Evidence map›Paper›PMID 42389864›Full record

Observational studyBritish journal of haematology2026

The Endothelial Activation and Stress Index (EASIX) at diagnosis is associated with survival in primary central nervous system lymphoma.

Huanhuan Zhao, Lulu Kong, Jingyao Wang, Wenxia Gao, Wenjie Zhu, Jinjing Zhao, Peiyu Yang, Na Qi, Hujun Li, Xiaofeng Shi and 3 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in British journal of haematology, 2026. 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

13 authors.

Huanhuan ZhaoDepartment of Haematology, Key Laboratory of Bone-Marrow Stem Cells, Institute of Blood Diseases, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Lulu KongDepartment of Haematology, Key Laboratory of Bone-Marrow Stem Cells, Institute of Blood Diseases, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Jingyao WangDepartment of Haematology, Yantai Yuhuangding Hospital, Yantai, China.
Wenxia GaoDepartment of Haematology, Key Laboratory of Bone-Marrow Stem Cells, Institute of Blood Diseases, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Wenjie ZhuDepartment of Haematology, Key Laboratory of Bone-Marrow Stem Cells, Institute of Blood Diseases, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Jinjing ZhaoDepartment of Haematology, Key Laboratory of Bone-Marrow Stem Cells, Institute of Blood Diseases, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Peiyu YangDepartment of Haematology, Key Laboratory of Bone-Marrow Stem Cells, Institute of Blood Diseases, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Na QiDepartment of Haematology, Key Laboratory of Bone-Marrow Stem Cells, Institute of Blood Diseases, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Hujun LiDepartment of Haematology, Key Laboratory of Bone-Marrow Stem Cells, Institute of Blood Diseases, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Xiaofeng ShiDepartment of Haematology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, China.ORCID https://orcid.org/0000-0002-8547-711X
Lele XiaoMedical Affair Department, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Licai AnDepartment of Haematology, Yantai Yuhuangding Hospital, Yantai, China.
Wei ChenDepartment of Haematology, Key Laboratory of Bone-Marrow Stem Cells, Institute of Blood Diseases, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.

Funding

Government of Jiangsu Province GSPJS202414Government of Jiangsu Province GSPJS202417Government of Jiangsu Province GSPJS202420Government of Jiangsu Province LCZX202512Government of Jiangsu Province SHJDBF2024210Jiangsu Provincial Commission of Health and Family Planning M2024059National Natural Science Foundation of China 82341203
6 · The paper itself

Abstract

Primary central nervous system lymphoma (PCNSL) has poor outcomes despite high-dose methotrexate-based therapy. The Endothelial Activation and Stress Index (EASIX) is associated with prognosis in systemic lymphomas but has not been evaluated in PCNSL. Define the association of baseline EASIX in multivariate analysis with Memorial Sloan Kettering Cancer Center (MSKCC) score risk factors. A multicentre retrospective cohort included 128 immunocompetent adults with biopsy-proven diffuse large B-cell PCNSL. EASIX was calculated and the optimal cut-off (0.751) was determined by receiver operating characteristic (ROC) analysis. The primary end-points were overall survival (OS) and progression-free survival (PFS) in the low-EASIX and high-EASIX groups. The median age was 60 years. High EASIX (≥0.751, n = 55) was associated with Eastern Cooperative Oncology Group (ECOG) ≥2 (p = 0.002), elevated lactate dehydrogenase (LDH) (p < 0.001), deep brain lesions (p = 0.007) and cellular myelocytomatosis oncogene/B-cell lymphoma-2 (MYC/BCL-2) double expression (p = 0.01). After a median follow-up of 37 months, high EASIX was associated with inferior OS (27.4 months vs. not reached; p = 0.001) and PFS (25.6 months vs. not reached; p < 0.001). Multivariable Cox analysis confirmed high EASIX as an independent adverse factor for OS (hazard ratio [HR] 4.75) and PFS (HR 4.99), with additional prognostic discrimination within MSKCC risk groups. Baseline EASIX could potentially improve risk stratification and prognostic modelling in PCNSL.

Indexed as

Central Nervous System NeoplasmsLymphoma, Large B-Cell, DiffuseAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesEASIXendothelial dysfunctionprimary CNS lymphomaprognosis

Identifiers

PMID42389864
PMCPMC13570180

What OpenQuestion holds

Textmetadata
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.