Evidence map›Paper›PMID 36707619›Full record

ReviewLeukemia2023

Management of children and adolescents with chronic myeloid leukemia in blast phase: International pediatric CML expert panel recommendations.

Stephanie Sembill, Maria Ampatzidou, Sonali Chaudhury, Michael Dworzak, Krzysztof Kalwak, Axel Karow, Alexander Kiani, Manuela Krumbholz, Maaike Luesink, Nora Naumann-Bartsch and 12 more

Open access · hybridAbstract readReview
In one paragraph

Review in Leukemia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
8.1field-weighted citation impact, top 2% of its field
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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Acute Leukemia of Mixed B/Myeloid Lineage with DualTurkish journal of haematology : official journal of Turkish Society of Haematology · 2026
    Article
  4. Two episodes of PhHaematologica · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. [How I treat pediatric chronic myeloid leukemia].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Review
  11. Article
  12. Article
  13. Review
  14. Article
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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 at 16 institutions in 13 countries.

Stephanie SembillPediatric Oncology and Hematology, Department of Pediatrics and Adolescent Medicine, University Hospital Erlangen, Erlangen, Germany.
Maria AmpatzidouDepartment of Pediatric Hematology-Oncology, Aghia Sophia Children's Hospital, Athens, Greece.
Sonali ChaudhuryDivision of Pediatric Hematology/Oncology/Stem Cell Transplantation, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Michael DworzakSt. Anna Kinderspital, Department of Pediatrics, Medical University, Vienna, Austria.
Krzysztof KalwakDepartment of Pediatric Hematology, Oncology and BMT, Wroclaw Medical University, Wroclaw, Poland.
Axel KarowPediatric Oncology and Hematology, Department of Pediatrics and Adolescent Medicine, University Hospital Erlangen, Erlangen, Germany.
Alexander KianiMedizinische Klinik IV, Klinikum Bayreuth GmbH, Bayreuth, Germany.
Manuela KrumbholzPediatric Oncology and Hematology, Department of Pediatrics and Adolescent Medicine, University Hospital Erlangen, Erlangen, Germany.ORCID 0000-0002-4416-0394
Maaike LuesinkPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Nora Naumann-BartschPediatric Oncology and Hematology, Department of Pediatrics and Adolescent Medicine, University Hospital Erlangen, Erlangen, Germany.
Barbara De MoerlooseDepartment of Pediatric Hematology-Oncology and Stem Cell Transplantation, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0002-2449-539X
Michael OsbornWomen's and Children's Hospital and Royal Adelaide Hospital, Adelaide, SA, Australia.ORCID 0000-0002-1288-9930
Kirk R SchultzDivision of Hematology/Oncology/BMT, British Columbia Children's Hospital Research Institute, Vancouver, BC, Canada.ORCID 0000-0002-0001-6438
Petr SedlacekDepartment of Pediatric Hematology and Oncology, University Hospital Motol, Prague, Czech Republic.
Fiorina GionaDepartment of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy.
Christian Michel ZwaanPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Hiroyuki ShimadaDepartment of Pediatrics, Keio University School of Medicine, Tokyo, Japan.
Birgitta VersluijsPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Frederic MillotDepartments of Paediatric Oncology/Haematology, Poitiers University Hospital, Poitiers, France.
Nobuko HijiyaDivision of Pediatric Hematology/Oncology/Transplant, Columbia University Irving Medical Center, New York, NY, USA.
Meinolf SuttorpPediatric Hemato-Oncology, Medical Faculty, Technical University Dresden, Dresden, Germany.ORCID 0000-0002-9522-8838
Markus MetzlerPediatric Oncology and Hematology, Department of Pediatrics and Adolescent Medicine, University Hospital Erlangen, Erlangen, Germany. Markus.Metzler@uk-erlangen.de.ORCID 0000-0002-4523-1676
Universitätsklinikum Erlangen · DEPrincess Máxima Center · NLBayreuth Medical Center · DEBC Children's Hospital · CAChildren's Hospital Agia Sophia · GRColumbia University Irving Medical Center · USGhent University Hospital · BEKeio University · JPNorthwestern University · USRoyal Adelaide Hospital · AUSapienza University of Rome · ITSt Anna Children's Hospital · ATTechnische Universität Dresden · DEUniversité de Poitiers · FRUniversity Hospital in Motol · CZWroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treatment of chronic myeloid leukemia has improved significantly with the introduction of tyrosine kinase inhibitors (TKIs), and treatment guidelines based on numerous clinical trials are available for chronic phase disease. However for CML in the blast phase (CML-BP), prognosis remains poor and treatment options are much more limited. The spectrum of treatment strategies for children and adolescents with CML-BP has largely evolved empirically and includes treatment principles derived from adult CML-BP and pediatric acute leukemia. Given this heterogeneity of treatment approaches, we formed an international panel of pediatric CML experts to develop recommendations for consistent therapy in children and adolescents with this high-risk disease based on the current literature and national standards. Recommendations include detailed information on initial diagnosis and treatment monitoring, differentiation from Philadelphia-positive acute leukemia, subtype-specific selection of induction therapy, and combination with tyrosine kinase inhibitors. Given that allogeneic hematopoietic stem cell transplantation currently remains the primary curative intervention for CML-BP, we also provide recommendations for the timing of transplantation, donor and graft selection, selection of a conditioning regimen and prophylaxis for graft-versus-host disease, post-transplant TKI therapy, and management of molecular relapse. Management according to the treatment recommendations presented here is intended to provide the basis for the design of future prospective clinical trials to improve outcomes for this challenging disease.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationLeukemia, Myelogenous, Chronic, BCR-ABL PositiveLeukemia, Myeloid, AcuteAdolescentAdultBlast CrisisChildHumansPrognosis

Identifiers

PMID36707619
PMCPMC9991904
OpenAlexW4318220699

What Socratic 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 Socratic graph.