Tumor lysis syndrome in chronic lymphocytic leukemia: conventional treatment versus novel agents A protocol for systematic review and meta-analysis

<h3>Introduction</h3><p dir="ltr">Existing evidence on the difference in the incidence of tumor lysis syndrome (TLS) in Chronic Lymphocytic Leukemia (CLL) patients receiving novel therapies versus patients receiving conventional therapies is limited and inconclusive. The...

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Main Author: Nancy Kassem (3517106) (author)
Other Authors: Ahmed A. Ghazy (16555849) (author), Mohammad Abu-Tineh (14829313) (author), Nabil E. Omar (16555850) (author), Abdulqadir J. Nashwan (16328993) (author), Prem Chandra (9072038) (author), Rola Ghasoub (16555851) (author), Osama S. AbuTabar (16555854) (author), Mohamed A. Yassin (16322749) (author)
Published: 2020
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author Nancy Kassem (3517106)
author2 Ahmed A. Ghazy (16555849)
Mohammad Abu-Tineh (14829313)
Nabil E. Omar (16555850)
Abdulqadir J. Nashwan (16328993)
Prem Chandra (9072038)
Rola Ghasoub (16555851)
Osama S. AbuTabar (16555854)
Mohamed A. Yassin (16322749)
author2_role author
author
author
author
author
author
author
author
author_facet Nancy Kassem (3517106)
Ahmed A. Ghazy (16555849)
Mohammad Abu-Tineh (14829313)
Nabil E. Omar (16555850)
Abdulqadir J. Nashwan (16328993)
Prem Chandra (9072038)
Rola Ghasoub (16555851)
Osama S. AbuTabar (16555854)
Mohamed A. Yassin (16322749)
author_role author
dc.creator.none.fl_str_mv Nancy Kassem (3517106)
Ahmed A. Ghazy (16555849)
Mohammad Abu-Tineh (14829313)
Nabil E. Omar (16555850)
Abdulqadir J. Nashwan (16328993)
Prem Chandra (9072038)
Rola Ghasoub (16555851)
Osama S. AbuTabar (16555854)
Mohamed A. Yassin (16322749)
dc.date.none.fl_str_mv 2020-12-18T00:00:00Z
dc.identifier.none.fl_str_mv 10.1097/md.0000000000023632
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Tumor_lysis_syndrome_in_chronic_lymphocytic_leukemia_conventional_treatment_versus_novel_agents_A_protocol_for_systematic_review_and_meta-analysis/23694861
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Oncology and carcinogenesis
Mathematical sciences
Statistics
chronic lymphocytic leukaemia
conventional chemotherapeutic agents
novel chemotherapeutic agents
tumor lysis syndrome
dc.title.none.fl_str_mv Tumor lysis syndrome in chronic lymphocytic leukemia: conventional treatment versus novel agents A protocol for systematic review and meta-analysis
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Introduction</h3><p dir="ltr">Existing evidence on the difference in the incidence of tumor lysis syndrome (TLS) in Chronic Lymphocytic Leukemia (CLL) patients receiving novel therapies versus patients receiving conventional therapies is limited and inconclusive. The aims of this planned systematic review and meta-analysis are therefore</p><ul><li>(1) assess the TLS incidence reported in clinical trials for the novel or targeted agents comparing to conventional chemotherapeutic agents used to treat patients with CLL</li><li>(2) to identify the TLS prophylaxis strategies that are utilized in clinical trials of the novel or targeted agents for CLL if it was fully reported or under-reported and</li><li>(3) to compare the mortality among patients with TLS in conventional versus novel agents.</li></ul><h3>Methods</h3><p dir="ltr">We will conduct a systematic review and meta-analysis. Several electronic databases will be searched using predefined search terms to identify relevant studies. Eligible studies should report findings on the incidence of TLS in CLL patients. Primary observational studies with cross-sectional or prospective research design, case-control studies, and studies with experimental designs will be included. Study quality will be evaluated by 2 reviewers using the statistical methodology and categories described in the Cochrane Collaboration Handbook and preferred reporting items for systematic reviews and meta-analyses and other applicable guidelines. The meta-analysis will be performed and conducted using applicable standard statistical software like comprehensive meta-analysis and STATA.</p><h3>Discussion</h3><p dir="ltr">This review and meta-analysis will be among the first to systematically explore and integrate the evidence available on the comparison between the incidences of TLS in CLL patients treated with novel agents versus conventional agents. By gathering and summarizing information about the risk of TLS in this patient population, the findings from this review will provide insights for future research directions and more understanding of the difference of TLS incidence between novel treatments and conventional treatment and suggest prophylactic measures for such cases.</p><h3>Systematic review registration</h3><p dir="ltr">The protocol has been registered at the International Prospective Register of Systematic Reviews (PROSPERO; registration number: CRD42020166770).</p><p dir="ltr">The protocol was registered with the Hamad medical corporation, Medical research Center registry under a unique reference number (MRC-01-20-709).</p><h2>Other Information</h2><p dir="ltr">Published in: Medicine<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1097/md.0000000000023632" target="_blank">http://dx.doi.org/10.1097/md.0000000000023632</a></p>
