Evidence map›Paper›PMID 42033496›Full record

ArticleAnnals of hematology2026

Impact of the diagnosis-to-treatment interval on the survival of patients with CD5-positive diffuse large B-cell lymphoma.

Yuma Nato, Kana Miyazaki, Dai Maruyama, Hiroyuki Takahashi, Kazutaka Sunami, Eiju Negoro, Satsuki Murakami, Takahiro Okada, Nobuyuki Takayama, Yuri Miyazawa and 19 more

Abstract read
In one paragraph

Article in Annals of hematology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

29 authors.

Yuma NatoDepartment of Hematological Malignancies, Mie University Graduate School of Medicine, Tsu, Japan.ORCID http://orcid.org/0000-0001-7613-4556
Kana MiyazakiDepartment of Hematology and Oncology, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan. kmiyazaki@clin.medic.mie-u.ac.jp.ORCID http://orcid.org/0000-0001-6547-3181
Dai MaruyamaDepartment of Hematology Oncology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.
Hiroyuki TakahashiDepartment of Hematology and Medical Oncology, Kanagawa Cancer Center, Yokohama, Japan.
Kazutaka SunamiDepartment of Hematology, NHO Okayama Medical Center, Okayama, Japan.
Eiju NegoroDepartment of Hematology and Oncology, University of Fukui, Fukui, Japan.
Satsuki MurakamiDepartment of Hematology, Aichi Medical University, Nagakute, Japan.
Takahiro OkadaDepartment of Hematology and Oncology, Shimane University School of Medicine, Izumo, Japan.
Nobuyuki TakayamaDepartment of Hematology, Kyorin University School of Medicine, Mitaka, Japan.
Yuri MiyazawaDepartment of Hematology, Gunma University Graduate School of Medicine, Maebashi, Japan.
Ilseung ChoiDepartment of Hematology and Cell Therapy, NHO Kyushu Cancer Center, Fukuoka, Japan.
Shuji MomoseDepartment of Pathology, Saitama Medical Center, Saitama Medical University, Kawagoe, Japan.
Yuto KanedaDepartment of Hematology and Infectious Disease, Gifu University Hospital, Gifu, Japan.
Masahiro YoshidaDepartment of Hematology, Osaka City General Hospital, Osaka, Japan.
Naoto TomitaDepartment of Hematology and Oncology, St. Marianna University School of Medicine, Kawasaki, Japan.
Tohru MurayamaDepartment of Hematology, Hyogo Cancer Center, Akashi, Japan.
Momoko NishikoriDepartment of Hematology, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Junji HiragaDepartment of Hematology, Toyota Kosei Hospital, Toyota, Japan.
Kohtaro ToyamaDepartment of Hematology, Fujioka General Hospital, Gunma, Japan.
Naoki TakahashiDepartment of Hematology, International Medical Center, Saitama Medical University, Hidaka, Japan.
Taro MasunariDepartment of Hematology/Infectious Diseases, Chugoku Central Hospital, Fukuyama, Japan.
Jun TakizawaDepartment of Hematology, Endocrinology and Metabolism, Faculty of Medicine, Niigata University, Niigata, Japan.
Isao TawaraDepartment of Hematology and Oncology, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan.
Naoko AsanoDepartment of Molecular Diagnostics, Nagano Prefectural Shinshu Medical Center, Suzaka, Japan.
Koichi OhshimaDepartment of Pathology, Kurume University School of Medicine, Kurume, Japan.
Koji IzutsuDepartment of Hematology, National Cancer Center Hospital, Tokyo, Japan.
Koji KatoDepartment of Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Fukuoka, Japan.
Ritsuro SuzukiDepartment of Hematology and Oncology, Shimane University School of Medicine, Izumo, Japan.
Motoko YamaguchiDepartment of Hematological Malignancies, Mie University Graduate School of Medicine, Tsu, Japan.ORCID http://orcid.org/0000-0002-7094-6489

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We analyzed the impact of the diagnosis-to-treatment interval (DTI) on survival in patients with CD5-positive diffuse large B-cell lymphoma (CD5 + DLBCL), using a data set of newly diagnosed patients. Among the 336 eligible patients, 247 (74%) received R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisolone), and 89 (26%) were treated with dose-adjusted (DA)-EPOCH-R (etoposide, prednisolone, vincristine, cyclophosphamide, doxorubicin, and rituximab). The median DTI was 18 days (range 0–118). The short DTI (≤ 14 days) group included 135 patients (40%), and the long DTI (> 14 days) group included 201 patients (60%). Compared with the long DTI group, the short DTI group had more aggressive disease characteristics. Both the progression-free survival (PFS) (P = 0.01) and the overall survival (OS) (P < 0.01) were significantly inferior in the short DTI group compared with those in the long DTI group. Among 89 patients who received DA-EPOCH-R, no significant differences in PFS (P = 0.92) or OS (P = 0.86) were observed between the two groups. Multivariate analysis revealed that no DA-EPOCH-R was a risk factor for PFS in the short DTI group (P = 0.06). A short DTI was a negative prognostic factor in our CD5 + DLBCL cohort. DA-EPOCH-R could be considered a potential treatment option for patients with a short DTI.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCD5 AntigensLymphoma, Large B-Cell, DiffuseAdultAgedAged, 80 and overCyclophosphamideDisease-Free SurvivalDoxorubicinEtoposideFemaleHumansMaleMiddle AgedPrednisolonePrednisoneCD5 AntigensCyclophosphamideDoxorubicinEtoposidePrednisolonePrednisoneR-CHOP protocolRituximabVincristineCD5 antigenDA-EPOCH-RDiagnosis-to-treatment intervalDiffuse large B-cell lymphoma

Identifiers

PMID42033496
PMCPMC13110205

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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.