Evidence map›Paper›PMID 35683596›Full record

ArticleJournal of clinical medicine2022

A Prospective Cross-Sectional Study on the Comparison of Ultrasound Assessment vs. Palpation in Chronic Lymphocytic Leukemia Patients in the Era of Targeted Therapy.

Edoardo Benedetti, Fabrizio Mavilia, Claudia Baratè, Emilia Bramanti, Riccardo Morganti, Giulia Cervetti, Enrico Capochiani, Benedetto Bruno, Matteo Pelosini, Salvatore Massimo Stella and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 28% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Article
  4. 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

11 authors at 5 institutions in 1 country.

Edoardo BenedettiAzienda Ospedaliero Universitaria Pisana, Department of Clinical and Experimental Medicine, UO Hematology, University of Pisa, 56126 Pisa, Italy.ORCID 0000-0001-5295-2087
Fabrizio MaviliaAzienda Ospedaliero Universitaria Pisana, Department of Clinical and Experimental Medicine, UO Hematology, University of Pisa, 56126 Pisa, Italy.
Claudia BaratèAzienda Ospedaliero Universitaria Pisana, Department of Clinical and Experimental Medicine, UO Hematology, University of Pisa, 56126 Pisa, Italy.ORCID 0000-0003-1006-2400
Emilia BramantiInstitute of Chemistry of Organometallic Compounds (ICCOM), Italian National Research Council (CNR), Via G Moruzzi 1, 56124 Pisa, Italy.ORCID 0000-0001-8478-7370
Riccardo MorgantiSection of Statistics, Azienda Ospedaliero Universitaria Pisana, 56126 Pisa, Italy.ORCID 0000-0001-7783-0262
Giulia CervettiAzienda Ospedaliero Universitaria Pisana, Department of Clinical and Experimental Medicine, UO Hematology, University of Pisa, 56126 Pisa, Italy.
Enrico CapochianiAzienda USL Toscana Nord Ovest, Hematology, 57124 Livorno, Italy.ORCID 0000-0002-3643-5861
Benedetto BrunoDepartment of Molecular Biotechnology and Health Sciences, University of Turin, 10126 Turin, Italy.
Matteo PelosiniAzienda Ospedaliero Universitaria Pisana, Department of Clinical and Experimental Medicine, UO Hematology, University of Pisa, 56126 Pisa, Italy.
Salvatore Massimo StellaItalian School of Basic and Emergency Ultrasound (SIUMB), 56100 Pisa, Italy.
Sara GalimbertiAzienda Ospedaliero Universitaria Pisana, Department of Clinical and Experimental Medicine, UO Hematology, University of Pisa, 56126 Pisa, Italy.
University of Pisa · ITAzienda Ospedaliera Universitaria Pisana · ITAzienda Usl Toscana Centro · ITInstitute for the Chemistry of OrganoMetallic Compounds · ITUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background. In IWCLL guidelines, progressive splenomegaly and lymphadenopathy are signs of active disease. In this study, we have tested the hypotheses if US could be a reliable tool for both superficial lymphnodes (SupLNs) and splenic assessment in chronic lymphocytic leukemia (CLL) patients. Methods. We enrolled N = 75 patients. SupLN and the spleen were assessed by two independent physicians (M1 and M2) by palpation and by a third physician (M3) with ultrasound sonography (US) using two different sonographers (US1 and US2). The results of M1 vs. M2 assessment, US1 vs. US2, palpation vs. US were compared. The echostructure of N = 1037 SupLN and of the spleen was also investigated. Results. The dimensions of SupLNs assessed by MD1 vs. MD2 were statistically discordant. Splenic size was concordant. There was concordance between US1 and US2 SupLN and splenic assessment. US found a higher number of pathological SupLN (Cohen’s Kappa < 0.1) than palpation, which misses remarkable-sized SupLNs. LN echostructure and splenic involvement patterns were described. Conclusions. US is a reliable, radiation-free tool useful in clinical practice to assess SupLN and splenic involvement in CLL.

Indexed as

chronic lymphocytic leukemialymph nodespleenultrasound sonosgraphy

Identifiers

PMID35683596
PMCPMC9181657
OpenAlexW4281633740

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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.