Evidence map›Paper›PMID 37686667›Full record

ReviewCancers2023

The Five "Ws" of Frailty Assessment and Chronic Lymphocytic Leukemia: Who, What, Where, Why, and When.

Isabel González-Gascón-Y-Marín, Mónica Ballesteros-Andrés, Sara Martínez-Flores, Ana-E Rodríguez-Vicente, Claudia Pérez-Carretero, Miguel Quijada-Álamo, Alberto Rodríguez-Sánchez, José-Ángel Hernández-Rivas

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 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
2.3field-weighted citation impact, top 11% 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, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Fitness in CLL.Cancers · 2026
    Review
  5. Article
  6. Review
  7. Editorial: Elderly patients and lymphoma.Frontiers in oncology · 2025
    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

8 authors at 4 institutions in 1 country.

Isabel González-Gascón-Y-MarínDepartment of Hematology, University Hospital Infanta Leonor, 28031 Madrid, Spain.ORCID 0000-0001-6329-1704
Mónica Ballesteros-AndrésDepartment of Hematology, University General Hospital Gregorio Marañón, 28009 Madrid, Spain.
Sara Martínez-FloresDepartment of Geriatric Medicine, University Hospital Infanta Leonor, 28031 Madrid, Spain.
Ana-E Rodríguez-VicenteIBSAL, IBMCC, CSIC, Cancer Research Center, University of Salamanca, 37007 Salamanca, Spain.
Claudia Pérez-CarreteroIBSAL, IBMCC, CSIC, Cancer Research Center, University of Salamanca, 37007 Salamanca, Spain.ORCID 0000-0002-2089-2742
Miguel Quijada-ÁlamoIBSAL, IBMCC, CSIC, Cancer Research Center, University of Salamanca, 37007 Salamanca, Spain.
Alberto Rodríguez-SánchezIBSAL, IBMCC, CSIC, Cancer Research Center, University of Salamanca, 37007 Salamanca, Spain.
José-Ángel Hernández-RivasDepartment of Hematology, University Hospital Infanta Leonor, 28031 Madrid, Spain.ORCID 0000-0003-4550-757X
Universidad de Salamanca · ESHospital Universitario Infanta Leonor · ESHospital General Universitario Gregorio Marañón · ESUniversidad Complutense de Madrid · ES

Funding

Centro de Investigación Biomédica en Red CIBERONC CB16/12/00233Consejería de Educación-Junta de Castilla y León 567 SA118P20Fundación Mutua Madrileña AP176752021Instituto de Salud Carlos III (ISCIII) &FEDER 566 (PI21/00983Red Temática de Investigación Cooperativa en Cáncer RD12/0036/0069
6 · The paper itself

Abstract

Chronic lymphocytic leukemia (CLL) is a disease of the elderly, but chronological age does not accurately discriminate frailty status at the inter-individual level. Frailty describes a person's overall resilience. Since CLL is a stressful situation, it is relevant to assess the patient´s degree of frailty, especially before starting antineoplastic treatment. We are in the era of targeted therapies, which have helped to control the disease more effectively and avoid the toxicity of chemo (immuno) therapy. However, these drugs are not free of side effects and other aspects arise that should not be neglected, such as interactions, previous comorbidities, or adherence to treatment, since most of these medications are taken continuously. The challenge we face is to balance the risk of toxicity and efficacy in a personalized way and without forgetting that the most frequent cause of death in CLL is related to the disease. For this purpose, comprehensive geriatric assessment (GA) provides us with the opportunity to evaluate multiple domains that may affect tolerance to treatment and that could be improved with appropriate interventions. In this review, we will analyze the state of the art of GA in CLL through the five Ws.

Indexed as

agechronic lymphocytic leukemiacomorbiditiescomprehensive geriatric assessmentfrailtygeriatric domainstargeted therapies

Identifiers

PMID37686667
PMCPMC10486487
OpenAlexW4386410529

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.