Evidence map›Paper›PMID 38484192›Full record

ArticleJCO global oncology2024

Successful Management of Neutropenic Sepsis Is Key to Better Survival of Patients With Blood Cancer in Sri Lanka: Real-World Data From the Resource-Limited Setting.

Saman Hewamana, Thurairajah Skandarajah, Chathuri Jayasinghe, Samadhi Deshapriya, Dilip Gayashan, Natasha Peiris, Mahesh Harischandra, Prasanna Gunasena, Gnani Somasundaram, Vadivelu Srinivasan and 8 more

Abstract read
In one paragraph

Article in JCO global oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  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

18 authors.

Saman HewamanaLanka Hospital, Colombo, Sri Lanka.ORCID 0000-0002-5439-8398
Thurairajah SkandarajahNational Cancer Institute, Colombo, Sri Lanka.ORCID 0000-0003-1127-1183
Chathuri JayasingheDepartment of Statistics, University of Sri Jayewardenepura, Colombo, Sri Lanka.ORCID 0000-0003-2891-742X
Samadhi DeshapriyaLanka Hospital, Colombo, Sri Lanka.
Dilip GayashanLanka Hospital Diagnostics, Colombo, Sri Lanka.
Natasha PeirisAsiri Surgical Hospital, Colombo, Sri Lanka.
Mahesh HarischandraLanka Hospital, Colombo, Sri Lanka.
Prasanna GunasenaLanka Hospital, Colombo, Sri Lanka.
Gnani SomasundaramLanka Hospital, Colombo, Sri Lanka.
Vadivelu SrinivasanLanka Hospital, Colombo, Sri Lanka.
Surjit SomiahLanka Hospital, Colombo, Sri Lanka.
Chandana WickramarathnaFaculty of Medicine, University of Ruhuna, Matara, Sri Lanka.ORCID 0000-0003-4394-2535
Sangeetha HewawasamLanka Hospital, Colombo, Sri Lanka.
Jayantha BalawardenaSir John Kotelawala Defence University, Colombo, Sri Lanka.
Gehan ArseculeratneLanka Hospital, Colombo, Sri Lanka.
Rohini WadanambyLanka Hospital Diagnostics, Colombo, Sri Lanka.ORCID 0000-0001-9304-7534
Geethani GalagodaLanka Hospital Diagnostics, Colombo, Sri Lanka.
Bandula WijesiriwardanaLanka Hospital, Colombo, Sri Lanka.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSepsis is the main cause of nonrelapse mortality, and there are no published data on applicability of supportive care protocols from high-income countries such as Sri Lanka. The aim of the study was to investigate management and mortality of neutropenic episodes among Hemato-Oncology patients. MATERIALS AND

methodsRetrospective analysis of clinical characteristics, management, morbidity, and mortality of neutropenic Hemato-Oncology patients presented to the Lanka Hospital Blood Cancer Centre from January 1, 2019 to December 31, 2019 was performed.

resultsA total of 169 neutropenic episodes were identified; 115 (68%) of such episodes were related to chemotherapy. Acute leukemia, lymphoproliferative disorders, and plasma cell disorders accounted for 23%, 69%, and 8% of patients, respectively. The median age of patients who had sepsis was 56 years, whereas that of those who had no sepsis was 53 years (

conclusionTo our knowledge, this is the only documented study related to outcome and successful applicability of western supportive care protocols to Sri Lankan patients with neutropenia. In this study, we have shown that neutropenic sepsis can be successfully managed in the setting of limited resources with service development, following guidelines and staff training.

Indexed as

Hematologic NeoplasmsNeoplasmsNeutropeniaSepsisHumansMiddle AgedResource-Limited SettingsRetrospective StudiesSri Lanka

Identifiers

PMID38484192
PMCPMC10954079

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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.