Evidence map›Paper›PMID 33891480›Full record

Observational studyJCO global oncology2021

Treating Acute Leukemia During the COVID-19 Pandemic in an Environment With Limited Resources: A Multicenter Experience in Four Latin American Countries.

Roberta Demichelis-Gómez, Martha Alvarado-Ibarra, Jule Vasquez-Chávez, Nancy Delgado-López, Cynthia Gómez-Cortés, Karla Espinosa-Bautista, Ana Cooke-Tapia, Andrea Milán-Salvatierra, Andrés Gómez-De León, Yu Ling Lee-Tsai and 22 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in JCO global oncology, 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
2.2field-weighted citation impact, top 9% 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, 26 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  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

32 authors at 11 institutions in 4 countries.

Roberta Demichelis-GómezInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.ORCID 0000-0003-0258-7397
Martha Alvarado-IbarraCentro Médico Nacional 20 de noviembre, ISSSTE, Mexico City, Mexico.ORCID 0000-0002-5208-5558
Jule Vasquez-ChávezInstituto Nacional de Enfermedades Neoplásicas, Lima, Peru.ORCID 0000-0001-6477-4660
Nancy Delgado-LópezHospital de Especialidades, Centro Médico Nacional siglo XXI, Mexico City, Mexico.
Cynthia Gómez-CortésHospital de Especialidades, Centro Médico Nacional siglo XXI, Mexico City, Mexico.ORCID 0000-0003-2416-2023
Karla Espinosa-BautistaInstituto Nacional de Cancerología, Mexico City, Mexico.
Ana Cooke-TapiaComplejo Hospitalario Doctor Arnulfo Arias Madrid, Panama, Panama.
Andrea Milán-SalvatierraHospital Juárez de México, Mexico City, Mexico.
Andrés Gómez-De LeónUniversidad Autónoma de Nuevo Léon, Hospital Universitario Dr. José Eleuterio González, Monterrey, Mexico.ORCID 0000-0001-6904-9345
Yu Ling Lee-TsaiHospital General San Juan de Dios de Guatemala, Guatemala.ORCID 0000-0002-7909-7452
Daniel Rosales-LópezInstituto Guatemalteco de Seguridad Social, Guatemala City, Guatemala.
Álvaro Cabrera-GarcíaHospital Regional de Alta Especialidad de Ixtapaluca, Estado de México, Mexico.
Fabián Amador-MedinaHospital Regional de Alta Especialidad del Bajío, León, Mexico.ORCID 0000-0003-4900-4726
Alejandra Córdoba-RamírezCentro de Hematología y Medicina Interna Puebla, Puebla, Mexico.
Iván Murrieta-ÁlvarezCentro de Hematología y Medicina Interna Puebla, Puebla, Mexico.
Juan Carlos Solís-PoblanoHospital de Especialidades CMN "Manuel Ávila Camacho," IMSS Puebla, Mexico.
Elia Apodaca-ChávezInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Juan Rangel-PatiñoInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
José Luis Álvarez-VeraCentro Médico Nacional 20 de noviembre, ISSSTE, Mexico City, Mexico.ORCID 0000-0002-0780-623X
Luara Arana-LunaCentro Médico Nacional 20 de noviembre, ISSSTE, Mexico City, Mexico.ORCID 0000-0002-6040-1901
José Antonio De la Peña-CelayaCentro Médico Nacional 20 de noviembre, ISSSTE, Mexico City, Mexico.
María Eugenia Espitia-RíosCentro Médico Nacional 20 de noviembre, ISSSTE, Mexico City, Mexico.
Eleazar Hernández-RuizCentro Médico Nacional 20 de noviembre, ISSSTE, Mexico City, Mexico.
Juan Manuel Pérez-ZúñigaCentro Médico Nacional 20 de noviembre, ISSSTE, Mexico City, Mexico.
Estefanía Peña-LópezInstituto Nacional de Enfermedades Neoplásicas, Lima, Peru.
Rosa González-RiveraHospital de Especialidades, Centro Médico Nacional siglo XXI, Mexico City, Mexico.
María Fernanda García-LeyvaInstituto Nacional de Cancerología, Mexico City, Mexico.ORCID 0000-0002-2055-345X
Mónica Tejeda-RomeroHospital Juárez de México, Mexico City, Mexico.
Jorge Cruz-RicoHospital Juárez de México, Mexico City, Mexico.
Carolina Balderas-DelgadoHospital Regional de Alta Especialidad de Ixtapaluca, Estado de México, Mexico.
Guillermo J Ruíz-ArgüellesCentro de Hematología y Medicina Interna Puebla, Puebla, Mexico.ORCID 0000-0002-9335-0653
David Gómez-AlmaguerUniversidad Autónoma de Nuevo Léon, Hospital Universitario Dr. José Eleuterio González, Monterrey, Mexico.ORCID 0000-0002-0460-6427
Institute for Social Security and Services for State Workers · MXHospital de Especialidades · MXClínica Ruiz · MXHospital Juárez de México · MXHospital Regional de Alta Especialidad del Bajío · MXInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MXInstituto Nacional de Cancerología · MXInstituto Nacional de Enfermedades Neoplásicas · PEUniversidad Autónoma de Nuevo León · MXComplejo Hospitalario Dr. Arnulfo Arias Madrid · PAHospital General San Juan de Dios · GT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe COVID-19 pandemic is a colossal challenge for global health; nonetheless, specific subgroups face considerably higher risks for infection and mortality. Among patients with malignant diseases, those with hematologic neoplasms are at a higher risk for poor outcomes. The objective of this study was to register treatment modifications associated with the COVID-19 pandemic and their short-term consequences in Latin America.

methodsMulticenter, prospective, observational, cohort study including patients older than 14 years from 14 centers in four countries (Mexico, Peru, Guatemala, and Panama) who had a confirmed diagnosis of acute leukemia, and who were undergoing active treatment since the first COVID-19 case in each country until the cutoff on July 15, 2020.

resultsWe recruited 635 patients. Treatment modifications because of the COVID-19 pandemic were reported in 40.8% of cases. The main reason for such modifications was logistic issues (55.0%) and the most frequent modification was chemotherapy delay (42.0%). A total of 13.1% patients developed COVID-19 disease, with a mortality of 37.7%. Several factors were identified as independently associated with mortality, including a diagnosis of acute myeloid leukemia (odds ratio 2.38 [95% CI, 1.47 to 3.84];

conclusionThese results highlight the collateral damage of COVID-19 in oncology patients.

Indexed as

Acute DiseaseAdolescentAdultAgedAged, 80 and overComorbidityCOVID-19EpidemicsFemaleGuatemalaHumansLeukemia, MyeloidMaleMedical OncologyMexicoMiddle Aged

Identifiers

PMID33891480
PMCPMC8162972
OpenAlexW3156943981

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.