Evidence map›Paper›PMID 34911079›Full record

ArticleBlood advances2022

European LeukemiaNet 2017 risk stratification for acute myeloid leukemia: validation in a risk-adapted protocol.

Alex Bataller, Ana Garrido, Francesca Guijarro, Guadalupe Oñate, Marina Diaz-Beyá, Montserrat Arnan, Mar Tormo, Susana Vives, María Paz Queipo de Llano, Rosa Coll and 23 more

Abstract read
In one paragraph

Article in Blood advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

33 authors.

Alex BatallerHematology Department, Hospital Clínic de Barcelona, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), University of Barcelona (UB), Barcelona, Spain.ORCID 0000-0002-6085-2745
Ana GarridoJosep Carreras Leukemia Research Institute, Barcelona, Spain.
Francesca GuijarroHematology Department, Hospital Clínic de Barcelona, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), University of Barcelona (UB), Barcelona, Spain.ORCID 0000-0001-6376-0929
Guadalupe OñateJosep Carreras Leukemia Research Institute, Barcelona, Spain.ORCID 0000-0003-2180-2371
Marina Diaz-BeyáHematology Department, Hospital Clínic de Barcelona, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), University of Barcelona (UB), Barcelona, Spain.
Montserrat ArnanHematology Department, Catalan Institute of Oncology (ICO)-Hospital Duran i Reynals, L'Hospitalet de Llobregat, Spain.
Mar TormoHematology Department, Hospital Clínico Universitario de Valencia, Valencia, Spain.
Susana VivesHematology Department, Catalan Institute of Oncology (ICO)-Hospital Germans Trias i Pujol, Badalona, Spain.
María Paz Queipo de LlanoHematology Department, Hospital Virgen de la Victoria, Málaga, Spain.
Rosa CollHematology Department, Catalan Institute of Oncology (ICO)-Hospital Universitari Dr. Josep Trueta, Girona, Spain.ORCID 0000-0003-0560-1254
David GallardoHematology Department, Catalan Institute of Oncology (ICO)-Hospital Universitari Dr. Josep Trueta, Girona, Spain.
Ferran Vall-LloveraHematology Department, Hospital Universitari Mútua de Terrassa, Terrassa, Spain.ORCID 0000-0002-0718-5955
Lourdes EscodaHematology Department, Catalan Institute of Oncology (ICO)-Hospital Universitari Joan XXIII, Tarragona, Spain.
Antonio Garcia-GuiñonHematology Department, Hospital Arnau de Vilanova, Lleida, Spain.
Olga SalameroHematology Department, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Antònia SampolHematology Department, Hospital Universitari Son Espases, Palma de Mallorca, Spain.ORCID 0000-0001-7465-6203
Brayan M MerchanHematology Department, Hospital del Mar, Barcelona, Spain.ORCID 0000-0002-6733-6006
Joan BargayHematology Department, Hospital Universitari Son Llàtzer, Palma de Mallorca, Spain.
Sandra Castaño-DíezHematology Department, Hospital Clínic de Barcelona, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), University of Barcelona (UB), Barcelona, Spain.ORCID 0000-0001-9044-4665
Daniel EstebanHematology Department, Hospital Clínic de Barcelona, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), University of Barcelona (UB), Barcelona, Spain.ORCID 0000-0001-8897-3170
Aina Oliver-CaldésHematology Department, Hospital Clínic de Barcelona, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), University of Barcelona (UB), Barcelona, Spain.ORCID 0000-0002-7921-5420
Andrea RiveroHematology Department, Hospital Clínic de Barcelona, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), University of Barcelona (UB), Barcelona, Spain.ORCID 0000-0002-4233-5031
Pablo MozasHematology Department, Hospital Clínic de Barcelona, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), University of Barcelona (UB), Barcelona, Spain.ORCID 0000-0001-9528-4971
Mònica López-GuerraHematopathology Section, Hospital Clínic de Barcelona, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), University of Barcelona (UB), Barcelona, Spain; and.
Marta PratcoronaJosep Carreras Leukemia Research Institute, Barcelona, Spain.ORCID 0000-0001-6375-596X
Lurdes ZamoraJosep Carreras Leukemia Research Institute, Barcelona, Spain.
Dolors CostaHematopathology Section, Hospital Clínic de Barcelona, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), University of Barcelona (UB), Barcelona, Spain; and.
Maria RozmanHematopathology Section, Hospital Clínic de Barcelona, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), University of Barcelona (UB), Barcelona, Spain; and.
Josep F NomdedéuJosep Carreras Leukemia Research Institute, Barcelona, Spain.
Dolors ColomerHematopathology Section, Hospital Clínic de Barcelona, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), University of Barcelona (UB), Barcelona, Spain; and.
Salut BrunetJosep Carreras Leukemia Research Institute, Barcelona, Spain.
Jorge SierraJosep Carreras Leukemia Research Institute, Barcelona, Spain.
Jordi EsteveHematology Department, Hospital Clínic de Barcelona, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), University of Barcelona (UB), Barcelona, Spain.ORCID 0000-0002-8056-648X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The 2017 European LeukemiaNet (ELN 2017) guidelines for the diagnosis and management of acute myeloid leukemia (AML) have become fundamental guidelines to assess the prognosis and postremission therapy of patients. However, they have been retrospectively validated in few studies with patients included in different treatment protocols. We analyzed 861 patients included in the Cooperativo Para el Estudio y Tratamiento de las Leucemias Agudas y Mielodisplasias-12 risk-adapted protocol, which indicates cytarabine-based consolidation for patients allocated to the ELN 2017 favorable-risk group, whereas it recommends allogeneic stem cell transplantation (alloSCT) as a postremission strategy for the ELN 2017 intermediate- and adverse-risk groups. We retrospectively classified patients according to the ELN 2017, with 327 (48%), 109 (16%), and 245 (36%) patients allocated to the favorable-, intermediate-, and adverse-risk group, respectively. The 2- and 5-year overall survival (OS) rates were 77% and 70% for favorable-risk patients, 52% and 46% for intermediate-risk patients, and 33% and 23% for adverse-risk patients, respectively. Furthermore, we identified a subgroup of patients within the adverse group (inv(3)/t(3;3), complex karyotype, and/or TP53 mutation/17p abnormality) with a particularly poor outcome, with a 2-year OS of 15%. Our study validates the ELN 2017 risk stratification in a large cohort of patients treated with an ELN-2017 risk-adapted protocol based on alloSCT after remission for nonfavorable ELN subgroups and identifies a genetic subset with a very poor outcome that warrants investigation of novel strategies.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteCytarabineHumansRetrospective StudiesRisk AssessmentCytarabine

Identifiers

PMID34911079
PMCPMC8864653

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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.