Evidence map›Paper›PMID 36083781›Full record

ArticleBritish journal of haematology2022

Effects of chemotherapy dose reductions in overweight patients with acute myeloid leukaemia: A Danish nationwide cohort study.

Daniel Tuyet Kristensen, Lars Børty Nielsen, Lasse Hjort Kyneb Jakobsen, Tove-Christina Choe Kristensen, Lene Østergaard Jepsen, Claudia Schöllkopf, Kim Theilgaard-Mönch, Tarec Christoffer El-Galaly, Anne Stidsholt Roug, Marianne Tang Severinsen

Open access · hybridAbstract read
In one paragraph

Article in British journal of haematology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 39% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

10 authors at 3 institutions in 1 country.

Daniel Tuyet KristensenDepartment of Haematology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.ORCID 0000-0002-6753-7051
Lars Børty NielsenDepartment of Haematology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.
Lasse Hjort Kyneb JakobsenDepartment of Haematology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.
Tove-Christina Choe KristensenDepartment of Haematology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.
Lene Østergaard JepsenDepartment of Haematology, Odense University Hospital, Odense, Denmark.
Claudia SchöllkopfDepartment of Haematology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Kim Theilgaard-MönchDepartment of Haematology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Tarec Christoffer El-GalalyDepartment of Haematology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.
Anne Stidsholt RougDepartment of Haematology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.ORCID 0000-0003-2621-5432
Marianne Tang SeverinsenDepartment of Haematology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.ORCID 0000-0003-0996-1812
Aalborg University Hospital · DKCopenhagen University Hospital · DKOdense University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Overweight patients with cancer are frequently reduced in chemotherapy dose due to toxicity concerns, although previous studies have indicated that dose reduction (DR) of overweight patients results in comparable toxicity but may compromise overall survival (OS). Current evidence regarding DR in patients with acute myeloid leukaemia (AML) is limited. To investigate the association between DR and outcome among overweight patients with AML we analysed a Danish nationwide cohort of overweight adult AML patients treated with remission induction chemotherapy. Among 536 patients identified, 10.1% were categorized as DR defined as 95% or less of full body surface area (BSA)-based dose. Risk factors for DR were high body mass index (BMI) and BSA, therapy-related AML and favourable cytogenetics. No significant differences were observed for rates of complete remission (CR), 30- and 90-day mortality between DR and non-DR patients. Furthermore, DR did not affect median relapse-free survival (RFS) [DR, 14.5 (95% confidence interval, 9.0-41.7) months; non-DR, 15.0 (12.3-19.3)] with an adjusted difference in five-year restricted mean survival time (Δ5y-RMST) of 0.2 (-8.4 to 8.8) months nor median OS (DR, 17.0 [11.9 to 45.5] months; non-DR, 17.5 [14.8 to 20.5]) with an adjusted Δ5y-RMST of 0.8 (-5.7 to 7.3) months. In conclusion, we found no statistically significant association between DR and outcomes among overweight patients with AML. However, we acknowledge the limited sample size and encourage further studies in this important subject.

Indexed as

Leukemia, Myeloid, AcuteOverweightAdultAntineoplastic Combined Chemotherapy ProtocolsCohort StudiesDenmarkDrug TaperingHumansNeoplasm Recurrence, LocalRemission InductionRetrospective StudiesTreatment Outcomeacute leukaemiachemotherapydose reductionoverweight and obesitysurvival

Identifiers

PMID36083781
PMCPMC9825846
OpenAlexW4295037879

What OpenQuestion holds

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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.