Evidence map›Paper›PMID 40000843›Full record

ArticleLeukemia2025

Comparison of recognition of symptom burden in MPN between patient- and physician-reported assessment - an intraindividual analysis by the German Study Group for MPN (GSG-MPN).

Kirsi Manz, Florian H Heidel, Steffen Koschmieder, Rudolf Schlag, Jörg Lipke, Frank Stegelmann, Martin Griesshammer, Martine Klausmann, Carl Crodel, Andreas Hochhaus and 12 more

Abstract readComparative Study
In one paragraph

Article in Leukemia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

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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

22 authors.

Kirsi ManzDepartment of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School (MHH), Hannover, Germany.ORCID 0000-0002-7740-4076
Florian H HeidelDepartment of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School (MHH), Hannover, Germany.ORCID 0000-0003-2438-1955
Steffen KoschmiederDepartment of Hematology, Oncology, Hemostaseology, and Stem Cell Transplantation, Faculty of Medicine, RWTH Aachen University, and Center for Integrated Oncology Aachen Bonn Cologne Düsseldorf (CIO ABCD), Aachen, Germany.ORCID 0000-0002-1011-8171
Rudolf SchlagHämatologisch-Onkologische Schwerpunktpraxis Würzburg, Würzburg, Germany.
Jörg LipkeGemeinschaftspraxis für Hämatologie und Onkologie (GEFOS) Dortmund, Dortmund, Germany.
Frank StegelmannDepartment of Internal Medicine III, University Hospital Ulm, Ulm, Germany.ORCID 0000-0003-2157-476X
Martin GriesshammerUniversity Clinic for Hematology, Oncology, Haemostaseology and Palliative Care, Johannes Wesling Medical Center Minden, University of Bochum, Bochum, Germany.
Martine KlausmannGemeinschaftspraxis, Aschaffenburg, Aschaffenburg, Germany.
Carl CrodelHematology/Oncology, Jena University Hospital; Comprehensive Cancer Center Central Germany - Campus Jena, Jena, Germany.
Andreas HochhausHematology/Oncology, Jena University Hospital; Comprehensive Cancer Center Central Germany - Campus Jena, Jena, Germany.ORCID 0000-0003-0626-0834
Holger SchulzPractice for Clinical Hematology and Oncology, Frechen, Germany.
Joachim R GöthertDepartment of Hematology, West German Cancer Center (WTZ), University Hospital Essen, Essen, Germany.
Haifa Al-AliUniversity Hospital Halle, Halle (Saale), Germany.ORCID 0000-0001-5009-2239
Heiko BeckerDepartment of Medicine I, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Andreas ReiterDepartment of Hematology and Oncology, University Hospital Mannheim, Heidelberg, Germany.ORCID 0000-0002-7718-6507
Gernot BeutelDepartment of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School (MHH), Hannover, Germany.ORCID 0000-0001-6758-6104
Kim KricheldorfDepartment of Hematology, Oncology, Hemostaseology, and Stem Cell Transplantation, Faculty of Medicine, RWTH Aachen University, and Center for Integrated Oncology Aachen Bonn Cologne Düsseldorf (CIO ABCD), Aachen, Germany.
Tim H BrümmendorfDepartment of Hematology, Oncology, Hemostaseology, and Stem Cell Transplantation, Faculty of Medicine, RWTH Aachen University, and Center for Integrated Oncology Aachen Bonn Cologne Düsseldorf (CIO ABCD), Aachen, Germany.
Wolfgang HoffmannInstitute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.
Konstanze DöhnerDepartment of Internal Medicine III, University Hospital Ulm, Ulm, Germany.ORCID 0000-0002-2261-9862
Susanne IsfortDepartment of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School (MHH), Hannover, Germany. isfort.susanne@mh-hannover.de.
German Study Group for Myeloproliferative Neoplasms (GSG-MPN)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myeloproliferative neoplasms (MPN) are associated with a variety of symptoms that severely impact patients' quality of life and ability to perform daily activities. Recent studies showed differences in the perception of physician- versus patient-reported symptom burden. However, studies directly comparing patient- and physician-reported ratings are lacking. Here, a retrospective analysis on symptom burden of 3979 MPN patients of the Bioregistry of the German Study Group for MPN was conducted to intra-individually compare physician and patient reports collected at the same time. Cohen's kappa was calculated to assess the degree of agreement between patient and physician reports. Factors influencing baseline symptom severity were identified using linear regression and adjusted Cox models were calculated to investigate the effect of symptom burden on survival. MPN patients had a high symptom burden, which neither decreased over time nor upon cytoreductive therapy. All symptoms were more frequently reported by patients compared to physicians. Agreement remained low and only slightly improved when considering a higher threshold for patient symptom severity. Patients with severe symptom burden had inferior survival compared to patients with less severe symptoms. Assessment of symptom burden in MPN is therefore insufficient and patient-reported outcome tools need to be implemented into clinical routine.

Indexed as

Myeloproliferative DisordersPatient Reported Outcome MeasuresPhysiciansAdultAgedAged, 80 and overFemaleGermanyHumansMaleMiddle AgedQuality of LifeRetrospective StudiesSelf ReportSeverity of Illness IndexSymptom Burden

Identifiers

PMID40000843
PMCPMC11976279

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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.