Evidence map›Paper›PMID 38654660›Full record

ArticleHaematologica2024

Time from diagnosis to treatment has no impact on survival in newly diagnosed acute myeloid leukemia treated with venetoclax-based regimens.

David Baden, Sven Zukunft, Gema Hernandez, Nadine Wolgast, Sophie Steinhauser, Alexander Pohlmann, Christoph Schliemann, Jan-Henrik Mikesch, Bjorn Steffen, Tim Sauer and 29 more

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
5.5field-weighted citation impact, top 4% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. 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

39 authors at 20 institutions in 4 countries.

David BadenDepartment of Internal Medicine II, University Hospital Schleswig-Holstein, Kiel, Germany; University Cancer Center Schleswig-Holstein, University Hospital Schleswig-Holstein, Kiel. david.baden@uksh.de.
Sven ZukunftMedical Department I, University Hospital of TU Dresden, Dresden.
Gema HernandezTriNetX, TriNetX Europe NV, Sint-Martens-Latem.
Nadine WolgastDepartment of Internal Medicine II, University Hospital Schleswig-Holstein, Kiel, Germany; University Cancer Center Schleswig-Holstein, University Hospital Schleswig-Holstein, Kiel.
Sophie SteinhauserDepartment of Internal Medicine II, University Hospital Schleswig-Holstein, Kiel, Germany; University Cancer Center Schleswig-Holstein, University Hospital Schleswig-Holstein, Kiel.
Alexander PohlmannDepartment of Medicine A, University Hospital Munster.
Christoph SchliemannDepartment of Medicine A, University Hospital Munster.
Jan-Henrik MikeschDepartment of Medicine A, University Hospital Munster.
Bjorn SteffenMedical Department II, J.-W.-Goethe University Hospital Frankfurt.
Tim SauerMedical Department V, Heidelberg University Hospital.
Maher HanounDepartment of Hematology, Essen University Hospital.
Kerstin Schafer-EckartMedical Department 5, University Hospital of Paracelsus Medical University Nuremberg.
Stefan W KrauseDepartment of Medicine 5, Uniklinikum Erlangen.
Mathias HanelDepartment for Internal Medicine III, Klinikum Chemnitz.
Hermann EinseleMedical Department II, University Hospital Wurzburg.
Edgar JostDepartment of Oncology, Hematology, Hemostaseology and Stem Cell Transplantation, University Hospital RWTH Aachen, Aachen, Germany and Center for Integrated Oncology (CIO), Aachen, Bonn, Cologne, Dusseldorf (ABCD), Aachen.
Tim H BrummendorfDepartment of Oncology, Hematology, Hemostaseology and Stem Cell Transplantation, University Hospital RWTH Aachen, Aachen, Germany and Center for Integrated Oncology (CIO), Aachen, Bonn, Cologne, Dusseldorf (ABCD), Aachen.
Sebastian SchollKlinik fur Innere Medizin II, Jena University Hospital, Jena.
Andreas HochhausKlinik fur Innere Medizin II, Jena University Hospital, Jena.
Andreas NeubauerDepartment of Internal Medicine, Hematology, Oncology and Immunology, University Hospital Marburg.
Andreas BurchertDepartment of Internal Medicine, Hematology, Oncology and Immunology, University Hospital Marburg.
Martin KaufmannDepartment of Hematology, Oncology and Palliative Medicine, Robert-Bosch-Hospital Stuttgart.
Dirk NiemannInternal Medicine, Hematology/Oncology, Palliative Medicine, Gemeinschaftsklinikum Mittelrhein, Koblenz.
Markus SchaichDepartment for Hematology, Oncology and Palliative Medicine, Rems-Murr-Klinikum, Winnenden.
Wolfgang BlauDepartment for Internal Medicine III, Helios Dr Schmidt Hospital Wiesbaden.
Alexander KianiDepartment for Oncology and Hematology, Klinikum Bayreuth, and Comprehensive Cancer Center Erlangen-EMN.
Martin GornerDepartment for Hematology, Oncology and Palliative Medicine, Klinikum Bielefeld, Bielefeld.
