Evidence map›Paper›PMID 37872063›Full record

ArticleHematology, transfusion and cell therapy

Outcomes and challenges treating pediatric acute myeloid leukemia: a retrospective analysis of patients treated at the Fundación Valle del Lili between 2011 and 2020.

Alexis A Franco, Viviana Lotero, Pamela Rodríguez, Estefania Beltran, Eliana Manzi, Angela Devia-Zapata, Diego Medina-Valencia

Abstract read
In one paragraph

Article in Hematology, transfusion and cell therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. 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.

Alexis A FrancoFundación Valle del Lili, Departamento Materno infantil, servicio de hemato-oncología pediátrica, unidad de trasplante de médula ósea, Cra 98 No. 18-49, Cali 760032, Colombia; Universidad Icesi, Facultad de Ciencias de la Salud. Calle 18 No. 122-135, Cali 760031, Colombia.
Viviana LoteroUniversidad Icesi, Facultad de Ciencias de la Salud. Calle 18 No. 122-135, Cali 760031, Colombia; Fundación Valle del Lili, Departamento Materno infantil, servicio de hemato-oncología pediátrica, Cra 98 No. 18-49, Cali 760032, Colombia.
Pamela RodríguezUniversidad Icesi, Facultad de Ciencias de la Salud. Calle 18 No. 122-135, Cali 760031, Colombia; Fundación Valle del Lili, Departamento Materno infantil, servicio de hemato-oncología pediátrica, Cra 98 No. 18-49, Cali 760032, Colombia.
Estefania BeltranFundación Valle del Lili, Centro de Investigaciones Clínicas, Cra 98 No. 18-49, Cali 760032, Colombia.
Eliana ManziUniversidad Icesi, Facultad de Ciencias de la Salud. Calle 18 No. 122-135, Cali 760031, Colombia; Fundación Valle del Lili, Centro de Investigaciones Clínicas, Cra 98 No. 18-49, Cali 760032, Colombia.
Angela Devia-ZapataFundación Valle del Lili, Centro de Investigaciones Clínicas, Cra 98 No. 18-49, Cali 760032, Colombia.
Diego Medina-ValenciaFundación Valle del Lili, Departamento Materno infantil, servicio de hemato-oncología pediátrica, unidad de trasplante de médula ósea, Cra 98 No. 18-49, Cali 760032, Colombia; Universidad Icesi, Facultad de Ciencias de la Salud. Calle 18 No. 122-135, Cali 760031, Colombia. Electronic address: trasplantemedulaoseapediatrico@fvl.org.co.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAcute myeloid leukemia is a challenging disease, due to a poor prognosis in developing countries. Herein, we aim to describe the clinical characteristics and outcomes after chemotherapy and transplantation.

methodsA retrospective analytic observational study was performed with patients under 18 years of age with newly diagnosed acute myeloid leukemia treated at a referral center in Colombia. Two groups were compared: induction therapy (IT) and induction therapy plus consolidation (IT + C). The survival analysis was performed using the Kaplan-Meier method.

resultsWe analyzed 34 patients diagnosed with acute myeloid leukemia; 20 received hematopoietic stem cell transplantation. Most were French-American-British (FAB) classification types M1, M5 and M0. The transplantation was haploidentical in 65%, conditioning was myeloablative in 67% and graft-versus-host disease prophylaxis was performed with post-transplant cyclophosphamide in 70%. Overall, the 5-year survival was 52% and the overall 5-year survival in the transplanted group was 80%. There were 16 deaths; in the IT group, n = 12, and in the IT + C group, n = 4. In the former, the main cause of death was septic shock and in the latter, it was relapse.

conclusionTransplantation is a safe option. Receiving treatment and supportive measures in hematopoietic stem cell transplantation units is necessary to avoid infections, especially during induction cycles.

Indexed as

Acute myeloid leukemiaHematopoietic stem cell transplantationPediatricsPost-transplantation cyclophosphamide (PTCy)Survival

Identifiers

PMID37872063
PMCPMC11451350

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LicenceCC BY-NC-ND
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Registered trials

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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.