Evidence map›Paper›PMID 38104036›Full record

ArticleOncology and therapy2024

Patient Versus Physician Perspective in the Management of Chronic Myeloid Leukemia During Treatment with Tyrosine Kinase Inhibitors.

Hong Chen, Yan Wen, Yun Zeng, Lie Lin, Bihong Sun, Hongqian Zhu, Huiqing He, Xiaotao Wang, Waiyi Zou, Caifeng Zheng and 15 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Oncology and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05092048 (Validation Value of the Questionnaire to Assess Health-related Quality of Life in Patients With CML), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 25% 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.

NCT05092048 unknown statusnot on this map

Validation Value of the Questionnaire to Assess Health-related Quality of Life in Patients With CML

Typeobservational_patient_registrySponsorxunaRan2021 to 2022Enrolled10,000ConditionsCML (Chronic Myelogenous Leukemia)Armsquestionnaire
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Patient-reported toxicity symptoms during tyrosine kinase inhibitor treatment in chronic myeloid leukemia: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
  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

25 authors at 19 institutions in 1 country.

Hong Chen *Department of Hematology, Nanfang Hospital, Southern Medical University, 1838 Guangzhou Da Dao North, Guangzhou, 510515, Guangdong, China.
Yan Wen *Department of Hematology, Yunnan Hematology Hospital, First People' Hospital of Yunnan, Affiliated Hospital of Kunming University of Science and Technology, Kunming, China.
Yun Zeng *Department of Hematology, First Affiliated Hospital of Kunming Medical University, Hematology Research Center of Yunnan Province, Kunming, China.
Lie Lin *Department of Hematology, Hainan General Hospital, Haikou, China.
Bihong SunDepartment of Hematology, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China.
Hongqian ZhuDepartment of Hematology, Guizhou Provincial People's Hospital, Guiyang, China.
Huiqing HeDepartment of Hematology, Zhongshan People's Hospital, Zhongshan, China.
Xiaotao WangDepartment of Hematology, Guilin Medical University Affiliated Hospital, Guilin, China.
Waiyi ZouDepartment of Hematology, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Caifeng ZhengDepartment of Hematology, Shenzhen Bao An People's Hospital, Shenzhen, China.
Liling ZhengDepartment of Hematology, The Second People's Hospital of Guangdong Province, Guangzhou, China.
Jinxiong HuangDepartment of Hematology, Liuzhou People's Hospital, Liuzhou, China.
Liping PangDepartment of Hematology, Peking University Shenzhen Hospital, Shenzhen, China.
Jixian HuangDepartment of Hematology, Yue Bei People's Hospital, Shantou University Medical College, Shaoguan, China.
Yuming ZhangDepartment of Hematology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.
Haiqing LinDepartment of Hematology, Shenzhen People's Hospital, Second Clinical Medical College of Jinan University, First Affiliated Hospital of Southern University of Science and Technology, Shenzhen, China.
Zelin LiuDepartment of Hematology, Huazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, China.
Wanshou ZhuDepartment of Hematology, Gaozhou People's Hospital, Gaozhou, China.
Qiang WangDepartment of Hematology, Nanfang Hospital, Southern Medical University, 1838 Guangzhou Da Dao North, Guangzhou, 510515, Guangdong, China.
Xuan ZhouDepartment of Hematology, Nanfang Hospital, Southern Medical University, 1838 Guangzhou Da Dao North, Guangzhou, 510515, Guangdong, China.
Xiaoli LiuDepartment of Hematology, Nanfang Hospital, Southern Medical University, 1838 Guangzhou Da Dao North, Guangzhou, 510515, Guangdong, China.
Hong QuDepartment of Hematology, Panyu Central Hospital, Guangzhou, China.
Zhenfang LiuDepartment of Hematology, The First Affiliated Hospital of Guangxi Medical University, No. 6, Shuang Yong Road, Nanning, 530021, Guangxi, China. liuzhenfang@gxmu.edu.cn.
Xin DuDepartment of Hematology and Shenzhen Bone Marrow Transplantation Public Service Platform, The First Affiliated Hospital of Shenzhen University, Shenzhen Second People's Hospital, Shenzhen University School of Medicine, 3002 Sungang West Road, Futian District, Shenzhen, 518035, China. duxingz@medmail.com.cn.
Na XuDepartment of Hematology, Nanfang Hospital, Southern Medical University, 1838 Guangzhou Da Dao North, Guangzhou, 510515, Guangdong, China. sprenaa@163.com.ORCID http://orcid.org/0000-0001-6280-0546
Nanfang Hospital · CNShantou University · CNUnion Hospital · CNGaozhou People's Hospital · CNGuangdong Medical College · CNGuangdong Provincial People's Hospital · CNGuilin Medical University · CNGuizhou Provincial People's Hospital · CNHainan General Hospital · CNJinan University · CNKunming Medical University · CNKunming University of Science and Technology · CNPanyu District Central Hospital · CNPeking University Shenzhen Hospital · CNShenzhen Bao'an District People's Hospital · CNShenzhen Second People's Hospital · CNSun Yat-sen University · CNThe People's Hospital of Guangxi Zhuang Autonomous Region · CNZhongshan People's Hospital · CN

