Evidence map›Paper›PMID 39013365›Full record

ArticleOncology2024

Chronic Myeloid Leukemia in Adolescents and Young Adults: Clinicopathological Variables and Outcomes.

Mohammad A J Abdulla, Mahmood B Aldapt, Prem Chandra, Susanna El Akiki, Awni Alshurafa, Abdulqadir J Nashwan, Liam J Fernyhough, Sundus Sardar, Ammar Chapra, Mohamed A Yassin

Abstract read
In one paragraph

Article in Oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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  5. 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

10 authors.

Mohammad A J AbdullaDepartment of Hematology, National Center for Cancer Care and Research, Hamad Medical Corporation, Doha, Qatar.
Mahmood B AldaptInternal Medicine Department, Unity Hospital, Rochester Regional Health, Rochester, New York, USA.
Prem ChandraMedical Research Center, Biostatistics Section, Hamad Medical Corporation, Doha, Qatar.
Susanna El AkikiDepartment of Laboratory Medicine and Pathology, Hamad Medical Corporation, Doha, Qatar.
Awni AlshurafaDepartment of Hematology, National Center for Cancer Care and Research, Hamad Medical Corporation, Doha, Qatar.
Abdulqadir J NashwanDepartment of Nursing, Hazm Mebaireek General Hospital, Hamad Medical Corporation, Doha, Qatar.
Liam J FernyhoughDepartment of Hematology, National Center for Cancer Care and Research, Hamad Medical Corporation, Doha, Qatar.
Sundus SardarDepartment of Internal Medicine, Hamad General Hospital, Doha, Qatar.
Ammar ChapraDepartment of Internal Medicine, Hamad General Hospital, Doha, Qatar.
Mohamed A YassinDepartment of Hematology, National Center for Cancer Care and Research, Hamad Medical Corporation, Doha, Qatar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAdolescents and young adults (AYAs) diagnosed with chronic myeloid leukemia (CML) constitute a significant demographic group, particularly in regions with youthful populations like Qatar. Despite the global median age of CML diagnosis being 65 years, Qatar's age distribution reflects a younger cohort. This study investigates whether AYAs with CML exhibit distinct clinicopathological characteristics or outcomes compared to older age groups.

methodsA total of 224 CML patients were enrolled, including 114 AYAs (defined as ages 15 through 39). Demographic and clinical parameters, including gender, BMI, BCR-ABL1 transcript type, white blood cell (WBC) count, hemoglobin level, platelet count, and spleen size, were compared between AYAs and older patients. Prognostic scoring systems (Sokal, Hasford, EUTOS, and ELTS) and molecular response rates (MMR and DMR) were also evaluated.

resultsAYAs demonstrated higher WBC counts at diagnosis (median 142.3 vs. 120; p = 0.037) and lower hemoglobin levels (10.5 vs. 11.40; p = 0.004) compared to older patients. Spleen size was significantly larger in AYAs (18.8 vs. 15.5; p = 0.001). While AYAs showed better prognostic scores by Sokal and Hasford criteria, EUTOS and ELTS scores indicated comparable risk stratification. However, AYAs exhibited lower rates of MMR (56.7 vs. 73.4%; p = 0.016) and achieved MMR at a slower pace (median time 130 vs. 103 months; p = 0.064). Similarly, the percentage of DMR was lower in AYAs (37.1 vs. 46.8%; p = 0.175).

conclusionDespite their younger age, AYAs with CML displayed poorer prognoses compared to older patients. These findings underscore the importance of tailored management strategies for AYAs with CML to optimize outcomes in this distinct patient population. KEY POINT: AYAs are underrepresented in CML studies and risk scores, so this is the focus of this study.

Indexed as

Leukemia, Myelogenous, Chronic, BCR-ABL PositiveAdolescentAdultAge FactorsFemaleFusion Proteins, bcr-ablHemoglobinsHumansLeukocyte CountMalePrognosisQatarSpleenTreatment OutcomeYoung AdultFusion Proteins, bcr-ablHemoglobins

Identifiers

PMID39013365
PMCPMC11614302

What Socratic holds

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LicenceCC BY-NC
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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 Socratic graph.