity of California San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Castleman disease (CD) includes a group of rare and heterogeneous disorders with characteristic lymph node histopathological abnormalities. CD can occur in a single lymph node station, which is referred to as unicentric CD (UCD). CD can also involve multicentric lymphadenopathy and inflammatory symptoms (multicentric CD [MCD]). MCD includes human herpesvirus-8 (HHV-8)-associated MCD, POEMS-associated MCD, and HHV-8-/idiopathic MCD (iMCD). The first-ever diagnostic and treatment guidelines were recently developed for iMCD by an international expert consortium convened by the Castleman Disease Collaborative Network (CDCN). The focus of this report is to establish similar guidelines for the management of UCD. To this purpose, an international working group of 42 experts from 10 countries was convened to establish consensus recommendations based on review of treatment in published cases of UCD, the CDCN ACCELERATE registry, and expert opinion. Complete surgical resection is often curative and is therefore the preferred first-line therapy, if possible. The management of unresectable UCD is more challenging. Existing evidence supports that asymptomatic unresectable UCD may be observed. The anti-interleukin-6 monoclonal antibody siltuximab should be considered for unresectable UCD patients with an inflammatory syndrome. Unresectable UCD that is symptomatic as a result of compression of vital neighboring structures may be rendered amenable to resection by medical therapy (eg, rituximab, steroids), radiotherapy, or embolization. Further research is needed in UCD patients with persisting constitutional symptoms despite complete excision and normal laboratory markers. We hope that these guidelines will improve outcomes in UCD and help treating physicians decide the best therapeutic approach for their patients.

Indexed as

Antineoplastic AgentsCastleman DiseaseHerpesvirus 8, HumanConsensusHumansRituximabAntineoplastic AgentsRituximab

Identifiers

PMID33284946
PMCPMC7724917
OpenAlexW3112038850

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.