Evidence map›Paper›PMID 35264598›Full record

ArticleBlood cancer journal2022

Time trends in primary therapy and relative survival of diffuse large B-cell lymphoma by stage: a nationwide, population-based study in the Netherlands, 1989-2018.

Müjde Durmaz, Otto Visser, Eduardus F M Posthuma, Rolf E Brouwer, Djamila E Issa, Daphne de Jong, King H Lam, Nicole M A Blijlevens, Josée M Zijlstra, Martine E D Chamuleau and 3 more

Abstract read
In one paragraph

Article in Blood cancer journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

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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

13 authors.

Müjde DurmazDepartment of Research and Development, Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, The Netherlands. m.durmaz@iknl.nl.ORCID 0000-0002-5724-1484
Otto VisserDepartment of Registration, Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, The Netherlands.
Eduardus F M PosthumaDepartment of Internal Medicine, Reinier de Graaf Gasthuis, Delft, The Netherlands.
Rolf E BrouwerDepartment of Internal Medicine, Reinier de Graaf Gasthuis, Delft, The Netherlands.
Djamila E IssaDepartment of Internal Medicine, Jeroen Bosch Hospital, Den Bosch, The Netherlands.
Daphne de JongAmsterdam UMC, Department of Pathology, Vrije Universiteit Amsterdam, Cancer Center Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-9725-4060
King H LamDepartment of Pathology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.ORCID 0000-0003-3903-1085
Nicole M A BlijlevensDepartment of Hematology, Radboud University Medical Center, Nijmegen, The Netherlands.
Josée M ZijlstraAmsterdam UMC, Vrije Universiteit Amsterdam, Cancer Center Amsterdam, Department of Hematology, Amsterdam, The Netherlands.
Martine E D ChamuleauAmsterdam UMC, Vrije Universiteit Amsterdam, Cancer Center Amsterdam, Department of Hematology, Amsterdam, The Netherlands.ORCID 0000-0002-0123-9182
Pieternella J LugtenburgDepartment of Hematology, Erasmus MC, Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Marie José KerstenAmsterdam UMC, University of Amsterdam, Department of Hematology, Amsterdam, The Netherlands.
Avinash G DinmohamedDepartment of Research and Development, Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, The Netherlands.ORCID 0000-0002-4767-6716

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It is unclear whether survival in diffuse large B-cell lymphoma (DLBCL) continues to increase in an era where rituximab-containing chemotherapy reigns for almost two decades. Therefore, we evaluated trends in primary therapy and relative survival (RS) among Dutch DLBCL patients diagnosed between 1989 and 2018. Analyses were performed separately according to the stage I (N = 6952) and stage II-IV disease (N = 20,676), stratified by calendar period and age (18-64, 65-74, and ≥75 years). The use of chemotherapy ± radiotherapy increased over time across all age and stage groups. As of the mid-2000s, >95% of chemotherapy-treated patients received chemoimmunotherapy, irrespective of age and stage. Overall, RS increased significantly over time across all age groups, especially after 2003 when rituximab-containing chemotherapy had become the standard of care. However, RS increased less pronounced between 2003-2010 and 2011-2018 than between 1989-2002 and 2003-2010. These findings were congruent across all studied stage groups. Five-year RS across the three age groups during 2011-2018 was 96%, 84%, and 67% for stage I DLBCL and 75%, 60%, and 46% for stage II-IV DLBCL. Collectively, survival in DLBCL increased modestly beyond the initial introduction of rituximab, with apparent survival differences across age and stage that warrant novel treatment approaches.

Indexed as

Lymphoma, Large B-Cell, DiffuseAgedAntineoplastic Combined Chemotherapy ProtocolsCyclophosphamideDoxorubicinHumansImmunotherapyNetherlandsPrednisoneRituximabTreatment OutcomeVincristineCyclophosphamideDoxorubicinPrednisoneRituximabVincristine

Identifiers

PMID35264598
PMCPMC8907354

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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.