Evidence map›Paper›PMID 34324220›Full record

ArticleAmerican journal of hematology2021

Multi-center analysis of practice patterns and outcomes of younger and older patients with mantle cell lymphoma in the rituximab era.

Reem Karmali, Jeffrey M Switchenko, Subir Goyal, Krithika Shanmugasundaram, Michael C Churnetski, Bhaskar Kolla, Veronika Bachanova, James N Gerson, Stefan K Barta, Max J Gordon and 21 more

Open access · greenAbstract readMulticenter 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. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.9field-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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

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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

31 authors at 12 institutions in 2 countries.

Reem KarmaliNorthwestern University Feinberg School of Medicine; Robert H. Lurie Comprehensive Cancer Center, Chicago, Illinois, USA.ORCID 0000-0003-0984-4376
Jeffrey M SwitchenkoDepartment of Biostatistics and Bioinformatics, Emory University, Atlanta, Georgia, USA.
Subir GoyalDepartment of Biostatistics and Bioinformatics, Emory University, Atlanta, Georgia, USA.
Krithika ShanmugasundaramWinship Cancer Institute of Emory University, Atlanta, Georgia, USA.
Michael C ChurnetskiWinship Cancer Institute of Emory University, Atlanta, Georgia, USA.
Bhaskar KollaUniversity of Minnesota, Minneapolis, Minnesota, USA.
Veronika BachanovaUniversity of Minnesota, Minneapolis, Minnesota, USA.
James N GersonFox Chase Cancer Center, Philadelphia, Pennsylvania, USA.
Stefan K BartaFox Chase Cancer Center, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-5373-9998
Max J GordonKnight Cancer Institute, Oregon Health & Science University, Portland, Oregon, USA.ORCID 0000-0003-3940-4451
Alexey V DanilovKnight Cancer Institute, Oregon Health & Science University, Portland, Oregon, USA.ORCID 0000-0003-4461-0970
Natalie S GroverUniversity of North Carolina, Chapel Hill, Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina, USA.
Narendranath EpperlaThe Ohio State University, Columbus, Ohio, USA.ORCID 0000-0002-8216-3457
Stephanie MathewsUniversity of North Carolina, Chapel Hill, Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina, USA.
Madelyn BurkartNorthwestern University Feinberg School of Medicine; Robert H. Lurie Comprehensive Cancer Center, Chicago, Illinois, USA.
Yazeed SawalhaThe Ohio State University, Columbus, Ohio, USA.
Brian T HillCleveland Clinic, Cleveland, Ohio, USA.
Nilanjan GhoshLevine Cancer Institute, Atrium Health, Charlotte, North Carolina, USA.
Steven I ParkLevine Cancer Institute, Atrium Health, Charlotte, North Carolina, USA.
David A BondThe Ohio State University, Columbus, Ohio, USA.
Kami J MaddocksThe Ohio State University, Columbus, Ohio, USA.
Talha BadarMedical College of Wisconsin, Milwaukee, Wisconsin, USA.
Timothy S FenskeMedical College of Wisconsin, Milwaukee, Wisconsin, USA.
Mehdi HamadaniMedical College of Wisconsin, Milwaukee, Wisconsin, USA.
Jin GuoWeill Cornell Medical College, Manhattan, New York, USA.
Mary MalecekWashington University in St. Louis, St Louis, Missouri, USA.
Brad S KahlWashington University in St. Louis, St Louis, Missouri, USA.
Peter MartinWeill Cornell Medical College, Manhattan, New York, USA.
Kristie A BlumWinship Cancer Institute of Emory University, Atlanta, Georgia, USA.
Christopher R FlowersWinship Cancer Institute of Emory University, Atlanta, Georgia, USA.
Jonathon B CohenWinship Cancer Institute of Emory University, Atlanta, Georgia, USA.ORCID 0000-0002-2723-6481
Emory University · USMedical College of Wisconsin · USThe Ohio State University · USCleveland Clinic · USCornell University · USFox Chase Cancer Center · USLevine Cancer Institute · USNorthwestern University · USOregon Health & Science University · USUniversity of Minnesota · USUniversity of North Carolina at Chapel Hill · USWashington University in St. Louis · US

Funding

Winship Cancer Institute Cancer Center Support GrantP30CA138292 · NCI · EMORY UNIVERSITY · PI Suresh S Ramalingam · 2009 to 2026
$47.5M
TRAINING FOR ACADEMIC ONCOLOGY/HEMATOLOGYT32CA009666 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Michael Davies, Courtney DiNardo · 1994 to 2026
$9.8M
Novel Cilia Trafficking MechanismsR01DK084725 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARGOLIS, BENJAMIN L · 2009 to 2010
$702k
NCI NIH HHS P30 CA138292NCI NIH HHS T32 CA009666NIDDK NIH HHS R01 DK084725
6 · The paper itself

Abstract

Clinical outcomes and predictors of survival in patients with newly diagnosed mantle cell lymphoma (MCL) treated in the rituximab era (2000-2015) at 12 US academic centers were assessed to identify determinants of survival across age groups. Objectives were to characterize and compare practice patterns, outcomes and prognostic factors for survival in younger patients (age < 65) and older patients (age ≥ 65 years). Among 1162 patients included, 697 were younger and 465 were older. In younger patients, 2-year progression free survival (PFS) and overall survival (OS) rates were 79% and 92% respectively; blastoid histology, ECOG ≥ 2, and lack of maintenance rituximab (MR) remained statistically relevant to poor OS on univariate analysis (UVA) and multivariate analysis (MVA). In older patients, 2-year PFS and OS rates were 67% and 86% respectively; lack of maintenance rituximab remained significantly associated with inferior PFS and OS on UVA and MVA (p < 0.001). Two-year PFS rates were 79%, and 67% and 2-year OS rates were 92% and 86% for ages < 65 and ≥ 65 respectively (p < 0.001). First-line high-dose cytarabine exposure and/or MR lessened the negative impact of age on survival. Taken collectively, survival outcomes for older patients remain inferior to those of younger patients in the rituximab era. However, maintenance rituximab and potentially high-dose cytarabine-based induction can mitigate the negative impact of age on survival.

Indexed as

AgedAge FactorsAntineoplastic Agents, ImmunologicalFemaleHumansLymphoma, Mantle-CellMaleMiddle AgedProgression-Free SurvivalRetrospective StudiesRituximabSurvival AnalysisTreatment OutcomeAntineoplastic Agents, ImmunologicalRituximab

Identifiers

PMID34324220
PMCPMC8511300
OpenAlexW3185036897

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.