Evidence map›Paper›PMID 33808300›Full record

ArticleCurrent oncology (Toronto, Ont.)2021

Consensus Recommendations for MRD Testing in Adult B-Cell Acute Lymphoblastic Leukemia in Ontario.

Anne Tierens, Tracy L Stockley, Clinton Campbell, Jill Fulcher, Brian Leber, Elizabeth McCready, Peter J B Sabatini, Bekim Sadikovic, Andre C Schuh

Open access · goldAbstract readConsensus Statement
In one paragraph

Article in Current oncology (Toronto, Ont.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

5 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Review
  3. Acute lymphoblastic leukaemia.Nature reviews. Disease primers · 2024
    Review
  4. Article
  5. Review
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

9 authors at 6 institutions in 1 country.

Anne TierensLaboratory Medicine Program, Hematopathology, University Health Network, Toronto, ON M5G 2C4, Canada.ORCID 0000-0002-5350-8313
Tracy L StockleyDepartment of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON M5S 1A8, Canada.ORCID 0000-0002-4476-9722
Clinton CampbellDepartment of Pathology and Molecular Medicine, Hamilton Health Sciences, McMaster University, Hamilton, ON L8S 4L8, Canada.
Jill FulcherDepartment of Medicine, University of Ottawa, Ottawa, ON K1H 8M5, Canada.
Brian LeberDepartment of Medicine, McMaster University, Hamilton, ON L8S 4L8, Canada.
Elizabeth McCreadyDepartment of Pathology and Molecular Medicine, Hamilton Health Sciences, McMaster University, Hamilton, ON L8S 4L8, Canada.
Peter J B SabatiniDepartment of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON M5S 1A8, Canada.
Bekim SadikovicLondon Health Sciences Centre, Molecular Genetics Laboratory, Molecular Diagnostics Division, London, ON N6A 5W9, Canada.
Andre C SchuhPrincess Margaret Cancer Centre, Division of Medical Oncology and Hematology, Toronto, ON M5G 2M9, Canada.
University Health Network · CAHamilton Regional Laboratory Medicine Program · CAHamilton Health Sciences · CAUniversity of Ottawa · CAUniversity of Toronto · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Measurable (minimal) residual disease (MRD) is an established, key prognostic factor in adult B-cell acute lymphoblastic leukemia (B-ALL), and testing for MRD is known to be an important tool to help guide treatment decisions. The clinical value of MRD testing depends on the accuracy and reliability of results. Currently, there are no Canadian provincial or national guidelines for MRD testing in adult B-ALL, and consistent with the absence of such guidelines, there is no uniform Ontario MRD testing consensus. Moreover, there is great variability in Ontario in MRD testing with respect to where, when, and by which technique, MRD testing is performed, as well as in how the results are interpreted. To address these deficiencies, an expert multidisciplinary working group was convened to define consensus recommendations for improving the provision of such testing. The expert panel recommends that MRD testing should be implemented in a centralized manner to ensure expertise and accuracy in testing for this low volume indication, thereby to provide accurate, reliable results to clinicians and patients. All adult patients with B-ALL should receive MRD testing after induction chemotherapy. Philadelphia chromosome (Ph)-positive patients should have ongoing monitoring of MRD during treatment and thereafter, while samples from Ph-negative B-ALL patients should be tested at least once later during treatment, ideally at 12 to 16 weeks after treatment initiation. In Ph-negative adult B-ALL patients, standardized, ideally centralized, protocols must be used for MRD testing, including both flow cytometry and immunoglobulin (

Indexed as

Precursor Cell Lymphoblastic Leukemia-LymphomaAdultB-LymphocytesHumansNeoplasm, ResidualOntarioReproducibility of Resultsadult acute lymphoblastic leukemiaadult B-cell acute lymphoblastic leukemiaflow cytometrymeasurable residual diseaseminimal residual diseasenext-generation sequencingpolymerase chain reaction

Identifiers

PMID33808300
PMCPMC8025812
OpenAlexW3140754654

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.