Evidence map›Paper›PMID 38138894›Full record

ArticleJournal of personalized medicine2023

Survival Outcomes and Health-Related Quality of Life in Older Adults Diagnosed with Acute Myeloid Leukemia Receiving Frontline Therapy in Daily Practice.

Fernando Ramos, María Lourdes Hermosín, Marta Fuertes-Núñez, Pilar Martínez, Carlos Rodriguez-Medina, Manuel Barrios, Francisco Ibáñez, Teresa Bernal, Maria Teresa Olave, Miguel Ángel Álvarez and 10 more

Abstract read
In one paragraph

Article in Journal of personalized medicine, 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
–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. Article
  2. Article
  3. Observational
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

20 authors.

Fernando RamosDepartment of Hematology, Hospital Universitario de León, 24008 Leon, Spain.ORCID 0000-0002-4991-2655
María Lourdes HermosínDepartment of Hematology, Hospital Universitario de Jerez de la Frontera, 11407 Jerez de la Frontera, Spain.
Marta Fuertes-NúñezDepartment of Hematology, Hospital Universitario de León, 24008 Leon, Spain.
Pilar MartínezDepartment of Hematology, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain.
Carlos Rodriguez-MedinaDepartment of Hematology, Hospital Universitario de Gran Canaria Dr. Negrín, 35010 Las Palmas de Gran Canaria, Spain.
Manuel BarriosDepartment of Hematology, Hospital Regional Universitario de Málaga, 29010 Malaga, Spain.
Francisco IbáñezDepartment of Hematology, Hospital General Universitario de Valencia, 46014 Valencia, Spain.
Teresa BernalDepartment of Hematology, Hospital Universitario Central de Asturias, 33011 Oviedo, Spain.ORCID 0000-0002-2338-513X
Maria Teresa OlaveDepartment of Hematology, Hospital Clinico Lozano Blesa, 50009 Zaragoza, Spain.
Miguel Ángel ÁlvarezDepartment of Hematology, Hospital Universitario de Getafe, 28905 Getafe, Spain.ORCID 0009-0008-0740-8929
María VahíDepartment of Hematology, Hospital Universitario Virgen de Valme, 41014 Sevilla, Spain.
Teresa Caballero-VelázquezDepartment of Hematology, Instituto de Biomedicina de Sevilla, IBiS/Hospital Universitario Virgen del Rocío/CSIC/Universidad de Sevilla, 41013 Sevilla, Spain.ORCID 0000-0001-7487-3793
Bernardo GonzálezDepartment of Hematology, Hospital Universitario de Canarias, 38320 La Laguna, Spain.
Albert AltésDepartment of Hematology, Hospital Sant Joan de Deu de Manresa-Fundació Althaia, 08243 Manresa, Spain.
Lorena GarcíaDepartment of Hematology, Complejo Hospitalario Universitario A Coruña (CHUAC), 15006 A Coruña, Spain.
Pascual FernándezDepartment of Hematology, Hospital General Universitario de Alicante, 03010 Alicante, Spain.ORCID 0000-0002-4831-8849
María Antonia DuránDepartment of Hematology, Hospital Universitario Son Espases, 07120 Palma de Mallorca, Spain.
Rocío LópezMedical Department, Hematology Area, Bristol Myers Squibb Company, Celgene, 28050 Madrid, Spain.
Montserrat RafelMedical Department, Hematology Area, Bristol Myers Squibb Company, Celgene, 28050 Madrid, Spain.
Josefina SerranoDepartment of Hematology, Hospital Universitario Reina Sofía, IMIBIC UCO, 14004 Cordoba, Spain.

Funding

Celgene Spain (a Bristol Myers Squibb company) none
6 · The paper itself

Abstract

Acute myeloid leukemia has a poor prognosis in older adults, and its management is often unclear due to its underrepresentation in clinical trials. Both overall survival (OS) and health-related quality-of-life (HRQoL) are key outcomes in this population, and patient-reported outcomes may contribute to patient stratification and treatment assignment. This prospective study included 138 consecutive patients treated in daily practice with the currently available non-targeted therapies (intensive chemotherapy [IC], attenuated chemotherapy [AC], hypomethylating agents [HMA], or palliative care [PC]). We evaluated patients' condition at diagnosis (Life expectancy [Lee Index for Older Adults], Geriatric Assessment in Hematology [GAH scale], HRQoL [EQ-5D-5L questionnaire], and fatigue [fatigue items of the QLQ-C30 scale]), OS, early death (ED), treatment tolerability (TT) and change in HRQoL over 12 months follow-up. The median OS was 7.1 months (IC not reached, AC 5.9, HMA 8.8, and PC 1.0). Poor risk AML category and receiving just palliative care, as well as a higher Lee index score in the patients receiving active therapy, independently predicted a shorter OS. The Lee Index and GAH scale were not useful for predicting TT. The white blood cell count was a valid predictor for ED. Patients' HRQoL remained stable during follow-up.

Indexed as

acute myeloid leukemiaearly deathelderlyfatiguegeriatric assessmenthealth-related quality of lifelife expectancysurvival

Identifiers

PMID38138894
PMCPMC10744855

What OpenQuestion holds

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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.