Evidence map›Paper›PMID 35764910›Full record

ArticleInfection2023

Increased incidence rates of positive blood cultures shortly after chemotherapy compared to radiotherapy among individuals treated for solid malignant tumours.

Ashley Roen, Cynthia Terrones, Wendy Bannister, Marie Helleberg, Michael Asger Andersen, Carsten Utoft Niemann, Gedske Daugaard, Lena Specht, Amanda Mocroft, Joanne Reekie and 1 more

Abstract read
In one paragraph

Article in Infection, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Ashley RoenCentre for Clinical Research, Epidemiology, Modelling and Evaluation (CREME), Institute for Global Health, University College London, London, UK. a.roen@ucl.ac.uk.ORCID http://orcid.org/0000-0003-2859-0682
Cynthia TerronesPERSIMUNE Centre of Excellence, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100, Copenhagen ϕ, Denmark.
Wendy BannisterPERSIMUNE Centre of Excellence, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100, Copenhagen ϕ, Denmark.
Marie HellebergPERSIMUNE Centre of Excellence, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100, Copenhagen ϕ, Denmark.
Michael Asger AndersenDepartment of Haematology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Carsten Utoft NiemannDepartment of Haematology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Gedske DaugaardDepartment of Clinical Medicine, Copenhagen University, Copenhagen, Denmark.
Lena SpechtDepartment of Clinical Medicine, Copenhagen University, Copenhagen, Denmark.
Amanda MocroftCentre for Clinical Research, Epidemiology, Modelling and Evaluation (CREME), Institute for Global Health, University College London, London, UK.
Joanne ReekiePERSIMUNE Centre of Excellence, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100, Copenhagen ϕ, Denmark. joanne.reekie@regionh.dk.
Jens LundgrenPERSIMUNE Centre of Excellence, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100, Copenhagen ϕ, Denmark.

Funding

Danmarks Grundforskningsfond 126
6 · The paper itself

Abstract

backgroundCancer treatments suppress immune function and are associated with increased risk of infections, but the overall burden of serious infectious diseases in treated patients has not been clearly elucidated.

methodsAll patients treated for solid malignant tumours with radiotherapy (RT) and/or standard first-line chemotherapy (C) at the Department of Oncology at Rigshospitalet between 01/1/2010 and 31/12/2016 were included. Patients were followed from treatment initiation until the first of new cancer treatment, 1 year after treatment initiation, end of follow-up or death. Incidence rates (IR) of positive blood culture (PBC) per 1000 person-years follow-up (PYFU) were calculated.

findings12,433 individuals were included, 3582 (29%), 6349 (51%), and 2502 (20%) treated with RT, C, or both RT & C, respectively, contributing 8182 PYFU. 429 (3%) individuals experienced 502 unique episodes of PBC, incidence rate (95% CI) 52.43 (47.7, 57.6) per 1000 PYFU. The 30-day mortality rate after PBC was 24% independent of treatment modality. Adjusted incidence rate ratios in the first 3 months (95% CI) after PBC significantly varied by treatment: 2.89 (1.83, 4.55) and 2.52 (1.53, 4.14) for C and RT & C compared to RT. Escherichia coli (n = 127, 25%) was the top microorganism identified.

interpretationPBCs are not common, but when they occur, mortality is high.

Indexed as

Blood CultureNeoplasmsHumansIncidenceChemotherapyPositive blood cultureRadiotherapySolid malignant tumours

Identifiers

PMID35764910
PMCPMC9879832

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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.