Evidence map›Paper›PMID 37114451›Full record

ArticleJournal of diabetes2023

Association of obesity under different metabolic status with adverse outcomes in patients with chronic myeloid leukemia: A retrospective cohort study.

Yingchun Dong, Yiping Cheng, Xiaoshan Feng, Zinuo Yuan, Hang Dong, Yue Zhang, Junming Han, Yafei Wu, Zhixiang Wang, Xia Zhong and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes, 2023. 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
0.6field-weighted citation impact, top 29% 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, 2 citations in OpenAlex.

  1. Article
  2. Article
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 at 3 institutions in 2 countries.

Yingchun DongDepartment of Endocrinology, Shandong Provincial Hospital, Shandong University, Jinan, China.
Yiping ChengDepartment of Endocrinology, Shandong Provincial Hospital, Shandong University, Jinan, China.
Xiaoshan FengDepartment of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
Zinuo YuanDepartment of Endocrinology, Shandong Provincial Hospital, Shandong University, Jinan, China.
Hang DongDepartment of Endocrinology, Shandong Provincial Hospital, Shandong University, Jinan, China.
Yue ZhangDepartment of Endocrinology, Shandong Provincial Hospital, Shandong University, Jinan, China.
Junming HanDepartment of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
Yafei WuShandong Clinical Research Center of Diabetes and Metabolic Diseases, Jinan, China.
Zhixiang WangShandong Clinical Research Center of Diabetes and Metabolic Diseases, Jinan, China.
Xia ZhongDepartment of General Practice, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.
Xiude FanDepartment of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.ORCID https://orcid.org/0000-0001-7413-080X
Jiajun ZhaoDepartment of Endocrinology, Shandong Provincial Hospital, Shandong University, Jinan, China.ORCID https://orcid.org/0000-0003-3267-9292
Shandong University · CNDiabetes Australia · AUShandong Provincial Hospital · CN

Funding

National Key Research and Development Program of China 2017YFC1309800
6 · The paper itself

Abstract

backgroundLittle is known about the association between abnormal metabolic obesity states and the outcomes of chronic myeloid leukemia (CML), especially in patients with obesity with different metabolic status. Here, we used the Nationwide Readmissions Database to assess the effects of metabolically defined obesity on adverse outcomes of CML.

methodsOf the 35 460 557 (weighted) patients, we included 7931 adults with discharge diagnoses of CML from January 1, 2018 to June 30, 2018. The study population was observed until December 31, 2018 and divided into four groups based on body mass index and metabolic status. The primary outcome was the adverse outcomes of CML, including nonremission (NR)/relapse and severe mortality risk. Multivariate logistic regression analysis was performed to analyze data.

resultsMetabolically unhealthy normal weight and metabolically unhealthy obesity were all risk factors for adverse outcomes of CML compared with metabolically healthy normal weight (all p < 0.01), and a significant difference was not found in the metabolically healthy obese. Female patients with metabolically unhealthy normal weight and metabolically unhealthy obesity had 1.23-fold and 1.40-fold increased NR/relapse risk, while male patients did not have this risk. Moreover, patients with a higher number of metabolic risk factors or with dyslipidemia were at higher risk of adverse outcomes, regardless of obesity status.

conclusionsMetabolic abnormalities were associated with adverse outcomes in patients with CML, irrespective of obesity status. Future treatment of patients with CML should consider the effects of obesity on their adverse outcomes under different metabolic status, especially in female patients.

Indexed as

Leukemia, Myelogenous, Chronic, BCR-ABL PositiveMetabolic SyndromeAdultBody Mass IndexChronic DiseaseFemaleHumansMaleObesityPhenotypeRetrospective StudiesRisk Factorsadverse outcomeschronic myeloid leukemiametabolic abnormalitiesobesity不良结局代谢异常慢性粒细胞白血病肥胖

Identifiers

PMID37114451
PMCPMC10172021
OpenAlexW4367316634

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.