Evidence map›Paper›PMID 37794805›Full record

ArticleHaematologica2024

Outcome of combined modality treatment in first-line for stage I(E) peripheral T-cell lymphoma; a nationwide population-based cohort study from the Netherlands.

Frederik O Meeuwes, Mirian Brink, Wouter Plattel, Marjolein W M Van der Poel, Marie José Kersten, Mariëlle Wondergem, Lara Böhmer, F J Sherida H Woei-A-Jin, Otto Visser, Rimke Oostvogels and 8 more

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

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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

18 authors at 10 institutions in 3 countries.

Frederik O MeeuwesDepartment of Hematology, Treant Hospital, Emmen, The Netherlands; Department of Hematology, University Medical Center Groningen, Groningen.
Mirian BrinkDepartment of Research and Development, Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht.
Wouter PlattelDepartment of Hematology, University Medical Center Groningen, Groningen.
Marjolein W M Van der PoelDepartment of Hematology, GROW School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht.
Marie José KerstenDepartment of Hematology, Amsterdam University Medical Centers, Cancer Center Amsterdam, Amsterdam.
Mariëlle WondergemDepartment of Hematology, Amsterdam University Medical Centers, Cancer Center Amsterdam, Amsterdam.
Lara BöhmerDepartment of Hematology, Haga Hospital, The Hague.
F J Sherida H Woei-A-JinDepartment of General Medical Oncology, University Hospitals Leuven, Leuven, Belgium.
Otto VisserDepartment of Hematology, Isala Hospital, Zwolle.
Rimke OostvogelsDepartment of Hematology, University Medical Center Utrecht, Utrecht.
Patty M JansenDepartment of Pathology, Leiden University Medical Center, Leiden.
Karen J NeelisDepartment of Radiotherapy, Leiden University Medical Center, Leiden.
Anne P G CrijnsDepartment of Radiotherapy, University Medical Center Groningen, Groningen.
Laurien A DaniëlsDepartment of Radiotherapy, Amsterdam University Medical Centers, Cancer Center Amsterdam, Amsterdam.
Tjeerd J F SnijdersDepartment of Hematology, Medisch Spectrum Twente, Enschede.
Joost S P VermaatDepartment of Hematology, Leiden University Medical Center, Leiden.
Gerwin A HulsDepartment of Hematology, University Medical Center Groningen, Groningen.
Marcel NijlandDepartment of Hematology, University Medical Center Groningen, Groningen. m.nijland@umcg.nl.
University Medical Center Groningen · NLAmsterdam University Medical Centers · NLLeiden University Medical Center · NLHaga Hospital · NLIsala · NLKU Leuven · BEMedisch Spectrum Twente · NLNetherlands Comprehensive Cancer Organisation · NLUniversity Medical Center · USUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Peripheral T-cell lymphomas (PTCL) comprise a heterogeneous group of mature T-cell neoplasms with an unfavorable prognosis; presentation with stage I(E) disease is uncommon. In clinical practice, an abbreviated chemotherapy treatment regimen combined with radiotherapy (combined modality treatment [CMT]) is commonly used, although evidence from clinical trials is lacking. The aim of this nationwide population-based cohort study is to describe first-line treatment and outcome of patients with stage I(E) PTCL. All newly diagnosed patients ≥18 years with stage I(E) anaplastic large cell lymphoma (ALCL), angioimmunoblastic T-cell lymphoma (AITL) and peripheral T-cell lymphoma NOS (PTCL not otherise specified [NOS]) in 1989-2020 were identified in the Netherlands Cancer Registry. Patients were categorized according to treatment regimen, i.e., chemotherapy (CT), radiotherapy (RT), CMT, other therapy and no treatment. The primary endpoint was overall survival (OS). Patients with stage I(E) ALCL, AITL and PTCL NOS (n=576) were most commonly treated with CMT (28%) or CT (29%), 2% underwent SCT. RT only was given in 18%, and 8% received other therapy and 16% no treatment. Overall, the 5-year OS was 59%. According to subtype, 5-year OS was superior for ALCL as compared to PTCL NOS and AITL (68% vs. 55% and 52%, respectively; P=0.03). For patients treated with CMT, 5-year OS was significantly higher (72%) as compared to patients treated with either CT or RT alone (55% and 55%, respectively; P<0.01). In multivariable analysis, age per year increment (hazard ratio [HR] =1.06, 95% confidence interval [CI]: 1.05-1.07), male sex (HR=1.53, 95% CI: 1.23-1.90), and CT, or no treatment (HR=1.64, 95% CI: 1.21-2.21, and HR=1.55, 95% CI: 1.10-2.17, respectively) were associated with a higher risk of mortality. For stage I(E) ALCL, AITL and PTCL NOS, 5-year OS is 59%, comparing favorably to historical outcome in advanced-stage disease. Superior outcome estimates were observed in patients treated with CMT.

Indexed as

Immunoblastic LymphadenopathyLymphoma, Large-Cell, AnaplasticLymphoma, T-Cell, PeripheralCohort StudiesCombined Modality TherapyHumansMaleNetherlandsPrognosis

Identifiers

PMID37794805
PMCPMC10985449
OpenAlexW4387357495

What OpenQuestion holds

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LicenceCC BY-NC
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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.