Evidence map›Paper›PMID 39844882›Full record

ArticleThe Lancet regional health. Europe2025

Second primary non-myeloid malignancies following intensive treatment for adult acute myeloid leukaemia: a Danish population-based cohort study.

Nanna Nørtoft Nielsen, Jonas Faartoft Jensen, Joachim Baech, Trine Trab, Tarec Christoffer El-Galaly, Claudia Schöllkopf, Andreas Due Ørskov, Hans Beier Ommen, Lene Sofie Granfeldt, Daniel Tuyet Kristensen and 1 more

Abstract read
In one paragraph

Article in The Lancet regional health. Europe, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Nanna Nørtoft NielsenDepartment of Haematology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.
Jonas Faartoft JensenDepartment of Haematology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.
Joachim BaechDepartment of Haematology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.
Trine TrabDepartment of Haematology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.
Tarec Christoffer El-GalalyDepartment of Haematology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.
Claudia SchöllkopfDepartment of Haematology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Andreas Due ØrskovDepartment of Haematology, Zealand University Hospital, Roskilde, Denmark.
Hans Beier OmmenDepartment of Haematology, Aarhus University Hospital, Aarhus, Denmark.
Lene Sofie GranfeldtDepartment of Haematology, Odense University Hospital, Odense, Denmark.
Daniel Tuyet KristensenDepartment of Haematology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.
Marianne Tang SeverinsenDepartment of Haematology, Clinical Cancer Research Center, Aalborg University Hospital, Aalborg, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Second primary malignancies (SPMs) are a well-known, long-term complication of antineoplastic treatment. This nationwide cohort study examined the risk of non-myeloid SPMs in survivors of adult acute myeloid leukaemia (AML) treated with intensive chemotherapy and, in some cases, allogeneic stem cell transplantation (alloSCT), compared to a matched general population. Methods: Patients with incident AML between 2000 and 2018, alive and aged 18-70 years two years after start of intensive chemotherapy, were included and matched 1:10 to comparators from the general Danish population on sex, age, and the Nordic Multimorbidity Index. Exclusion criteria were non-myeloid SPMs for both AML survivors and comparators. Findings: A total of 750 AML survivors and 7500 comparators were followed for a median of 10.6 years. The hazard ratio (HR) of non-myeloid SPMs was 1.55 (95% confidence interval [CI] 1.27-1.89) for AML survivors compared to comparators, driven by non-melanoma skin cancer (HR 2.52, 95% CI 1.90-3.35), not of solid cancer (HR 1.14, 95% CI 0.87-1.49). The 10-year cumulative incidences of any non-myeloid SPM were 13.5% (95% CI 10.6-16.5%) in AML survivors and 11.9% (95% CI 11.1-12.8%) in matched comparators. Additionally, AML survivors consolidated with alloSCT had a higher hazard rate of non-myeloid SPMs compared to non-transplanted AML survivors (adjusted HR 1.50, 95% CI 1.00-2.26). Interpretation: The increased rate of non-myeloid SPMs observed in this population-based cohort study of AML survivors was almost entirely driven by non-melanoma skin cancer and is thus outweighed by the importance of intensive chemotherapy. Funding: Svend Andersen, Heinrich Kopps, and Karen Elise Jensen's Foundation.

Indexed as

Acute myeloid leukaemiaAllogeneic stem-cell transplantationIntensive chemotherapyLong-term toxicitiesSecond primary non-myeloid malignancies

Identifiers

PMID39844882
PMCPMC11750488

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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.