Evidence map›Paper›PMID 36529759›Full record

ArticleBlood cancer journal2022

Prognostic impact of the AML ELN2022 risk classification in patients undergoing allogeneic stem cell transplantation.

Madlen Jentzsch, Lara Bischof, Jule Ussmann, Donata Backhaus, Dominic Brauer, Klaus H Metzeler, Maximilian Merz, Vladan Vucinic, Georg-Nikolaus Franke, Marco Herling and 2 more

Abstract read
In one paragraph

Article in Blood cancer journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing 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

40 citing papers in PubMed.

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  14. AML, Myelodysplasia-Related: Beyond Classification-Toward Precision Decision-Making.Mediterranean journal of hematology and infectious diseases · 2026
    Review
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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

12 authors.

Madlen JentzschDepartment for Hematology, Cell Therapy and Hemostaseology, University of Leipzig Medical Center, Leipzig, Germany. Madlen.Jentzsch@medizin.uni-leipzig.de.ORCID 0000-0002-2270-0804
Lara BischofDepartment for Hematology, Cell Therapy and Hemostaseology, University of Leipzig Medical Center, Leipzig, Germany.
Jule UssmannDepartment for Hematology, Cell Therapy and Hemostaseology, University of Leipzig Medical Center, Leipzig, Germany.
Donata BackhausDepartment for Hematology, Cell Therapy and Hemostaseology, University of Leipzig Medical Center, Leipzig, Germany.
Dominic BrauerDepartment for Hematology, Cell Therapy and Hemostaseology, University of Leipzig Medical Center, Leipzig, Germany.
Klaus H MetzelerDepartment for Hematology, Cell Therapy and Hemostaseology, University of Leipzig Medical Center, Leipzig, Germany.ORCID 0000-0003-3920-7490
Maximilian MerzDepartment for Hematology, Cell Therapy and Hemostaseology, University of Leipzig Medical Center, Leipzig, Germany.
Vladan VucinicDepartment for Hematology, Cell Therapy and Hemostaseology, University of Leipzig Medical Center, Leipzig, Germany.ORCID 0000-0002-8398-285X
Georg-Nikolaus FrankeDepartment for Hematology, Cell Therapy and Hemostaseology, University of Leipzig Medical Center, Leipzig, Germany.ORCID 0000-0001-8239-002X
Marco HerlingDepartment for Hematology, Cell Therapy and Hemostaseology, University of Leipzig Medical Center, Leipzig, Germany.
Uwe PlatzbeckerDepartment for Hematology, Cell Therapy and Hemostaseology, University of Leipzig Medical Center, Leipzig, Germany.
Sebastian SchwindDepartment for Hematology, Cell Therapy and Hemostaseology, University of Leipzig Medical Center, Leipzig, Germany.ORCID 0000-0002-1315-2332

Funding

José Carreras Leukämie-Stiftung (Deutsche José Carreras Leukämie-Stiftung) 04R/2016
6 · The paper itself

Abstract

For most patients with acute myeloid leukemia (AML), an allogeneic hematopoietic stem cell transplantation (HSCT) offers the highest chance of cure. Recently, the European LeukemiaNet (ELN) published updated recommendations on the diagnosis and risk classification in AML based on genetic factors at diagnosis as well as a dynamic adjustment (reclassification) according to the measurable residual disease (MRD) status for the favorable and intermediate risk groups. Validation of the ELN2022 risk classification has not been reported. We retrospectively analyzed 522 AML patients who received an HSCT at a median age of 59 (range 16-76) years. For patients with adequate material available and in remission prior to HSCT (n = 229), the MRD status was evaluated. Median follow-up after HSCT was 3.0 years. ELN2022 risk at diagnosis was in 22% favorable, in 26% intermediate, and in 52% adverse. ELN2022 risk at diagnosis is associated with the cumulative incidence of relapse/progression (CIR), event-free survival (EFS), and overall survival (OS) in the whole patient cohort, as well as the subgroup of patients transplanted in first remission. However, the risk stratification based on the ELN2022 classification did not significantly improve outcome prognostication in comparison to the ELN2017 classification. In our study, the newly added group of patients with myelodysplasia-related gene mutations did not have adverse outcomes. Re-classifying these patients into the intermediate risk group and adjusting the grouping for all AML patients by MRD at HSCT, led to a refined and improved risk stratification, which should be validated in independent studies.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteAdolescentAdultAgedHumansMiddle AgedNeoplasm, ResidualPrognosisRetrospective StudiesTransplantation, HomologousYoung Adult

Identifiers

PMID36529759
PMCPMC9760726

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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.