Evidence map›Paper›PMID 34344437›Full record

ArticleOrphanet journal of rare diseases2021

Epidemiological investigation of hemophagocytic lymphohistiocytosis in China.

Shuyan Yao, Yini Wang, Yuan Sun, Li Liu, Rui Zhang, Jianpei Fang, Runming Jin, Jie Yu, Fei Li, Jie Bai and 7 more

Open access · goldAbstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

27 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
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  6. Deep insight into cytokine storm: from pathogenesis to treatment.Signal transduction and targeted therapy · 2025
    Review
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  11. [Aggressive natural killer cell leukemia with hemophagocytic lymphohistiocytosis: a case report].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2024
    Article
  12. Enhancing diagnostic precision in EBV-related HLH: a multifaceted approach usingCancer imaging : the official publication of the International Cancer Imaging Society · 2024
    Article
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  14. Review
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  17. [Splenectomy as definitive surgical treatment for hemophagocytic lymphohistiocytosis].Revista medica del Instituto Mexicano del Seguro Social · 2024
    Article
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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

17 authors at 14 institutions in 1 country.

Shuyan Yao *Hematology, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China.
Yini Wang *Hematology, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China. wangyini@ccmu.edu.cn.ORCID 0000-0001-8545-2660
Yuan SunHematology, Beijing Jingdu Children's Hospital, Beijing, People's Republic of China.
Li LiuHematology, Tangdu Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
Rui ZhangHematology, Beijing Children's Hospital, Beijing, People's Republic of China.
Jianpei FangSun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, People's Republic of China.
Runming JinUnion Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China.
Jie YuHematology and Oncology, Children's Hospital of Chongqing Medical University, Chongqing, People's Republic of China.
Fei LiThe First Affiliated Hospital of Nanchang University, Jiangxi, People's Republic of China.
Jie BaiThe Second Hospital of Tianjin Medical University, Tianjin, People's Republic of China.
Yun ZengThe First Affiliated Hospital of Kunming Medical College, Yunnan, People's Republic of China.
Cheng ZhangThe Second Affiliated Hospital of Third Military Medical University, Chongqing, People's Republic of China.
Huo TanThe First Affiliated Hospital of Guangzhou Medical University, Guangzhou, People's Republic of China.
Fan ZhouGeneral Hospital of Shenyang Military Region, Shenyang, People's Republic of China.
Yan ChenAffiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, People's Republic of China.
Qiaohua ZhangLymphatic Oncology, Shanxi Bethune Hospital, Shanxi, People's Republic of China.
Zhao WangHematology, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China. wangzhao@ccmu.edu.cn.
Capital Medical University · CNBeijing Children’s Hospital · CNAir Force Medical University · CNArmy Medical University · CNChildren's Hospital of Chongqing Medical University · CNFirst Affiliated Hospital of Guangzhou Medical University · CNGeneral Hospital of Shenyang Military Region · CNKunming Medical University · CNNanchang University · CNSecond Hospital of Tianjin Medical University · CNShanxi Academy of Medical Sciences · CNSun Yat-sen University · CNUnion Hospital · CNZunyi Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrently, most research on hemophagocytic lymphohistiocytosis (HLH) have focused on etiology and therapy, leaving few epidemiological reports. The published studies of China are mainly regional investigations. We aimed to present the overall epidemiological status of HLH in China, and provide Chinese data for the international HLH epidemiological investigation.

methodsThe data of HLH cases in China in 2019 were collected and statistically analyzed.

findingsEpstein-Barr virus accounted for 44.01% of the 1445 cases in 31 regions and was the most common cause. Lymphoma-associated HLH patients were more often male (P < 0.05) while rheumatic and immune-associated HLH were more often female (P < 0.001). Primary HLH and Epstein-Barr Virus-associated HLH were predominant in children (P < 0.001) while tumor-associated HLH was predominant in adults. Lymphoma-associated HLH was positively correlated with the age of onset (P < 0.01). The diagnosis rate of 29 areas had a significant correlation with per capita Gross domestic product (P < 0.05).

conclusionThe different distribution of HLH etiology by age and gender contributes to the diagnosis of HLH by clinicians; The suboptimal diagnosis rate in regions with a high incidence of HLH in China is a result of the effect of the local economic level indicating the importance of improving the regional medical level.

Indexed as

Epstein-Barr Virus InfectionsLymphohistiocytosis, HemophagocyticAdultChildChinaFemaleHerpesvirus 4, HumanHumansMaleRetrospective StudiesDiagnosis rateEpidemiologyGross domestic productHemophagocytic lymphohistiocytosisIncidence

Identifiers

PMID34344437
PMCPMC8336372
OpenAlexW3171249631

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.