Evidence map›Paper›PMID 36824461›Full record

ArticleFrontiers in cardiovascular medicine2023

Five-year cardiovascular outcomes in patients with chronic myeloid leukemia treated with imatinib, dasatinib, or nilotinib: A cohort study using data from a large multinational collaborative network.

Rafael Amorim Belo Nunes, Precil Diego Miranda de Menezes Neves, Leandro Menezes Alves da Costa, Philip Bachour, Marcelo José de Carvalho Cantarelli, Gustavo Bernardes de Figueiredo Oliveira, Álvaro Avezum

Open access · goldAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. 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

7 authors at 1 institution in 1 country.

Rafael Amorim Belo NunesDepartment of Cardiology, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil.
Precil Diego Miranda de Menezes NevesInternational Research Center, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil.
Leandro Menezes Alves da CostaDepartment of Cardiology, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil.
Philip BachourDepartment of Hematology and Bone Marrow Transplant, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil.
Marcelo José de Carvalho CantarelliDepartment of Cardiology, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil.
Gustavo Bernardes de Figueiredo OliveiraInternational Research Center, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil.
Álvaro AvezumInternational Research Center, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil.
Hospital Alemão Oswaldo Cruz · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Breakpoint cluster region-Abelson gene (BCR-ABL) tyrosine kinase inhibitors (TKIs) have revolutionized the treatment of patients with chronic myeloid leukemia (CML). However, concern has arisen about the cardiac safety profile of these drugs. Objectives: This study aims to compare long-term risks of adverse cardiovascular and cerebrovascular events (ACE), heart failure or left ventricular ejection fraction (LVEF) < 50%, and venous thromboembolic events (VTE) in patients with CML treated with BCR-ABL TKIs, using data from a large multinational network. Methods: Patients aged ≥ 18 years with CML treated with imatinib, dasatinib, or nilotinib without prior cardiovascular or cerebrovascular disease were included. We used propensity score matching to balance the cohorts. The 5-year cumulative incidences and hazard ratios were calculated. Results: We identified 3,722 patients with CML under treatment with imatinib ( Conclusion: In this retrospective study with a large number of patients with CML, those treated with nilotinib had a higher 5-year ratio of ACE, while patients with dasatinib showed a lower ratio than patients with imatinib. The ratio of heart failure was higher in patients with imatinib than in patients with dasatinib, but not when compared to nilotinib.

Indexed as

breakpoint cluster region-abelson (BCR-ABL)cardio-onco-hematologycardiovascular safetychronic myeloid leukemiatyrosine kinase inhibitor (TKI)

Identifiers

PMID36824461
PMCPMC9941183
OpenAlexW4319444458

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.