Ulrich KaiserMedical Department II, St. Bernward Hospital, Hildesheim.
Johannes KullmerMedical Department II, Hematology and Oncology, DIAKO Bremen.
Thomas WeberDepartment for Internal Medicine IV, University Hospital Halle (Saale).
Wolfgang E BerdelDepartment of Medicine A, University Hospital Munster.
Gerhard EhningerMedical Department I, University Hospital of TU Dresden, Dresden.
Carsten Muller-TidowMedical Department V, Heidelberg University Hospital.
Uwe PlatzbeckerMedical Department I, Hematology and Cell Therapy, University Hospital Leipzig.
Hubert ServeMedical Department II, J.-W.-Goethe University Hospital Frankfurt.
Martin BornhauserMedical Department I, University Hospital of TU Dresden, Dresden.
Christoph RolligMedical Department I, University Hospital of TU Dresden, Dresden.
Claudia D BaldusDepartment of Internal Medicine II, University Hospital Schleswig-Holstein, Kiel, Germany; University Cancer Center Schleswig-Holstein, University Hospital Schleswig-Holstein, Kiel.
Lars FranseckyDepartment of Internal Medicine II, University Hospital Schleswig-Holstein, Kiel, Germany; University Cancer Center Schleswig-Holstein, University Hospital Schleswig-Holstein, Kiel.
University Hospital Schleswig-Holstein · DEUniversity Hospital Carl Gustav Carus · DEUniversity Hospital Münster · DEDüsseldorf University Hospital · DEGoethe University Frankfurt · DEHeidelberg University · DEJena University Hospital · DEPhilipps University of Marburg · DEBayreuth Medical Center · DEDIAKO · DEEssen University Hospital · DEGemeinschaftsklinikum Mittelrhein · DEHelios Dr. Horst Schmidt Kliniken Wiesbaden · DEKlinikum Bielefeld · DEKlinikum Chemnitz · DEParacelsus Medical University · ATRems-Murr-Klinikum · DERobert Bosch Hospital · DESt. Bernward Krankenhaus · DETriNetX (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In newly diagnosed acute myeloid leukemia (AML), immediate initiation of treatment is standard of care. However, deferral of antileukemic therapy may be indicated to assess comorbidities or pretherapeutic risk factors. We explored the impact of time from diagnosis to treatment on outcomes in newly diagnosed AML undergoing venetoclax-based therapy in two distinct cohorts. By querying the Study Alliance Leukemia database and the global health network TriNetX, we identified 138 and 717 patients respectively with an average age of 76 and 72 years who received venetoclax-based first-line therapy. When comparing patients who started treatment earlier or later than 10 days after initial diagnosis, no significant difference in median overall survival was observed - neither in the SAL cohort (7.7 vs. 9.6 months; P=0.42) nor in the TriNetX cohort (7.5 vs. 7.2 months; P=0.41). Similarly, severe infections, bleeding, and thromboembolic events were equally observed between early and later treatments, both in the overall patient groups and specific subgroups (age ≥75 years or leukocytes ≥20x109/L). This retrospective analysis indicates that delaying the start of venetoclax-based therapy in newly diagnosed AML might be a safe option for selected patients, provided that close clinical monitoring is performed.

Indexed as

Bridged Bicyclo Compounds, HeterocyclicLeukemia, Myeloid, AcuteSulfonamidesAdultAgedAged, 80 and overAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsFemaleHumansMaleMiddle AgedRetrospective StudiesTime-to-TreatmentTreatment OutcomeAntineoplastic AgentsBridged Bicyclo Compounds, HeterocyclicSulfonamidesvenetoclax

Identifiers

PMID38654660
PMCPMC11290507
OpenAlexW4395115688

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.