Evidence map›Paper›PMID 33998054›Full record

ArticleEuropean journal of haematology2021

Impact of age on the cumulative risk of transformation in patients with chronic myelomonocytic leukaemia.

Sigrid Machherndl-Spandl, Eva Jäger, Agnes Barna, Michael Gurbisz, Renate Marschon, Temeida Graf, Elmir Graf, Christoph Geissler, Gregor Hoermann, Thomas Nösslinger and 18 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in European journal of haematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
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  7. Observational
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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

28 authors at 16 institutions in 4 countries.

Sigrid Machherndl-SpandlDepartment of Internal Medicine I with Hematology, Stem Cell Transplantation, Hemostasis and Medical Oncology, Ordensklinikum Elisabethinen Hospital, Linz, Austria.
Eva JägerDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Agnes BarnaBlood Transfusion Service, Blood Transfusion Service for Upper Austria, Austrian Red Cross, Linz, Austria.
Michael GurbiszDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Renate MarschonLaboratory for molecular and genetic diagnostics, Ordensklinikum Linz, Linz, Austria.
Temeida GrafDepartment of Internal Medicine V with Hematology, Oncology and Palliative Medicine, Hospital Hietzing, Vienna, Austria.
Elmir GrafDepartment of Internal Medicine V with Hematology, Oncology and Palliative Medicine, Hospital Hietzing, Vienna, Austria.
Christoph GeisslerDepartment of Laboratory Medicine, Hospital Hietzing, Vienna, Austria.
Gregor HoermannMLL Munich Leukemia Laboratory, Munich, Germany.
Thomas NösslingerDepartment of Internal Medicine III, Hanusch Hospital, Vienna, Austria.
Michael PfeilstöckerDepartment of Internal Medicine III, Hanusch Hospital, Vienna, Austria.
Peter BettelheimDepartment of Internal Medicine I with Hematology, Stem Cell Transplantation, Hemostasis and Medical Oncology, Ordensklinikum Elisabethinen Hospital, Linz, Austria.
Otto ZachLaboratory for molecular and genetic diagnostics, Ordensklinikum Linz, Linz, Austria.
Ansgar WeltermannDepartment of Internal Medicine I with Hematology, Stem Cell Transplantation, Hemostasis and Medical Oncology, Ordensklinikum Elisabethinen Hospital, Linz, Austria.
Sonja HeiblDepartment of Internal Medicine IV, Hospital Wels-Grieskirchen, Wels, Austria.
Josef ThalerDepartment of Internal Medicine IV, Hospital Wels-Grieskirchen, Wels, Austria.
Armin ZebischDivision of Hematology, Medical University of Graz, Graz, Austria.
Heinz SillDivision of Hematology, Medical University of Graz, Graz, Austria.
Reinhard StauderInternal Medicine V with Hematology and Oncology, Medical University of Innsbruck, Innsbruck, Austria.ORCID https://orcid.org/0000-0002-8993-9561
Gerald WebersinkeLaboratory for molecular and genetic diagnostics, Ordensklinikum Linz, Linz, Austria.
Rajko KusecInternal Medicine V with Hematology and Oncology, Medical University of Innsbruck, Innsbruck, Austria.
Ernst UlspergerDepartment of Internal Medicine, Hospital Horn, Horn, Austria.
Bruno SchneeweissDepartment of Internal Medicine, Hospital Kirchdorf, Kirchdorf, Austria.
Leopold ÖhlerDepartment of Internal Medicine/Oncology, St. Josef Hospital, Vienna, Austria.
Ulrich GermingDepartment of Hematology, Oncology, and Clinical Immunology, Heinrich-Heine-University, Düsseldorf, Germany.
Peter ValentLudwig Boltzmann Institute for Hematology and Oncology (LBI HO), Medical University of Vienna, Vienna, Austria.
Heinz TüchlerDepartment of Internal Medicine III, Hanusch Hospital, Vienna, Austria.
Klaus GeisslerDepartment of Internal Medicine V with Hematology, Oncology and Palliative Medicine, Hospital Hietzing, Vienna, Austria.
Hanusch Hospital · ATKepler Universitätsklinikum · ATKlinik Hietzing · ATKrankenhaus der Elisabethinen · ATInnsbruck Medical University · ATKlinikum Wels-Grieskirchen · ATMedical University of Graz · ATMedical University of Vienna · ATAustrian Red Cross · ATFronius (Austria) · ATHeinrich Heine University Düsseldorf · DEHorse Hospital · GBLudwig Boltzmann Institute Applied Diagnostics · ATMunich Leukemia Laboratory (Germany) · DESigmund Freud Privatuniversität Wien · ATVienna General Hospital · AT

Funding

Austrian Science Fund (FWF) SFB F4704-B20Gesellschaft zur Erforschung der Biologie und Therapie von Tumorkrankheiten ABCMML-112015
6 · The paper itself

Abstract

In older patients with chronic myelomonocytic leukaemia (CMML) and limited life expectancy due to age and or comorbidities, it is particularly important to consider the risk of transformation for individualised treatment decisions. There is limited information on potential differences between younger and older CMML patients regarding the cumulative risk of transformation as well as haematological, molecular and biologic characteristics. We analysed data from the Austrian Biodatabase for CMML (ABCMML) to compare these parameters in 518 CMML patients. Categorisation of patients into 3 age-related groups: <60 years, 60-79 years and ≥80 years, showed a significantly lower risk of transformation at higher age by competing risk analysis, with a 4-year risk of 39%, 23% and 13%, respectively (P < .0001). The lower probability of transformation was associated with a lower percentage of blast cells in the peripheral blood (PB) of older patients. Furthermore, we provide a simple score based on age, PB blasts and platelet counts that allowed us to define subgroups of CMML patients with a different cumulative transformation risk, including a low-risk group with a transformation risk of only 5%. Our findings may facilitate reasonable treatment decisions in elderly patients with CMML.

Indexed as

Health Impact AssessmentAdultAgedAged, 80 and overAge FactorsBiomarkers, TumorComorbidityDisease ProgressionDisease SusceptibilityFemaleHumansLeukemia, Myelomonocytic, ChronicMaleMiddle AgedOdds RatioPrognosisBiomarkers, Tumorageblast cell countchronic myelomonocytic leukaemiacytogeneticsmutationsscore

Identifiers

PMID33998054
PMCPMC8480146
OpenAlexW3161851203

What OpenQuestion holds

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LicenceCC BY
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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.