Evidence map›Paper›PMID 36178436›Full record

ArticleAmerican journal of hematology2023

Sex differences in lymphoma incidence and mortality by subtype: A population-based study.

Cecilia Radkiewicz, Johanna B Bruchfeld, Caroline E Weibull, Mathias L Jeppesen, Henrik Frederiksen, Mats Lambe, Lasse Jakobsen, Tarec C El-Galaly, Karin E Smedby, Tove Wästerlid

Open access · hybridAbstract read
In one paragraph

Article in American journal of hematology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 2 pooled it
9.4field-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

57 citing papers in PubMed, 2 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Beyond XX and XY, Understanding Sex Differences in Leukemia.Medical sciences (Basel, Switzerland) · 2026
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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 4 institutions in 2 countries.

Cecilia RadkiewiczDepartment of Medicine Solna, Clinical Epidemiology Division, Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0003-0683-1537
Johanna B BruchfeldDepartment of Medicine Solna, Clinical Epidemiology Division, Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0001-7006-311X
Caroline E WeibullDepartment of Medicine Solna, Clinical Epidemiology Division, Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0001-8231-8183
Mathias L JeppesenDepartment of Hematology and Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.ORCID 0000-0002-4406-380X
Henrik FrederiksenDepartment of Hematology, Odense University Hospital (OUH), Denmark.ORCID 0000-0001-8905-0220
Mats LambeDepartment of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden.
Lasse JakobsenDepartment of Hematology and Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.ORCID 0000-0001-6575-7686
Tarec C El-GalalyDepartment of Hematology and Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.
Karin E SmedbyDepartment of Medicine Solna, Clinical Epidemiology Division, Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0002-2104-3320
Tove WästerlidDepartment of Medicine Solna, Clinical Epidemiology Division, Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0002-4281-0349
Karolinska University Hospital · SEAalborg University Hospital · DKKarolinska Institutet · SEOdense University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It is well established that the male sex is associated with increased risk for, as well as poorer survival of, most cancers. A similar pattern has been described in lymphomas but has not yet been comprehensively assessed. In this nationwide population-based cohort study, we used the Swedish Lymphoma Register to investigate sex differences in lymphoma subtype incidence and excess mortality in adults (age 18-99) diagnosed in 2000-2019. Male-to-female incidence rate ratios (IRRs) and excess mortality ratios (EMRs) adjusted for age and calendar year were predicted using Poisson regression. We identified 36 795 lymphoma cases, 20 738 (56.4%) in men and 16 057 (43.6%) in women. Men were at significantly higher risk of 14 out of 16 lymphoma subtypes with IRRs ranging from 1.15 (95% confidence interval [CI] 1.09-1.22) in follicular lymphoma to 5.95 (95% CI 4.89-7.24) in hairy cell leukemia. EMRs >1 were seen in 13 out of 16 lymphoma subtypes indicating higher mortality in men, although only statistically significant for classical Hodgkin lymphoma 1.26 (95% CI 1.04-1.54), aggressive lymphoma not otherwise specified 1.29 (95% CI 1.08-1.55), and small lymphocytic lymphoma 1.52 (95% CI 1.11-2.07). A corresponding analysis using data from the Danish Lymphoma Register was performed with comparable results. In conclusion, we demonstrate a significantly higher incidence and trend toward higher mortality in men for most lymphoma subtypes. Future studies with large patient material that include detailed clinicopathological prognostic factors are warranted to further delineate and explain sex differences in lymphoma survival to enable optimal management of lymphoma patients regardless of sex.

Indexed as

Leukemia, Lymphocytic, Chronic, B-CellLymphoma, FollicularAdolescentAdultAgedAged, 80 and overCohort StudiesFemaleHumansIncidenceMaleMiddle AgedSex CharacteristicsYoung Adult

Identifiers

PMID36178436
PMCPMC10092431
OpenAlexW4298088050

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.