Evidence map›Paper›PMID 34500464›Full record

Observational studyBlood advances2021

Improved survival of patients with aggressive ATL by increased use of allo-HCT: a prospective observational study.

Ayumu Ito, Nobuaki Nakano, Takashi Tanaka, Shigeo Fuji, Junya Makiyama, Yoshitaka Inoue, Ilseung Choi, Hirohisa Nakamae, Koji Nagafuji, Ken Takase and 13 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.0field-weighted citation impact, top 26% 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

16 citing papers in PubMed, 26 citations in OpenAlex.

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  15. A new paradigm for the management of ATL.British journal of haematology · 2022
    Article
  16. Article
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

23 authors at 18 institutions in 1 country.

Ayumu ItoDepartment of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan.
Nobuaki NakanoDepartment of Hematology, Imamura General Hospital, Kagoshima, Japan.
Takashi TanakaDepartment of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan.ORCID 0000-0001-5645-0850
Shigeo FujiDepartment of Hematology, Osaka International Cancer Institute, Osaka, Japan.ORCID 0000-0001-5118-7950
Junya MakiyamaDepartment of Hematology/Oncology, Institute of Medical Science, The University of Tokyo Hospital, Tokyo, Japan.ORCID 0000-0003-0883-2920
Yoshitaka InoueDepartment of Hematology, Kumamoto University Hospital, Kumamoto, Japan.
Ilseung ChoiDepartment of Hematology, National Hospital Organization Kyushu Cancer Center, Fukuoka, Japan.
Hirohisa NakamaeHematology, Graduate School of Medicine, Osaka City University, Osaka, Japan.
Koji NagafujiDepartment of Hematology and Oncology, Kurume University Hospital, Kurume, Japan.
Ken TakaseDepartment of Hematology, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
Shinichiro MachidaDepartment of Hematology and Oncology, Tokai University Hospital, Isehara, Japan.
Tsutomu TakahashiDepartment of Hematology, Shimane University Hospital, Izumo, Japan.ORCID 0000-0002-8731-3469
Yasushi SawayamaDepartment of Hematology, Nagasaki University Hospital, Nagasaki, Japan.
Tomohiko KamimuraDepartment of Hematology, Harasanshin Hospital, Fukuoka, Japan.
Koji KatoDepartment of Hematology, Oncology and Cardiovascular Medicine, Kyushu University Hospital, Fukuoka, Japan.
Toshiro KawakitaDepartment of Hematology, National Hospital Organization Kumamoto Medical Center, Kumamoto, Japan.
Masao OgataDepartment of Hematology, Oita University Hospital, Oita, Japan.ORCID 0000-0002-4896-5878
Rika SakaiDepartment of Hematology and Medical Oncology, Kanagawa Cancer Center, Yokohama, Japan.
Souichi ShiratoriDepartment of Hematology, Hokkaido University Hospital, Sapporo, Japan; and.ORCID 0000-0002-5528-7112
Kaoru UchimaruDepartment of Graduate School of Frontier Sciences, The University of Tokyo, Tokyo, Japan.
Yoshihiro InamotoDepartment of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan.
Atae UtsunomiyaDepartment of Hematology, Imamura General Hospital, Kagoshima, Japan.
Takahiro FukudaDepartment of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan.
Imamura Hospital · JPHarasanshin Hospital · JPHokkaido University Hospital · JPKanagawa Prefectural Hospital Organization · JPKumamoto Medical Center · JPKumamoto University Hospital · JPKurume University Hospital · JPKyushu University Hospital · JPNagasaki University Hospital · JPNational Hospital Organization Kyushu Cancer Center · JPNational Kyushu Medical Center · JPOita University Hospital · JPOsaka City University · JPOsaka International Cancer Institute · JPShimane University Hospital · JPThe University of Tokyo · JPTokai University Hospital · JPUniversity of Tokyo Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aggressive adult T-cell leukemia/lymphoma (ATL) is a hematological malignancy that is difficult to treat with chemotherapy alone, and allogeneic hematopoietic cell transplantation (allo-HCT) is a potentially curative therapy. We conducted a multicenter, prospective, observational study to clarify the treatment outcomes of aggressive ATL in the current era. Between 2015 and 2018, 113 patients aged 70 years or younger with newly diagnosed aggressive ATL were enrolled. The median age at diagnosis was 61 years. Treatment outcomes were compared with those of 1792 ATL patients diagnosed between 2000 and 2013 in our previous retrospective study. The inclusion criteria were the same in both studies. The prospective cohort demonstrated better overall survival (OS) than the retrospective cohort (2-year OS, 45% vs 29%, respectively; P < .001), with a much higher proportion of patients receiving allo-HCT (80% vs 34%, respectively; P < .001) and a shorter interval from diagnosis to allo-HCT (median, 128 vs 170 days, respectively; P < .001). Among the 90 patients who received allo-HCT (cord blood, n = 30; HLA-haploidentical related donors, n = 20; other related donors, n = 14; other unrelated donors, n = 26), the 2-year probabilities of OS, non-relapse mortality (NRM), and disease progression were 44%, 23%, and 46%, respectively. OS and NRM did not differ statistically according to donor type. Our results suggest that increased application of allo-HCT improved the survival of patients with aggressive ATL. The use of cord blood or HLA-haploidentical donors may be feasible for aggressive ATL when HLA-matched related donors are unavailable. This study was registered at the UMIN Clinical Trials Registry as #000017672.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia-Lymphoma, Adult T-CellHumansProspective StudiesRetrospective StudiesUnrelated Donors

Identifiers

PMID34500464
PMCPMC8945611
OpenAlexW3198669961

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.