Evidence map›Paper›PMID 38098510›Full record

ArticleFrontiers in oncology2023

Definition of bulky disease in early stage diffuse large B-cell lymphoma in computed tomography on coronal and transverse planes.

Mohammad Ma'koseh, Heba Farfoura, Yumna Khatib, Zaid Omari, Hazim Ababneh, Baha A Fayoumi, Ayat Taqash, Mohammad Al-Rwashdeh, Alaa Abufara, Omar Shahin and 2 more

Open access · goldAbstract read
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Article in Frontiers in oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 4 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

12 authors at 2 institutions in 1 country.

Mohammad Ma'kosehDepartment of Internal Medicine, King Hussein Cancer Center, Amman, Jordan.
Heba Farfoura *Department of Radiology, King Hussein Cancer Center, Amman, Jordan.
Yumna Khatib *Department of Radiology, King Hussein Cancer Center, Amman, Jordan.
Zaid Omari *Department of Radiology, King Hussein Cancer Center, Amman, Jordan.
Hazim Ababneh *Department of Internal Medicine, King Hussein Cancer Center, Amman, Jordan.
Baha A Fayoumi *Department of Internal Medicine, King Hussein Cancer Center, Amman, Jordan.
Ayat Taqash *School of Medicine, The University of Jordan, Amman, Jordan.
Mohammad Al-Rwashdeh *Department of Internal Medicine, King Hussein Cancer Center, Amman, Jordan.
Alaa Abufara *Department of Internal Medicine, King Hussein Cancer Center, Amman, Jordan.
Omar Shahin *Department of Internal Medicine, King Hussein Cancer Center, Amman, Jordan.
Khalid Halahleh *Department of Internal Medicine, King Hussein Cancer Center, Amman, Jordan.
Kamal Al-RabiDepartment of Internal Medicine, King Hussein Cancer Center, Amman, Jordan.
King Hussein Cancer Center · JOUniversity of Jordan · JO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In early stage diffuse large B-cell lymphoma (ESDLBL), tumor bulkiness is an important determinant of treatment and prognosis. Tumor bulk is usually measured on transverse computed tomography (CT) plane and variably defined from 5 to 10 cm. Objectives: Our study aims to investigate the prognostic significance of bulky disease measured on CT coronal and transverse planes and to evaluate the outcome of patients with bulky disease. Methods: Patients with ESDLBL and treated with rituximab, cyclophosphamide, doxorubicin, and prednisolone (RCHOP) with or without radiotherapy were included. Receiver Operating Characteristic (ROC) analysis was used to identify the optimal tumor dimension that correlated with progression, relapse, or death. Correlation between different variables and progression-free survival (PFS) and overall survival (OS) were analyzed using log-rank (Mantel-Cox) test and Cox proportional hazard models. Results: A total of 127 patients with a median age of 47 (range: 18-90) years were included. Eighty-two (64.6%) patients treated with combined modality treatment (CMT) [RCHOP + radiotherapy]. After a median follow-up of 40 (range: 2-114) months, 3-year PFS and OS were 83.9% (95% CI: 76.759%-89.981%), and 80.6% (95% CI: 72.499%-87.531%), respectively. Tumor dimension of >7.5 cm measured on either CT plane was the optimal cutoff point to define bulky disease. Three-year PFS and OS were inferior in the group of patients with no bulky disease on transvers plane ( Conclusion: In ESDLBL, measurement of tumor mass on transverse and coronal CT planes may help in better identification of patients with bulky disease. The use of CMT was associated with better survival outcomes in patients with bulky disease.

Indexed as

bulky diseasecombined modality treatmentCT coronal planeCT transverse planeESDLBL

Identifiers

PMID38098510
PMCPMC10719617
OpenAlexW4389098711

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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.