Evidence map›Paper›PMID 38459154›Full record

ArticleAnnals of hematology2024

Transformation risk and associated survival outcome of marginal zone lymphoma: A nationwide study.

Xu Sun, He Li, Yuqi Yang, Yijun Wu, Kai Kang, Qinyu Liu, Ren Luo, Li Wang, Ailin Zhao, Ting Niu

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Article in Annals of hematology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.1field-weighted citation impact, top 14% 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, 5 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

10 authors at 2 institutions in 1 country.

Xu Sun *Department of Hematology, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.
He Li *Department of Hematology, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.
Yuqi YangWest China School of Medicine, Sichuan University, Chengdu, Sichuan, 610041, China.
Yijun WuCancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.
Kai KangCancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.
Qinyu LiuDepartment of Hematology, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.
Ren LuoCancer Center, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.
Li WangDepartment of Hematology, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.
Ailin ZhaoDepartment of Hematology, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China. zhaoailin@wchscu.cn.
Ting NiuDepartment of Hematology, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China. niuting@wchscu.cn.
Sichuan University · CNWest China Hospital of Sichuan University · CN

Funding

National Natural Science Foundation of China No. 82303773, No. 82303772, No. 82204490, No. 82303694
6 · The paper itself

Abstract

Histological transformation into an aggressive B-cell lymphoma indicates a poor survival outcome for patients with indolent marginal zone lymphoma (MZL), which has been less studied. Large-scale data with long-term follow-up to investigate MZL transformation is limited. Here, by reporting a US-Nationwide cohort of 30,619 MZL patients diagnosed between 2000 and 2019, we found that transformation occurred in 2.08% (N = 624) of MZL cases, with the transformation incidence of 3.1 per 1,000 person-years. Advanced Ann Arbor stage, nodal MZL (NMZL) and splenic MZL (SMZL) were associated with an elevated risk of transformation. Certain subtype-specific characteristics, such as non-gastric extra-nodal MZL (vs. gastric, HR, 1.51, 95%CI 1.13-2.04; p = 0.006), and receiving splenectomy for SMZL (HR, 2.04, 95%CI 1.28-3.26; p = 0.003), also indicated a higher risk of transformation. Besides, transformation independently increased the overall mortality risk (HR, 1.38, 95%CI 1.24-1.53, p < 0.001), especially the higher lymphoma-caused mortality risk (HR, 3.21, 95%CI 2.81-3.67, p < 0.001). Transformation was also associated with a higher percentage of lymphoma-caused deaths. The post-transformation prognostic analyses demonstrated that female gender and age ≥ 65 years independently affected patients' mortalities. These findings, based on the largest cohort to date, contribute to a better understanding of transformed MZL, and provide valuable reference points for guidelines and patient counseling.

Indexed as

Lymphoma, B-Cell, Marginal ZoneAdultAgedAged, 80 and overCell Transformation, NeoplasticFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedRisk FactorsSurvival RateUnited StatesMarginal zone lymphomaPopulation-based studySurvival outcomeTransformation Risk

Identifiers

PMID38459154
OpenAlexW4392764296

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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.