Evidence map›Paper›PMID 38672674›Full record

ArticleCancers2024

Outcomes of Modified Mayo Stage IIIa and IIIb Cardiac Light-Chain Amyloidosis: Real-World Experience in Clinical Characteristics and Treatment-67 Patients Multicenter Analysis.

Grzegorz Charliński, Maximilian Steinhardt, Leo Rasche, Veronica Gonzalez-Calle, Camila Peña, Harsh Parmar, Katarzyna Wiśniewska-Piąty, Julio Dávila Valls, Magdalena Olszewska-Szopa, Lidia Usnarska-Zubkiewicz and 8 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 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
0.9field-weighted citation impact, top 27% 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, 4 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

18 authors at 14 institutions in 6 countries.

Grzegorz CharlińskiDepartment of Nephrology, Hypertension and Internal Medicine, University of Warmia and Mazury in Olsztyn, 10-719 Olsztyn, Poland.ORCID 0000-0002-0595-5864
Maximilian SteinhardtDepartment of Internal Medicine II, University Hospital of Wurzburg, 97080 Wurzburg, Germany.ORCID 0000-0003-3644-9187
Leo RascheDepartment of Internal Medicine II, University Hospital of Wurzburg, 97080 Wurzburg, Germany.
Veronica Gonzalez-Callea Servicio de Hematología, Hospital Universitario de Salamanca, Instituto de Investigación Biomédica de Salamanca (IBSAL), Centro de Investigación del Cáncer de Salamanca, 37007 Salamanca, Spain.ORCID 0000-0002-5493-6707
Camila PeñaDepartment of Hematology, Hospital del Salvador, Santiago 7500922, Chile.ORCID 0000-0002-8076-2077
Harsh ParmarDivision of Multiple Myeloma, John Theurer Cancer Center at Hackensack, Meridian School of Medicine, Hackensack, NJ 07701, USA.
Katarzyna Wiśniewska-PiątyDepartment of Hematology and Bone Marrow Transplantation, Silesian Medical University, 40-055 Katowice, Poland.
Julio Dávila VallsServicio de Hematologia, Hospital Nuestra Señora de Sonsoles, 05004 Ávila, Spain.ORCID 0000-0002-5185-2073
Magdalena Olszewska-SzopaDepartment of Hematology, Blood Neoplasms and Bone Marrow Transplantation, Wroclaw Medical University, 51-141 Wroclaw, Poland.ORCID 0000-0002-5828-0872
Lidia Usnarska-ZubkiewiczDepartment of Hematology, Blood Neoplasms and Bone Marrow Transplantation, Wroclaw Medical University, 51-141 Wroclaw, Poland.
Alessandro GozzettiHematology, Department of Medical Science, Surgery and Neuroscience, University of Siena, 53100 Siena, Italy.ORCID 0000-0003-0769-6891
Sara CiofiniHematology, Department of Medical Science, Surgery and Neuroscience, University of Siena, 53100 Siena, Italy.
Massimo GentileHematology Unit, Department of Onco-Hematology, A.O. of Cosenza, 87100 Cosenza, Italy.
Elena ZamagniDipartimento di Medicina Specialistica, Diagnostica e Sperimentale, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia 'Seràgnoli', Università di Bologna, 40126 Bologna, Italy.ORCID 0000-0003-1422-7305
Michał KurlapskiDepartment of Hematology and Transplantology, Medical University of Gdańsk, 81-519 Gdańsk, Poland.ORCID 0000-0002-6134-7425
Wojciech LegiećDepartment of Hematology and Bone Marrow Transplantation, St. John of Dukla Oncology Center of Lublin Land, 20-090 Lublin, Poland.ORCID 0000-0003-3093-5248
David H VesoleDivision of Multiple Myeloma, John Theurer Cancer Center at Hackensack, Meridian School of Medicine, Hackensack, NJ 07701, USA.
Artur JurczyszynPlasma Cell Dyscrasias Center, Department of Hematology, Faculty of Medicine, Jagiellonian University College of Medicine, 31-066 Kraków, Poland.ORCID 0000-0001-9796-8365
Hackensack University Medical Center · USUniversitätsklinikum Würzburg · DEUniversity of Siena · ITWroclaw Medical University · PLAzienda Ospedaliera di Cosenza · ITGdańsk Medical University · PLHospital del Salvador · CLHospital Nuestra Señora de Alarcos · ESInstituto de Investigación Biomédica de Salamanca · ESJagiellonian University · PLLublin Oncology Center · PLMedical University of Silesia · PLNicolaus Copernicus University · PLUniversity of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Light-chain amyloidosis (AL) is a rare multisystem disorder characterized by the deposition of misfolded amyloid fibrils derived from monoclonal immunoglobulin light chains in various organs. One of the most common organs involved in AL is the heart, with 50-70% of patients clinically symptomatic at diagnosis. We conducted a multi-center, retrospective analysis of 67 patients diagnosed between July 2012 and August 2022 with the European 2012 modification of Mayo 2004 stage III cardiac AL. The most important factors identified in the univariate Cox analysis contributing to a longer OS included Eastern Cooperative Oncology Group performance status (ECOG PS) ≤ 1, New York Heart Association functional classification (NYHA FC) ≤ 2, the use of autologous stem cell transplantation (ASCT) after induction treatment, achieving a hematological response (≥very good partial response) and cardiac (≥partial response) response after first-line treatment. The most important prognostic factors with the most significant impact on OS improvement in patients with modified Mayo stage III cardiac AL identified by multivariate Cox analysis are ECOG PS ≤ 1, NYHA FC ≤ 2, and achieving hematological response ≥ VGPR and cardiac response ≥ PR after first-line treatment.

Indexed as

cardiac light-chain amyloidosisclinical characteristicsprognostic factorsstage IIIthe European 2012 modification of Mayo 2004 classificationtreatment

Identifiers

PMID38672674
PMCPMC11048847
OpenAlexW4395009856

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.