Evidence map›Paper›PMID 38887474›Full record

ArticleOpen forum infectious diseases2024

Risk of Invasive Fungal Infections in Patients With Chronic Lymphocytic Leukemia Treated With Bruton Tyrosine Kinase Inhibitors: A Case-Control Propensity Score-Matched Analysis.

Nelson Iván Agudelo Higuita, Daniel B Chastain, Brian Scott, Syeda Sahra, Lilian Vargas Barahona, José Henao Cordero, Alfred L H Lee, Jose Tuells, Andrés F Henao-Martínez

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
–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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Insights into current coccidioidomycosis therapeutic pathways.Antimicrobial agents and chemotherapy · 2025
    Article
  6. Article
  7. Current fungal infection reports · 2024
    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

9 authors.

Nelson Iván Agudelo HiguitaDepartment of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.ORCID https://orcid.org/0000-0002-9363-6280
Daniel B ChastainDepartment of Clinical and Administrative Pharmacy, University of Georgia College of Pharmacy, Albany, Georgia, USA.ORCID https://orcid.org/0000-0002-4018-0195
Brian ScottDepartment of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Syeda SahraDepartment of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Lilian Vargas BarahonaDepartment of Medicine, Creighton University School of Medicine, Omaha, Nebraska, USA.
José Henao CorderoDepartment of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Alfred L H LeeDepartment of Microbiology, Prince of Wales Hospital, Hong Kong Special Administration Region, China.
Jose TuellsDepartment of Community Nursing, Preventive Medicine and Public Health and History of Science, University of Alicante, San Vicente del Raspeig, Alicante, Spain.
Andrés F Henao-MartínezDepartment of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.ORCID https://orcid.org/0000-0001-7363-8652

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Prior reports have suggested a possible increase in the frequency of invasive fungal infections (IFIs) with use of a Bruton tyrosine kinase inhibitor (BTKi) for treatment of chronic lymphoid malignancies such as chronic lymphocytic leukemia (CLL), but precise estimates are lacking. We aim to characterize the prevalence of IFIs among patients with CLL, for whom a BTKi is now the first-line recommended therapy. Methods: We queried TriNetX, a global research network database, to identify adult patients with CLL using the Results: Among 5358 matched patients with CLL, we found an incidence of 4.6% of IFIs in patients on a BTKi versus 3.5% among patients not on a BTKi at 5 years. Approximately 1% of patients with CLL developed an IFI while on a BTKi within this period. Our adjusted IFI event analysis found an elevated rate of Conclusions: We found an adjusted elevated rate of PJP and invasive candidiasis with BTKi use. The rates are, however, low with a high number needed to harm. Additional studies stratifying other IFIs with specific BTKis are required to identify at-risk patients and preventive, cost-effective interventions.

Indexed as

aspergillosisBruton tyrosine kinase inhibitorschronic lymphocytic leukemiainvasive fungal infectionsPneumocystis jirovecii pneumonia

Identifiers

PMID38887474
PMCPMC11181183

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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.