Evidence map›Paper›PMID 36351213›Full record

ArticleJCO global oncology2022

Diffuse Large B-Cell Lymphoma in Chile: The Impact of Combined CHOP Plus Rituximab in the Public Health System.

María Elena Cabrera, Camila Peña, Pilar Leon, Vivianne Lois, Hernán Rojas, Valeska Vega, Alvaro Pizarro, Susana Calderon, Christine Rojas, Augusto Aspillaga and 8 more

Open access · goldAbstract read
In one paragraph

Article in JCO global oncology, 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
3.2field-weighted citation impact, top 7% 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, 22 citations in OpenAlex.

  1. Trial
  2. Review
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

18 authors at 15 institutions in 2 countries.

María Elena CabreraHospital del Salvador, Titular Professor of Medicine, Universidad de Chile, Santiago, Chile.ORCID 0000-0001-9059-3871
Camila PeñaHospital del Salvador, Santiago, Chile.ORCID 0000-0002-8076-2077
Pilar LeonHospital Carlos van Buren, Valparaiso, Chile.
Vivianne LoisHospital Barros Luco Trudeau, Santiago, Chile.
Hernán RojasHospital Sótero del Río, Santiago, Chile.
Valeska VegaHospital San Juan de Dios, Santiago, Chile.
Alvaro PizarroHospital San Borja Arriarán, Santiago, Chile.
Susana CalderonHospital Regional de Valdivia, Valdivia, Chile.
Christine RojasHospital Gustavo Fricke, Viña del Mar, Chile.
Augusto AspillagaHospital Regional de Talca, Talca, Chile.
M Luisa GonzalezHospital Regional de Osorno, Osorno, Chile.ORCID 0000-0003-1769-9041
Marvila IntriagoHospital de La Serena, La Serena, Chile.
Bernardita RojasHospital Carlos van Buren, Valparaiso, Chile.
Cecilia HalesHospital Juan Noé, Arica, Chile.
Jacqueline OlivaHospital de Talcahuano, Talcahuano, Chile.
Mónica RomeroHospital Regional de Concepción, Concepción, Chile.
Marisa CapurroHospital Regional de Temuco, Temuco, Chile.
Jorge J CastilloDivision of Hematological Malignancies, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA.ORCID 0000-0001-9490-7532
Hospital Carlos Van Buren · CLHospital del Salvador · CLComplejo Asistencial Sótero del Río · CLHarvard University · USHospital Barros Luco-Trudeau · CLHospital Base · CLHospital Dr. Gustavo Fricke · CLHospital la Serena · CLHospital Naval Almirante Adriazola de Talcahuano · CLHospital Regional de Arica Doctor Juan Noé Crevani · CLHospital Regional de Concepción · CLHospital Regional de Talca · CLHospital San Borja Arriarán · CLHospital San Juan de Dios · CLUniversidad Católica de Temuco · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDiffuse large B-cell lymphoma (DLBCL) is the most common lymphoma subtype. The purpose of this study was to evaluate the clinical features, prognostic factors, and results of DLBCL that was treated in the cancer centers of the public health system in Chile and compare cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) with rituximab with cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP). PATIENTS AND

methodsPatients age > 15 years who were treated in 18 cancer centers in the country between 2001 and 2017 were included. The Kaplan-Meier method was used to calculate overall survival (OS), and Cox proportional hazard regression modeling was used to evaluate the effect of the addition of rituximab to CHOP on OS.

resultsA total of 1,807 patients were evaluated. The median age at diagnosis was 62 (range, 15-95) years, with a female predominance (53%). Half of the patients were age ≥ 60 years. Serology for HIV infection was positive in 5% of cases (96 cases). International Prognostic Index scores were available for 90% of patients, of which 45% had low-risk, 25% low-intermediate-risk, 18% high-intermediate-risk, and 11% high-risk scores. CHOP was administered to 986 patients (55%; median follow-up, 13.2 years) and R-CHOP to 821 patients (45%; median follow-up, 8.4 years). R-CHOP was associated with superior OS compared with CHOP (5-year 66%

conclusionRituximab improved the survival of patients with DLBCL diagnosed and treated in Chile. The benefit was sustained over time, with curative rates of > 50%. This intervention shows that the inclusion of this biological drug justified the expenses incurred by the Ministry of Health in the National Lymphoma Protocols in Chile.

Indexed as

HIV InfectionsLymphoma, Large B-Cell, DiffuseAdolescentAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsChileCyclophosphamideDoxorubicinFemaleHumansMaleMiddle AgedPrednisonePublic HealthCyclophosphamideDoxorubicinPrednisoneRituximabVincristine

Identifiers

PMID36351213
PMCPMC10166504
OpenAlexW4308730717

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.