Evidence map›Paper›PMID 34676435›Full record

ArticleAnnals of hematology2022

Predictive factors associated with induction-related death in acute myeloid leukemia in a resource-constrained setting.

Fernanda Rodrigues Mendes, Wellington Fernandes da Silva, Raphael da Costa Bandeira de Melo, Douglas Rafaele Almeida Silveira, Elvira Deolinda Rodrigues Pereira Velloso, Vanderson Rocha, Eduardo Magalhaes Rego

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In one paragraph

Article in Annals of hematology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 11% 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

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

  1. Pooled it
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  6. Review
  7. Observational
  8. Management of Febrile Neutropenia in a Tropical Country.Hematology, transfusion and cell therapy · 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

7 authors at 3 institutions in 2 countries.

Fernanda Rodrigues Mendes *Division of Hematology, Instituto do Cancer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de Sao Paulo, Av. Dr. Arnaldo, 251, Cerqueira César, São Paulo, CEP 01246-000, Brazil.
Wellington Fernandes da Silva *Division of Hematology, Instituto do Cancer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de Sao Paulo, Av. Dr. Arnaldo, 251, Cerqueira César, São Paulo, CEP 01246-000, Brazil.
Raphael da Costa Bandeira de MeloDivision of Hematology, Instituto do Cancer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de Sao Paulo, Av. Dr. Arnaldo, 251, Cerqueira César, São Paulo, CEP 01246-000, Brazil.
Douglas Rafaele Almeida SilveiraLaboratory of Medical Investigation in Pathogenesis and Targeted Therapy in Onco-Immuno-Hematology (LIM-31), Department of Hematology, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, Brazil.
Elvira Deolinda Rodrigues Pereira VellosoDivision of Hematology, Instituto do Cancer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de Sao Paulo, Av. Dr. Arnaldo, 251, Cerqueira César, São Paulo, CEP 01246-000, Brazil.
Vanderson RochaDivision of Hematology, Instituto do Cancer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de Sao Paulo, Av. Dr. Arnaldo, 251, Cerqueira César, São Paulo, CEP 01246-000, Brazil.
Eduardo Magalhaes RegoDivision of Hematology, Instituto do Cancer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de Sao Paulo, Av. Dr. Arnaldo, 251, Cerqueira César, São Paulo, CEP 01246-000, Brazil. eduardo.rego@fm.usp.br.
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRUniversidade de São Paulo · BRInstituto do Câncer do Estado de São Paulo · BR

Funding

fapesp 2013/08135-2
6 · The paper itself

Abstract

Despite advances in supportive measures, acute myeloid leukemia (AML) remission induction still has a high mortality rate in real-world studies as compared to prospective reports. We analyzed data from 206 AML adult patients treated with conventional chemotherapy. The primary endpoint was the 60-day mortality rate, aiming to find risk factors and to examine the role of anti-infection prophylaxis. The 60-day mortality rate was 26%, raising to 41% among those older than 60 years. Complete response was documented at the end of induction in 49%. The final survival model showed that age > 60 years (HR 3.2), Gram-negative colonization (HR 3), monocytic AML (HR 1.8), C-reactive protein (CRP) > 15 mg/dL (HR 10), and an adverse risk in the genetic stratification (HR 3) were associated with induction death. Multidrug-resistant bacteria colonization, thrombosis, and AKI were documented in 71%, 12%, and 66% of the cohort, respectively. Antibacterial and antifungal prophylaxis did not improve outcomes in this study. Our report corroborated the higher mortality during AML induction compared to real-world data from the USA and Europe. In line with other publications, age and cytogenetic stratification influenced early death in this cohort. Noticeably, Gram-negative colonization, monocytic AML, and CRP were also significant to early mortality.

Indexed as

AdolescentAdultAgedAge FactorsAnti-Infective AgentsAntineoplastic AgentsFemaleHumansLeukemia, Myeloid, AcuteMaleMiddle AgedMortalityPrognosisRemission InductionRetrospective StudiesRisk FactorsAnti-Infective AgentsAntineoplastic AgentsAcute myeloid leukemiaEarly deathInduction remissionIntensive chemotherapy

Identifiers

PMID34676435
OpenAlexW3206963780

What OpenQuestion holds

Textmetadata
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.