Evidence map›Paper›PMID 40347842›Full record

ArticleHematology, transfusion and cell therapy

Diagnosis and treatment of chronic lymphocytic leukemia: 2025 recommendations of the Brazilian Group of Chronic Lymphocytic Leukemia of the Brazilian Association of Hematology and Hemotherapy (ABHH).

Carlos Sérgio Chiattone, Fernanda de Morais Marques, Valeria Buccheri, Mihoko Yamamoto, Sergio Costa Fortier, Maura Rosane Valerio Ikoma-Colturato, Nelson Hamerschlak, Vera Lucia de Piratininga Figueiredo, Talita Maira Bueno da Silveira, Abel Costa and 13 more

Abstract read
In one paragraph

Article in Hematology, transfusion and cell therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

23 authors.

Carlos Sérgio ChiattoneBrazilian Registry of CLL - Associação Brasileira de Hematologia e Hemoterapia, São Paulo, SP, Brazil; FCM da Santa Casa de São Paulo, São Paulo, SP, Brazil; Hospital Samaritano Higienópolis, São Paulo, SP, Brazil.
Fernanda de Morais MarquesBrazilian Registry of CLL - Associação Brasileira de Hematologia e Hemoterapia, São Paulo, SP, Brazil.
Valeria BuccheriICESP - Faculdade de Medicina da USP, São Paulo, SP, Brazil.
Mihoko YamamotoUniversidade Federal de Sao Paulo - UNIFESP/EPM, São Paulo, SP, Brazil.
Sergio Costa FortierBrazilian Registry of CLL - Associação Brasileira de Hematologia e Hemoterapia, São Paulo, SP, Brazil.
Maura Rosane Valerio Ikoma-ColturatoHospital Amaral Carvalho, Jaú, SP, Brazil.
Nelson HamerschlakHospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Vera Lucia de Piratininga FigueiredoHospital do Servidor Publico do Estado de Sao Paulo - IAMSPE, São Paulo, SP, Brazil.
Talita Maira Bueno da SilveiraFCM da Santa Casa de São Paulo, São Paulo, SP, Brazil; Hospital Samaritano Higienópolis, São Paulo, SP, Brazil; AC Camargo Cancer Center, São Paulo, SP, Brazil.
Abel CostaInstituto D'Or de Pesquisa e Ensino, São Paulo, SP, Brazil.
Dani LaksInstituto de Hematologia, Porto Alegre, RS, Brazil.
Rony SchaffelUniversidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Wolney Gois BarretoFaculdade de Medicina do Unisalesiano, Araçatuba, SP, Brazil.
Adriana ScheligaGrupo Oncoclínicas, Rio de Janeiro, RJ, Brazil.
Pedro Amoedo FernandesUniversidade Federal de Sao Paulo - UNIFESP/EPM, São Paulo, SP, Brazil; Clínica AMO, Salvador, BA, Brazil.
Samir Kanaan NabhanUniversidade Federal do Paraná, Curitiba, PR, Brazil.
Rafael Dezen GaiollaFaculdade de Medicina de Botucatu (HC-FMB), Botucatu, SP, Brazil.
Matheus Vescovi GonçalvesUniversidade Federal de Sao Paulo - UNIFESP/EPM, São Paulo, SP, Brazil; Grupo Fleury, São Paulo, SP, Brazil.
Danielle Leão Cordeiro de FariasBeneficiência Portuguesa de São Paulo, São Paulo, SP, Brazil.
Glaciano RibeiroUniversidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Marcelo Pitombeira de LacerdaUniversidade da Região de Joinville - UNIVILLE, Joinville, Santa Catarina, SC, Brazil.
Celso Arrais-RodriguesBrazilian Registry of CLL - Associação Brasileira de Hematologia e Hemoterapia, São Paulo, SP, Brazil; Universidade Federal de Sao Paulo - UNIFESP/EPM, São Paulo, SP, Brazil; Hospital Nove de Julho - DASA, São Paulo, SP, Brazil. Electronic address: celsoarrais@gmail.com.
Brazilian Group of Chronic Lymphocytic Leukemia

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic lymphocytic leukemia, characterized by an accumulation of monoclonal B lymphocytes, is the most common adult leukemia. The disease predominantly affects older adults, with a significant proportion being asymptomatic at diagnosis. This manuscript provides a comprehensive review of chronic lymphocytic leukemia, including its epidemiology, clinical presentation, diagnostic criteria, and treatment strategies. Prognostic factors, particularly IGHV mutation status and chromosomal abnormalities, are discussed as critical determinants of disease behavior and treatment response. Recent advances in targeted therapies, such as Bruton's tyrosine kinase inhibitors (BTKi) and B-cell lymphoma 2 inhibitors (BCL-2i), have changed the treatment landscape by demonstrating superior efficacy to chemoimmunotherapy. However, disparities in access to care, particularly in low- and middle-income countries such as Brazil, highlight the need for equitable treatment approaches. The discussion of measurable residual disease (MRD) assessment for prognostication and treatment planning is also highlighted. This review highlights the need for continued research and integration of novel therapies to optimize patient outcomes in chronic lymphocytic leukemia.

Indexed as

Chronic lymphocytic leukemiaConsensusTargeted therapiesTreatment

Identifiers

PMID40347842
PMCPMC12131026

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.