Evidence map›Paper›PMID 35544601›Full record

ArticleBlood2022

Impact of etoposide and ASCT on survival among patients aged <65 years with stage II to IV PTCL: a population-based cohort study.

Mirian Brink, Frederik O Meeuwes, Marjolein W M van der Poel, Marie José Kersten, Mariëlle Wondergem, Pim G N J Mutsaers, Lara H Böhmer, F J Sherida H Woei-A-Jin, Otto Visser, Rimke Oostvogels and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Blood, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
9.2field-weighted citation impact, top 1% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. The role of stem cell transplant (auto and allo) in PTCL and CTCL.Hematology. American Society of Hematology. Education Program · 2024
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 10 institutions in 2 countries.

Mirian BrinkDepartment of Research and Development, Netherlands Comprehensive Cancer Organization, Utrecht, The Netherlands.ORCID 0000-0002-6014-4810
Frederik O MeeuwesDepartment of Hematology, Martini Hospital, Groningen, The Netherlands.
Marjolein W M van der PoelDivision of Hematology, Department of Internal Medicine, GROW School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, The Netherlands.
Marie José KerstenDepartment of Hematology, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Mariëlle WondergemDepartment of Hematology, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Pim G N J MutsaersDepartment of Hematology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Lara H BöhmerDepartment of Hematology, Haga Hospital, The Hague, The Netherlands.
F J Sherida H Woei-A-JinDepartment of General Medical Oncology, University Hospitals Leuven, Leuven, Belgium.ORCID 0000-0001-7840-6156
Otto VisserDepartment of Hematology, Isala Hospital, Zwolle, The Netherlands.
Rimke OostvogelsDepartment of Hematology, University Medical Center Utrecht, Utrecht, The Netherlands; and.ORCID 0000-0003-3650-4588
Patty M JansenDepartment of Pathology and.
Wouter PlattelDepartment of Hematology, University Medical Center Groningen, Groningen, The Netherlands.ORCID 0000-0001-9828-9460
Gerwin A HulsDepartment of Hematology, University Medical Center Groningen, Groningen, The Netherlands.
Joost S P VermaatDepartment of Hematology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-1628-6256
Marcel NijlandDepartment of Hematology, University Medical Center Groningen, Groningen, The Netherlands.ORCID 0000-0002-2740-2873
University Medical Center Groningen · NLAmsterdam University Medical Centers · NLErasmus MC Cancer Institute · NLHaga Hospital · NLIsala · NLKU Leuven · BELeiden University Medical Center · NLMaastricht University · NLNetherlands Comprehensive Cancer Organisation · NLUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients aged <65 years with peripheral T-cell lymphoma (PTCL) are treated with cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP). Although the addition of etoposide (CHOEP) and consolidation with autologous stem cell transplantation (ASCT) are preferred in some countries, randomized trials are lacking. This nationwide population-based study assessed the impact of etoposide and ASCT on overall survival (OS) among patients aged 18 to 64 years with stage II to IV anaplastic large-cell lymphoma (ALCL), angioimmunoblastic T-cell lymphoma (AITL), or PTCL not otherwise specified (NOS) diagnosed between 1989 and 2018 using the Netherlands Cancer Registry. Patients were categorized into 2 calendar periods, representing pre- and post-eras of etoposide and ASCT, respectively. A total of 1427 patients were identified (ALCL, 35%; AITL, 21%; and PTCL NOS, 44%). OS increased from 39% in the period from 1989 to 2009 to 49% in the period of 2009 to 2018 (P < .01). Five-year OS was superior for patients treated with CHOEP vs CHOP (64% and 44%, respectively; P < .01). When adjusted for subtype, International Prognostic Index score, and ASCT, the risk of mortality was similar between the 2 groups, except for patients with ALK+ ALCL, for whom the risk of mortality was 6.3 times higher when treated with CHOP vs CHOEP. Patients undergoing consolidation with ASCT had superior 5-year OS of 81% compared with 39% for patients not undergoing ASCT (P < .01), regardless of whether complete remission was achieved. In patients aged <65 years with advanced-stage ALK- ALCL, AITL, or PTCL, the use of ASCT consolidation, but not the addition of etoposide, was associated with improved OS.

Indexed as

Hematopoietic Stem Cell TransplantationLymphoma, Large-Cell, AnaplasticLymphoma, T-Cell, PeripheralTesticular NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsCohort StudiesCyclophosphamideDoxorubicinEtoposideHumansMaleMiddle AgedPrednisoneReceptor Protein-Tyrosine KinasesTransplantation, AutologousVincristineCyclophosphamideDoxorubicinEtoposidePrednisoneReceptor Protein-Tyrosine KinasesVincristine

Identifiers

PMID35544601
PMCPMC9437712
OpenAlexW4280541339

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.