Evidence map›Paper›PMID 36441905›Full record

ArticleBlood advances2023

Comparison and validation of the 2022 European LeukemiaNet guidelines in acute myeloid leukemia.

Curtis A Lachowiez, Nicola Long, Jennifer Saultz, Arpita Gandhi, Laura F Newell, Brandon Hayes-Lattin, Richard T Maziarz, Jessica Leonard, Daniel Bottomly, Shannon McWeeney and 8 more

Abstract readMulticenter Study
In one paragraph

Article in Blood advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 1 pooled it
–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

62 citing papers in PubMed, 1 synthesis or guideline pooled it.

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2 more citing papers are in PubMed but not listed here.

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.

Curtis A LachowiezDivision of Hematology/Medical Oncology, Oregon Health and Science University, Portland, OR.ORCID 0000-0001-8506-0624
Nicola LongDivision of Hematology/Medical Oncology, Oregon Health and Science University, Portland, OR.ORCID 0000-0002-9010-8167
Jennifer SaultzDivision of Hematology/Medical Oncology, Oregon Health and Science University, Portland, OR.
Arpita GandhiDivision of Hematology/Medical Oncology, Oregon Health and Science University, Portland, OR.
Laura F NewellDivision of Hematology/Medical Oncology, Oregon Health and Science University, Portland, OR.
Brandon Hayes-LattinDivision of Hematology/Medical Oncology, Oregon Health and Science University, Portland, OR.ORCID 0000-0002-4380-4573
Richard T MaziarzDivision of Hematology/Medical Oncology, Oregon Health and Science University, Portland, OR.
Jessica LeonardDivision of Hematology/Medical Oncology, Oregon Health and Science University, Portland, OR.ORCID 0000-0001-5576-0048
Daniel BottomlyKnight Cancer Institute, Oregon Health & Science University, Portland OR.
Shannon McWeeneyKnight Cancer Institute, Oregon Health & Science University, Portland OR.ORCID 0000-0001-8333-6607
Jennifer DunlapKnight Cancer Institute, Oregon Health & Science University, Portland OR.
Richard PressKnight Cancer Institute, Oregon Health & Science University, Portland OR.ORCID 0000-0002-2103-5144
Gabrielle MeyersDivision of Hematology/Medical Oncology, Oregon Health and Science University, Portland, OR.
Ronan SwordsDivision of Hematology/Medical Oncology, Oregon Health and Science University, Portland, OR.
Rachel J CookDivision of Hematology/Medical Oncology, Oregon Health and Science University, Portland, OR.
Jeffrey W TynerKnight Cancer Institute, Oregon Health & Science University, Portland OR.
Brian J DrukerDivision of Hematology/Medical Oncology, Oregon Health and Science University, Portland, OR.ORCID 0000-0001-8331-8206
Elie TraerDivision of Hematology/Medical Oncology, Oregon Health and Science University, Portland, OR.ORCID 0000-0001-8844-2345

Funding

Tumor Intrinsic and Microenvironmental Mechanisms Driving Drug Combination Efficacy and Resistance in AMLU54CA224019 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI BRIAN J DRUKER, Shannon K. McWeeney · 2017 to 2026
$13.9M
6 · The paper itself

Abstract

Risk stratification in acute myeloid leukemia (AML) remains principle in survival prognostication and treatment selection. The 2022 European LeukemiaNet (ELN) recommendations were recently published, with notable updates to risk group assignment. The complexity of risk stratification and comparative outcomes between the 2022 and 2017 ELN guidelines remains unknown. This comparative analysis evaluated outcomes between the 2017 and 2022 ELN criteria in patients enrolled within the multicenter Beat AML cohort. Five hundred thirteen patients were included. Most patients had 1 or 2 ELN risk-defining abnormalities. In patients with ≥2 ELN risk-defining mutations, 44% (n = 132) had mutations spanning multiple ELN risk categories. Compared with ELN 2017 criteria, the updated ELN 2022 guidelines changed the assigned risk group in 15% of patients, including 10%, 26%, and 6% of patients categorized as being at ELN 2017 favorable-, intermediate-, and adverse-risk, respectively. The median overall survival across ELN 2022 favorable-, intermediate-, and adverse-risk groups was not reached, 16.8, and 9.7 months, respectively. The ELN 2022 guidelines more accurately stratified survival between patients with intermediate- or adverse-risk AML treated with induction chemotherapy compared with ELN 2017 guidelines. The updated ELN 2022 guidelines better stratify survival between patients with intermediate- or adverse-risk AML treated with induction chemotherapy. The increased complexity of risk stratification with inclusion of additional cytogenetic and molecular aberrations necessitates clinical workflows simplifying risk stratification.

Indexed as

Leukemia, Myeloid, AcuteCytogeneticsHumansInduction ChemotherapyMutationRisk Factors

Identifiers

PMID36441905
PMCPMC10172873

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.