Evidence map›Paper›PMID 39231389›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2024

Risk Stratification in Older Intensively Treated Patients With AML.

Jurjen Versluis, Marlen Metzner, Ariel Wang, Patrycja Gradowska, Abin Thomas, Niels Asger Jakobsen, Alison Kennedy, Rachel Moore, Emma Boertjes, Christian M Vonk and 24 more

Erratum issuedAbstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  8. Hematopoietic Aging and Leukemia: Mechanistic and Therapeutic Insights.International journal of molecular sciences · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

34 authors.

Jurjen VersluisDepartment of Hematology, Erasmus University Medical Center Cancer Institute, Rotterdam, the Netherlands.ORCID 0000-0003-2372-1663
Marlen MetznerMRC Molecular Haematology Unit, Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.ORCID 0000-0003-1806-0952
Ariel WangNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.ORCID 0000-0001-5360-9993
Patrycja GradowskaDepartment of Hematology, Erasmus University Medical Center Cancer Institute, Rotterdam, the Netherlands.
Abin ThomasCentre for Trials Research, College of Biomedical & Life Sciences, Cardiff University, Cardiff, United Kingdom.ORCID 0000-0002-8283-6762
Niels Asger JakobsenMRC Molecular Haematology Unit, Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.ORCID 0000-0002-5776-5085
Alison KennedyMRC Molecular Haematology Unit, Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.ORCID 0000-0001-6681-3256
Rachel MooreMRC Molecular Haematology Unit, Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.
Emma BoertjesDepartment of Hematology, Erasmus University Medical Center Cancer Institute, Rotterdam, the Netherlands.ORCID 0009-0005-2520-9817
Christian M VonkDepartment of Hematology, Erasmus University Medical Center Cancer Institute, Rotterdam, the Netherlands.ORCID 0009-0001-4321-9104
Francois G KavelaarsDepartment of Hematology, Erasmus University Medical Center Cancer Institute, Rotterdam, the Netherlands.
Melissa RijkenDepartment of Hematology, Erasmus University Medical Center Cancer Institute, Rotterdam, the Netherlands.
Amanda GilkesSchool of Medicine, Cardiff University, Cardiff, United Kingdom.ORCID 0009-0006-2236-8852
Claire SchwabLeukaemia Research Cytogenetics Group, Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
H Berna BeverlooDepartment of Clinical Genetics, Erasmus University Medical Center, Rotterdam, the Netherlands.ORCID 0000-0003-2280-7617
Markus ManzDepartment of Hematology, University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0002-4676-7931
Otto VisserDepartment of Hematology, Isala Hospital, Zwolle, the Netherlands.
Catharina H M J Van ElssenMaastricht University Medical Center, Maastricht, the Netherlands.ORCID 0000-0003-1784-1765
Okke de WeerdtAntonius Hospital, Nieuwegein, the Netherlands.
Lidwine W TickMaxima Medical Center, Eindhoven, the Netherlands.ORCID 0000-0002-0771-5231
Bart J BiemondAmsterdam UMC, Location AMC, Cancer Center Amsterdam, Amsterdam, the Netherlands.
Marie-Christiane VekemansCliniques Universitaires Saint-Luc, Brussels, Belgium.
Sylvie D FreemanInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0003-1869-180X
Christine J HarrisonLeukaemia Research Cytogenetics Group, Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
Jonathan A CookOxford Clinical Trials Research Unit, Centre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.ORCID 0000-0002-4156-6989
Mike DennisThe Christie NHS Foundation Trust, Manchester, United Kingdom.
Steven KnapperSchool of Medicine, Cardiff University, Cardiff, United Kingdom.ORCID 0000-0002-6405-4441
Ian ThomasCentre for Trials Research, College of Biomedical & Life Sciences, Cardiff University, Cardiff, United Kingdom.
Charles CraddockWarwick Clinical Trials Unit, University of Warwick, Warwick, United Kingdom.ORCID 0000-0001-5041-6678
Gert J OssenkoppeleAmsterdam UMC, VU University Medical Center, Cancer Center Amsterdam, Amsterdam, the Netherlands.
Bob LöwenbergDepartment of Hematology, Erasmus University Medical Center Cancer Institute, Rotterdam, the Netherlands.ORCID 0000-0001-8982-5217
Nigel RussellGuy's and St Thomas' NHS Foundation Trust, London, United Kingdom.ORCID 0000-0003-1893-8155
Peter J M ValkDepartment of Hematology, Erasmus University Medical Center Cancer Institute, Rotterdam, the Netherlands.ORCID 0000-0002-8857-9461
Paresh VyasMRC Molecular Haematology Unit, Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom.ORCID 0000-0003-3931-0914

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAML is a genetically heterogeneous disease, particularly in older patients. In patients older than 60 years, survival rates are variable after the most important curative approach, intensive chemotherapy followed by allogeneic hematopoietic cell transplantation (allo-HCT). Thus, there is an urgent need in clinical practice for a prognostic model to identify older patients with AML who benefit from curative treatment.

methodsWe studied 1,910 intensively treated patients older than 60 years with AML and high-risk myelodysplastic syndrome (HR-MDS) from two cohorts (NCRI-AML18 and HOVON-SAKK). The median patient age was 67 years. Using a random survival forest, clinical, molecular, and cytogenetic variables were evaluated in an AML development cohort (n = 1,204) for association with overall survival (OS). Relative weights of selected variables determined the prognostic model, which was validated in AML (n = 491) and HR-MDS cohorts (n = 215).

resultsThe complete cohort had a high frequency of poor-risk features, including 2022 European LeukemiaNet adverse-risk (57.3%), mutated

conclusionThe new AML60+ classification provides prognostic information for intensively treated patients 60 years and older with AML and HR-MDS and identifies patients who benefit from intensive chemotherapy and allo-HCT.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteMyelodysplastic SyndromesAgedAged, 80 and overAge FactorsCohort StudiesFemaleHumansMaleMiddle AgedPrognosisRisk AssessmentRisk Factors

Identifiers

PMID39231389
PMCPMC11608593

What OpenQuestion holds

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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.