Evidence map›Paper›PMID 39513286›Full record

ArticleCancer medicine2024

The Prognostic and Risk Factors for Children With High-Risk Mature B-Cell Non-Hodgkin's Lymphoma: A Retrospective Multicenter Study.

Xiaoming Wang, Luping Ding, Yongjun Fang, Jie Yan, Ju Gao, Liangchun Yang, Aiguo Liu, Jun Lu, Jingfu Wang, Aijun Zhang and 2 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07168980 (Intensive Chemotherapy Combined With Early, Adequate, and Intensive Use of Rituximab for Aggressive B-NHL in Children and Adolescents), which is not on this map. Cited by 2 papers.

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

NCT07168980 phase2 / phase3recruitingnot on this mapstarted 2025, after this paper: background citation

Intensive Chemotherapy Combined With Early, Adequate, and Intensive Use of Rituximab for Aggressive B-NHL in Children and Adolescents

TypeinterventionalSponsorChildren's Cancer Group, ChinaRan2025 to 2030Enrolled87ConditionsMature B-cell Non-Hodgkin LymphomaArmsCyclophosphamide, Vincristine, Cytarabine, Doxorubincin, Prednisone, Drug: Ifosphamide, Etoposide, Methotrexate, Vincristine, Prednisone, Ifosphamide, Etoposide, Methotrexate, Vincristine, Prednisone, Cyclophosphamide, Vindelsine, Cytarabine, Doxorubincin, Prednisone, Ifosphamide, Etoposide, Methotrexate, Vindelsine, Prednisone
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
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

12 authors.

Xiaoming WangDepartment of Pediatrics, Qilu Hospital of Shandong University, Jinan, Shandong Province, China.ORCID https://orcid.org/0009-0002-6915-0157
Luping DingDepartment of Pediatrics, Qilu Hospital of Shandong University, Jinan, Shandong Province, China.
Yongjun FangDepartment of Hematology/Oncology, Children's Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China.
Jie YanDepartment of Pediatric Oncology, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.
Ju GaoDepartment of Pediatrics, West China University Second Hospital of Sichuan University, Chengdu, Sichuan Province, China.
Liangchun YangDepartment of Pediatric Hematology/Oncology, Xiangya Hospital of Central South University, Changsha, Hunan Province, China.
Aiguo LiuDepartment of Pediatric Hematology/Oncology, Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
Jun LuDepartment of Hematology/Oncology, Children's Hospital of Soochow University, Soochow, Jiangsu Province, China.
Jingfu WangDepartment of Pediatric Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, Shandong Province, China.
Aijun ZhangDepartment of Pediatrics, Qilu Hospital of Shandong University, Jinan, Shandong Province, China.ORCID https://orcid.org/0000-0002-6117-4560
Yijin GaoDepartment of Hematology/Oncology, School of Medicine, Shanghai Children's Medical Center, Shanghai Jiaotong University, Shanghai, China.ORCID https://orcid.org/0000-0002-7592-4115
Xiuli JuDepartment of Pediatrics, Qilu Hospital of Shandong University, Jinan, Shandong Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUNDS AND

aimsOur previous study (CCCG-BNHL-2015) reported the treatment strategies and outcomes of pediatric B-cell non-Hodgkin's lymphoma (B-NHL) in China which showed that children in low-risk groups already have a dramatically favorable prognosis. However, for high-risk groups, the prognosis still needs to be improved. In this study, we aimed to identify the factors influencing prognosis in high-risk groups (stage III and stage IV).

resultsOur results revealed that gender, lactate dehydrogenase (LDH) level, stage at the time of diagnosis, and early complete remission (CR) achievement were significant factors influencing prognosis (p < 0.05). The 3-year EFS rate for R4 group patients without rituximab treatment was only 25.0% ± 20.4%. Among all patients in stage IV, the 5-year EFS rates for those with involvement of only bone marrow (BM) or central nervous system (CNS) were 83.0% ± 4.5%, 81.8% ± 8.2%, but the 5-year EFS rates for those with both BM and CNS involved were only 37.5% ± 15.3% (p = 0.002). For stage III patients with LDH ≥ 4N, the 5-year EFS rates for those achieving CR and those not achieving CR after 2 treatment cycle were 88.9% ± 5.2% and 67.9% ± 7.3%(p = 0.036).

conclusionsTherefore, R4 group patients benefited from rituximab treatment. However, children at stage III, LDH ≥ 4N not achieving CR after the 2nd treatment cycle, and those with both BM and CNS involved are still at a very high risk of treatment failure. This study serves as a crucial reference for optimizing risk stratification, refining treatment categorizations, and optimizing treatment protocols.

Indexed as

Lymphoma, B-CellAdolescentAntineoplastic Combined Chemotherapy ProtocolsChildChild, PreschoolChinaFemaleHumansMaleNeoplasm StagingPrognosisRemission InductionRetrospective StudiesRisk FactorsRituximabRituximabchildrenhigh‐risk mature B‐NHLrisk factorsrituximab

Identifiers

PMID39513286
PMCPMC11544326

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Registered trials

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.