Funding

Guangzhou Municipal Science and Technology Bureau 201904010488National Natural Science Foundation of China 81700162National Natural Science Foundation of China 82160039Natural Science Foundation of Guangdong Province 2020A1515010409the Key Basic Research Project of Guangzhou City-Basic and The Applied Basic Research Program of Science 202201011781the Open project of Yunnan Blood Disease Clinical Medical Center 2020LCZXKF-XY05
6 · The paper itself

Abstract

introductionChronic myeloid leukemia (CML) is a chronic disease with treatment-free remission (TFR) increasingly regarded as a feasible goal of treatment. However, various factors may influence adherence to international guidelines for CML management. This study aimed to compare the reporting of care between patients with CML and their treating doctors.

methodsParallel patient and physician online surveys were conducted between September 22, 2021, and March 15, 2022, which focused on the perceptions of 1882 adult patients with CML and 305 physicians regarding tyrosine kinase inhibitor (TKI) treatment options, monitoring and toxicities, TFR, and challenges faced.

resultsAmong the enrolled patients, 69.9% received first-line imatinib treatment, 18.6% received nilotinib, and 4.7% received dasatinib. Among the patients treated with imatinib, 36.7% switched to other TKIs due to imatinib resistance/intolerance (71.1%), exploration of more potent TKIs to achieve TFR (8.9%), and treating physicians' recommendation (14.0%), with a median duration of initial treatment of 14 months [interquartile range (IQR) 6-36]. Most (91.8%) physicians agreed that the breakpoint cluster region-Abelson 1 (BCR::ABL1) transcript level should be assessed every 3 months, but only 42.7% of individuals committed to 3-monthly testing and only 17.8% strictly followed their treating physicians' recommendation. Half of the patients aimed for TFR; however, just 45.2% of physicians considered TFR as one of the top three goals for their patients. The major concern in obtaining TFR was patients' adherence. Fatigue was often distressing for patients with TKIs, while physicians were more concerned about platelet and neutrophil counts. A total of 12% and 20.8% of patients reported moderate/severe anxiety and depression, respectively, while only 53.7% of physicians had concerns about their patients' mental health. During the coronavirus disease 2019 (COVID-19) pandemic, 69.2% of patients reported a reduction in their income. Among these patients, 61.8% maintained their current treatment, while 7.3% switched to cheaper alternatives or discontinued treatment, with over 80% of these patients belonging to the low-income group.

conclusionsOvercoming challenges in patient-physician communication and treatment access is key to improving disease management and quality of life, especially for patients with low income.

trial registrationClinicalTrials.gov identifier NCT05092048.

Indexed as

Chronic myeloid leukemiaDiscrepanciesPatientPhysicianQuality of life

Identifiers

PMID38104036
PMCPMC10881939
OpenAlexW4389831984

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.