Evidence map›Paper›PMID 33709456›Full record

ArticleAmerican journal of hematology2021

Acute lymphoblastic leukemia: A population-based study of outcome in the United States based on the surveillance, epidemiology, and end results (SEER) database, 1980-2017.

Koji Sasaki, Elias Jabbour, Nicholas J Short, Nitin Jain, Farhad Ravandi, Ching-Hon Pui, Hagop Kantarjian

Erratum issuedAbstract readComparative Study
In one paragraph

Article in American journal of hematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 83 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

83 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  12. Asperginase-based chemotherapy regimen for acute lymphoblastic leukemia: A cohort study with promising outcomes on adults.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2026
    Article
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  15. Review
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  19. Inotuzumab Ozogamicin Then Blinatumomab for Older Adults With Newly Diagnosed B-Cell ALL: Alliance Study A041703 Cohort 1 Results.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Article
  20. Marital status as an independent prognostic factor for survival in women with vaginal cancer: evidence from the SEER database analysis.European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP) · 2025
    Observational

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Koji SasakiDepartment of Leukemia, U.T. M.D. Anderson Cancer Center, Houston, Texas.ORCID 0000-0002-9140-0610
Elias JabbourDepartment of Leukemia, U.T. M.D. Anderson Cancer Center, Houston, Texas.ORCID 0000-0003-4465-6119
Nicholas J ShortDepartment of Leukemia, U.T. M.D. Anderson Cancer Center, Houston, Texas.ORCID 0000-0002-2983-2738
Nitin JainDepartment of Leukemia, U.T. M.D. Anderson Cancer Center, Houston, Texas.
Farhad RavandiDepartment of Leukemia, U.T. M.D. Anderson Cancer Center, Houston, Texas.
Ching-Hon PuiDepartments of Oncology and Pathology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Hagop KantarjianDepartment of Leukemia, U.T. M.D. Anderson Cancer Center, Houston, Texas.ORCID 0000-0002-1908-3307

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
National Cancer Institute Grant CA021765NCI NIH HHS P30 CA016672NCI NIH HHS P30 CA021765
6 · The paper itself

Abstract

The treatment in acute lymphoblastic Leukemia (ALL) has evolved and improved dramatically over the past four decades. We assessed the outcome of ALL overall, and the two major subsets of Philadelphia chromosome (Ph)-positive and Ph-negative ALL by age, time periods, ethnicity, median household income, and geographic county area. A total of 12 788 patients diagnosed with ALL from 1980 to 2017 were included. We performed an analysis to better evaluate the outcome evolution in ALL according to time period and patient's demographic factors. The overall 5-year survival rates have improved significantly over time, from 51% before 1990 to 72% since 2010. The survival rates for children (age 0 to 14 years) and adolescents (age 15 to 19 years) have improved from 73% and 55% before 1990 to 93% and 74% since 2010, respectively. Similarly, the rates had improved from 33% to 59% for adults 20 to 29 years old, 24% to 59% for 30 to 39 years old, and 14% to 43% for 40 to 59 years old between the two time periods. The rates remained under 30% in older patients (60+ years). Since 2010, patients with Ph-negative ALL had 5-year survival rate of 73% and those with Ph-positive ALL 50%. African Americans, Hispanic ethnicity, and lower household income were associated with inferior survival. The outcome of patients with ALL showed continued improvement across all age groups in the US. The recent introduction of targeted therapies, together with optimized supportive care, will continue to improve outcomes, particularly in older patients.

Indexed as

AdolescentAdultAgedAged, 80 and overAge DistributionCause of DeathChildChild, PreschoolEthnicityFemaleHumansIncomeInfantInfant, NewbornKaplan-Meier EstimateMale

Identifiers

PMID33709456
PMCPMC9517941

What OpenQuestion holds

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Registered trials

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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.