Evidence map›Paper›PMID 36815381›Full record

ArticleHaematologica2023

Outcomes in grade 3B follicular lymphoma: an international study led by the Australasian Lymphoma Alliance.

Allison Barraclough, James T England, Diego Villa, Joel Wight, Greg Hapgood, Jason Conn, Nicole Wong Doo, Eric Wenlong Li, Michael Gilbertson, Briony Shaw and 20 more

Abstract read
In one paragraph

Article in Haematologica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
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  6. Review
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

30 authors.

Allison BarracloughFiona Stanley Hospital, Department of Haematology, Perth, Australia; University of Melbourne, Melbourne.
James T EnglandUniversity of British Columbia and BC Cancer Centre for Lymphoid Cancer, Vancouver, Canada; Princess Margaret Cancer Centre, Toronto.
Diego VillaUniversity of British Columbia and BC Cancer Centre for Lymphoid Cancer, Vancouver.
Joel WightUniversity of Melbourne, Melbourne, Australia; Townsville University Hospital, Department of Haematology, Townsville.
Greg HapgoodPrincess Alexandra Hospital, Department of Haematology, Brisbane.
Jason ConnPrincess Alexandra Hospital, Department of Haematology, Brisbane.
Nicole Wong DooConcord Clinical School, University of Sydney, Sydney.
Eric Wenlong LiConcord Clinical School, University of Sydney, Sydney.
Michael GilbertsonMonash Health, Department of Haematology, Melbourne, Australia; School of Clinical Sciences, Monash University, Melbourne.
Briony ShawMonash Health, Department of Haematology, Melbourne.
Mark J BishtonNottingham City Hospital, Department of Haematology, Nottingham.
Malik SaeedNottingham City Hospital, Department of Haematology, Nottingham.
Sumita RatnasingamUniversity Hospital Geelong, Department of Haematology, Geelong.
Chathuri AbeyakoonUniversity Hospital Geelong, Department of Haematology, Geelong.
Geoff ChongUniversity of Melbourne, Melbourne, Australia; Ballarat Regional Integrated Cancer Centre, Ballarat Health Services, Melbourne, Australia; Department of Medical Oncology and Haematology, Olivia Newton-John Cancer Research and Wellness Centre, Austin Health, Melbourne.
Shin Hnin WaiDepartment of Medical Oncology and Haematology, Olivia Newton-John Cancer Research and Wellness Centre, Austin Health, Melbourne, Australia; The Northern Hospital, Department of Haematology, Melbourne.
Matthew KuUniversity of Melbourne, Melbourne, Australia; St Vincent's Hospital Melbourne, Department of Haematology, Melbourne.
Hui-Peng LeeFlinders Medical Centre, Department of Haematology, Adelaide.
Kathryn FlemingFlinders Medical Centre, Department of Haematology, Adelaide.
Constantine TamUniversity of Melbourne, Melbourne, Australia; Peter MacCallum Cancer Centre and Royal Melbourne Hospital, Department of Haematology, Melbourne.
Genevieve DouglasDepartment of Medical Oncology and Haematology, Olivia Newton-John Cancer Research and Wellness Centre, Austin Health, Melbourne.
Chan Y CheahSir Charles Gairdner Hospital, Department of Haematology, Perth, Australia; University of Western Australia, Medical School, Perth.
Zi Yun NgSir Charles Gairdner Hospital, Department of Haematology, Perth.
Tukten RolfeGreenslopes Private Hospital, Brisbane.
Anthony K MillsGreenslopes Private Hospital, Brisbane.
Nada HamadSt Vincent's Hospital Sydney, Department of Haematology, Sydney, Australia; School of Clinical Medicine, University of New South Wales, Sydney, Australia; School of Medicine, University of Notre Dame, Sydney.
Helen CashmanSt Vincent's Hospital Sydney, Department of Haematology, Sydney.
Mary GleesonGuy's and St. Thomas' NHS Foundation Trust, Department of Haematology, London.
Manjunath NarayanaSunshine Coast University Hospital, Department of Haematology, Birtinya.
Eliza A HawkesDepartment of Medical Oncology and Haematology, Olivia Newton-John Cancer Research and Wellness Centre, Austin Health, Melbourne, Australia; Transfusion Research Unit, Monash University, Melbourne. eliza.hawkes@onjcri.org.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Grade (G) 3B follicular lymphoma (FL) is a rare FL subtype which exists on a histological continuum between 'lowgrade' (Grade 1, 2 and 3A FL) and diffuse large B-cell lymphoma (DLBCL) appearing to share features with each. Clinical characteristics and outcomes are poorly understood due to lack of adequate representation in prospective trials and large-scale analyses. We analyzed 157 G3BFL cases from 18 international centers, and two comparator groups; G3AFL (n=302) and DLBCL (n=548). Composite histology with DLBCL or low-grade FL occurred in approximately half of the G3BFL cases. With a median of 5 years follow-up, the overall survival and progression-free survival of G3BFL patients was better than that of DLBCL patients (P<0.001 and P<0.001, respectively); however, G3BFL patients were younger (P<0.001) with better performance status (P<0.001), less extranodal disease (P<0.001) and more frequently had normal lactate dehydrogenase (P<0.001) at baseline. The overall and progression-free survival of patients with G3BFL and G3AFL were similar (P=0.83 and P=0.80, respectively). After frontline immunochemotherapy, 24% of G3BFL relapsed; relapse rates were 63% in the DLBCL cohort and 19% in the low-grade FL cohort. Eight percent of relapses occurred beyond 5 years. In this G3BFL cohort, the revised International Prognostic Index successfully delineated risk groups, but the Follicular Lymphoma International Prognostic Index did not. We conclude that patients with immunochemotherapy-treated G3BFL have similar survival outcomes to those with G3AFL, yet a favorable baseline profile and distinctly superior prognosis compared to patients with DLBCL.

Indexed as

Lymphoma, FollicularLymphoma, Large B-Cell, DiffuseLymphoma, Non-HodgkinHumansNeoplasm Recurrence, LocalPrognosisProspective Studies

Identifiers

PMID36815381
PMCPMC10483350

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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.