Evidence map›Paper›PMID 38531057›Full record

ArticleBlood advances2024

Impact of race and social determinants of health on outcomes in patients with aggressive B-cell NHL treated with CAR-T therapy.

Reem Karmali, Rushad Machhi, Narendranath Epperla, Geoffrey Shouse, Jason Romancik, Tamara K Moyo, Vaishalee Kenkre, Thomas A Ollila, Lindsey Fitzgerald, Brian Hess and 21 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
6.5field-weighted citation impact, top 2% 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

16 citing papers in PubMed, 23 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors at 15 institutions in 1 country.

Reem KarmaliRobert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL.ORCID 0000-0003-0984-4376
Rushad MachhiNorthwestern University, Feinberg School of Medicine, Chicago, IL.
Narendranath EpperlaArthur G. James Cancer Hospital and Richard J. Solove Research Institute, The Ohio State University, Columbus, OH.ORCID 0000-0002-8216-3457
Geoffrey ShouseCity of Hope Comprehensive Cancer Center, Duarte, CA.ORCID 0000-0002-7917-5713
Jason RomancikWinship Cancer Institute, Emory University, Atlanta, GA.ORCID 0000-0003-0054-9362
Tamara K MoyoAtrium Health Levine Cancer Institute, Charlotte, NC.
Vaishalee KenkreCarbone Cancer Center, University of Wisconsin-Madison, Madison, WI.
Thomas A OllilaLifespan Cancer Institute, Brown University, Providence, RI.ORCID 0000-0003-0102-6491
Lindsey FitzgeraldHuntsman Cancer Institute, University of Utah, Salt Lake City, UT.
Brian HessHollings Cancer Center, Medical University of South Carolina, Charleston, SC.
Kevin DavidRutgers Cancer Institute of New Jersey, Rutgers University, New Brunswick, NJ.ORCID 0000-0001-7415-0376
Ishan RoyRoswell Park Comprehensive Cancer Center, Buffalo, NY.ORCID 0000-0002-9109-0421
Joanna ZurkoCarbone Cancer Center, University of Wisconsin-Madison, Madison, WI.ORCID 0000-0002-9532-4336
Sayan Mullick ChowdhuryArthur G. James Cancer Hospital and Richard J. Solove Research Institute, The Ohio State University, Columbus, OH.
Kaitlin AnnunzioArthur G. James Cancer Hospital and Richard J. Solove Research Institute, The Ohio State University, Columbus, OH.
Robert FerdmanRoswell Park Comprehensive Cancer Center, Buffalo, NY.
Rahul S BhansaliAbramson Cancer Center, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-3616-7393
Elyse I HarrisCarbone Cancer Center, University of Wisconsin-Madison, Madison, WI.
Jieqi LiuRutgers Cancer Institute of New Jersey, Rutgers University, New Brunswick, NJ.
Imran NizamuddinRobert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL.
Shuo MaRobert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL.ORCID 0000-0002-6139-5486
Jonathan MoreiraRobert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL.ORCID 0009-0001-9749-7599
Jane WinterRobert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL.
Barbara ProRobert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL.
Deborah M StephensHuntsman Cancer Institute, University of Utah, Salt Lake City, UT.ORCID 0000-0001-9188-5008
Alexey DanilovCity of Hope Comprehensive Cancer Center, Duarte, CA.
Nirav N ShahMCW Cancer Center, Medical College of Wisconsin, Milwaukee, WI.ORCID 0000-0002-4336-1071
Jonathon B CohenWinship Cancer Institute, Emory University, Atlanta, GA.ORCID 0000-0002-2723-6481
Stefan K BartaAbramson Cancer Center, University of Pennsylvania, Philadelphia, PA.
Pallawi TorkaRoswell Park Comprehensive Cancer Center, Buffalo, NY.ORCID 0000-0002-1681-5883
Leo I GordonRobert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL.ORCID 0000-0003-1666-7064
Northwestern University · USRoswell Park Comprehensive Cancer Center · USThe Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute · USUniversity of Wisconsin–Madison · USEmory University · USHospital of the University of Pennsylvania · USRutgers, The State University of New Jersey · USBrown University · USCity of Hope · USCity Of Hope National Medical Center · USLevine Cancer Institute · USMedical College of Wisconsin · USMedical University of South Carolina · USUniversity of North Carolina at Chapel Hill · USUniversity of Utah · US

Funding

HEMATOPOIESIS TRAINING GRANTT32DK007780 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI TONG, WEI · 1999 to 2023
$6.7M
NIDDK NIH HHS T32 DK007780
6 · The paper itself

Abstract

abstractChimeric antigen receptor (CAR) T-cell (CAR-T) immunotherapy is an effective therapy for relapsed/refractory B-cell non-Hodgkin lymphoma (r/r B-NHL). However, data are limited on the impact of the convergence of race and social determinants of health on outcomes for patients treated with CAR-T therapy. We examined the impact of interactions between race and insurance type on health care use and outcomes in patients treated with CAR-T therapy for aggressive B-NHL. Adult patients with r/r B-NHL treated with CD19 CAR-Ts were identified between 2015 and 2021 across 13 US academic centers. Insurance type, demographic, and clinical data were collected and analyzed. In total, 466 adult patients were included in our analysis. Median follow-up after CAR-T therapy was 12.7 months. Median progression-free survival (mPFS) was longer for Caucasians (11.5 months) than for African Americans (3.5 months; hazard ratio [HR], 1.56 [1.03-2.4]; P = .04) or Asians (2.7 months; HR, 1.7 [1.02-2.67]; P = .04). Differences in median overall survival (mOS) were not significant. For Medicare (n = 206) vs Medicaid (n = 33) vs private insurance (n = 219) vs self-pay (n = 7): mPFS was 15.9 vs 4.2 vs 6.0 vs 0.9 months (P < .001), respectively; and mOS was 31.2 vs 12.8 vs 21.5 vs 3.2 months (P < .001), respectively. Our multicenter retrospective analysis showed that race and insurance status can affect outcomes for patients treated with CAR-T therapy.

Indexed as

Immunotherapy, AdoptiveLymphoma, B-CellSocial Determinants of HealthAdultAgedAsianBlack or African AmericanFemaleHumansInsurance CoverageInsurance, HealthMaleMiddle AgedRacial GroupsRetrospective StudiesTreatment Outcome

Identifiers

PMID38531057
PMCPMC11145749
OpenAlexW4393188082

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.