Evidence map›Paper›PMID 38443704›Full record

SynthesisBone marrow transplantation2024

Role of upfront autologous transplant for peripheral T-cell lymphoma patients achieving a complete remission with first-line therapy: a systematic review and meta-analysis.

L Girard, Y J Koh, L P Koh, Y L Chee, H L Chan, J Lee, S de Mel, L M Poon, M Samuel

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Bone marrow transplantation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 23% 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

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

  1. Pooled it
  2. Review
  3. Article
  4. 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

9 authors at 4 institutions in 2 countries.

L Girard *Aberdeen Royal Infirmary, National Health Service Grampian, Aberdeen, UK.ORCID 0000-0003-0793-1003
Y J Koh *University College London Medical School, London, UK.
L P KohDepartment of Haematology Oncology, National University Cancer Institute, Singapore, Singapore.
Y L CheeDepartment of Haematology Oncology, National University Cancer Institute, Singapore, Singapore.
H L ChanDepartment of Haematology Oncology, National University Cancer Institute, Singapore, Singapore.
J LeeDepartment of Haematology Oncology, National University Cancer Institute, Singapore, Singapore.
S de MelDepartment of Haematology Oncology, National University Cancer Institute, Singapore, Singapore.ORCID 0000-0002-8881-3537
L M Poon *Department of Haematology Oncology, National University Cancer Institute, Singapore, Singapore. Michelle_Poon@nuhs.edu.sg.ORCID 0000-0002-8854-9414
M Samuel *NUS Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
National University Cancer Institute, Singapore · SGNational Health Service · GBNational University of Singapore · SGUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is currently no consensus on the role of upfront autologous transplantation (ASCT) for patients with peripheral T-cell lymphomas (PTCL), especially in patients achieving first complete remission (CR1) following chemotherapy, and data in the literature is conflicting. A systematic review and meta-analysis was performed to address this question. We searched key databases from January 2000 to February 2022. Six prospective and eleven retrospective studies were included among 2959 unique records. Median follow up in these studies ranged from 22 to 94 months. There was a trend towards benefit in PFS (HR = 0.80, 95% CI 0.62-1.05, p = 0.11) and OS (HR = 0.79, 95% CI 0.57-1.09, p = 0.15) in the ASCT compared to chemotherapy only group. Importantly, in transplant eligible patients in CR1, a significant benefit was demonstrated in both OS (HR = 0.59, 95% CI 0.36-0.95, p = 0.03) and PFS (HR = 0.61, 95% CI 0.47-0.81, p = 0.0004) in the ASCT group. Amongst the nodal PTCL subgroups, ASCT showed a significant PFS benefit for the AITL subgroup (HR = 0.43, 95% CI 0.20-0.94, p < 0.03) but not PTCL-NOS or ALK-ve ALCL subgroups. Our findings support upfront ASCT for transplant eligible PTCL patients achieving CR1 post chemotherapy. In particular, patients with AITL exhibited a significantly better PFS after upfront ASCT.

Indexed as

Lymphoma, T-Cell, PeripheralRemission InductionTransplantation, AutologousAutograftsHematopoietic Stem Cell TransplantationHumans

Identifiers

PMID38443704
OpenAlexW4392458161

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.