eu_rights_str_mv openAccess
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network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/23694861
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spelling Tumor lysis syndrome in chronic lymphocytic leukemia: conventional treatment versus novel agents A protocol for systematic review and meta-analysisNancy Kassem (3517106)Ahmed A. Ghazy (16555849)Mohammad Abu-Tineh (14829313)Nabil E. Omar (16555850)Abdulqadir J. Nashwan (16328993)Prem Chandra (9072038)Rola Ghasoub (16555851)Osama S. AbuTabar (16555854)Mohamed A. Yassin (16322749)Biomedical and clinical sciencesCardiovascular medicine and haematologyClinical sciencesOncology and carcinogenesisMathematical sciencesStatisticschronic lymphocytic leukaemiaconventional chemotherapeutic agentsnovel chemotherapeutic agentstumor lysis syndrome<h3>Introduction</h3><p dir="ltr">Existing evidence on the difference in the incidence of tumor lysis syndrome (TLS) in Chronic Lymphocytic Leukemia (CLL) patients receiving novel therapies versus patients receiving conventional therapies is limited and inconclusive. The aims of this planned systematic review and meta-analysis are therefore</p><ul><li>(1) assess the TLS incidence reported in clinical trials for the novel or targeted agents comparing to conventional chemotherapeutic agents used to treat patients with CLL</li><li>(2) to identify the TLS prophylaxis strategies that are utilized in clinical trials of the novel or targeted agents for CLL if it was fully reported or under-reported and</li><li>(3) to compare the mortality among patients with TLS in conventional versus novel agents.</li></ul><h3>Methods</h3><p dir="ltr">We will conduct a systematic review and meta-analysis. Several electronic databases will be searched using predefined search terms to identify relevant studies. Eligible studies should report findings on the incidence of TLS in CLL patients. Primary observational studies with cross-sectional or prospective research design, case-control studies, and studies with experimental designs will be included. Study quality will be evaluated by 2 reviewers using the statistical methodology and categories described in the Cochrane Collaboration Handbook and preferred reporting items for systematic reviews and meta-analyses and other applicable guidelines. The meta-analysis will be performed and conducted using applicable standard statistical software like comprehensive meta-analysis and STATA.</p><h3>Discussion</h3><p dir="ltr">This review and meta-analysis will be among the first to systematically explore and integrate the evidence available on the comparison between the incidences of TLS in CLL patients treated with novel agents versus conventional agents. By gathering and summarizing information about the risk of TLS in this patient population, the findings from this review will provide insights for future research directions and more understanding of the difference of TLS incidence between novel treatments and conventional treatment and suggest prophylactic measures for such cases.</p><h3>Systematic review registration</h3><p dir="ltr">The protocol has been registered at the International Prospective Register of Systematic Reviews (PROSPERO; registration number: CRD42020166770).</p><p dir="ltr">The protocol was registered with the Hamad medical corporation, Medical research Center registry under a unique reference number (MRC-01-20-709).</p><h2>Other Information</h2><p dir="ltr">Published in: Medicine<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1097/md.0000000000023632" target="_blank">http://dx.doi.org/10.1097/md.0000000000023632</a></p>2020-12-18T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1097/md.0000000000023632https://figshare.com/articles/journal_contribution/Tumor_lysis_syndrome_in_chronic_lymphocytic_leukemia_conventional_treatment_versus_novel_agents_A_protocol_for_systematic_review_and_meta-analysis/23694861CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/236948612020-12-18T00:00:00Z
spellingShingle Tumor lysis syndrome in chronic lymphocytic leukemia: conventional treatment versus novel agents A protocol for systematic review and meta-analysis
Nancy Kassem (3517106)
Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Oncology and carcinogenesis
Mathematical sciences
Statistics
chronic lymphocytic leukaemia
conventional chemotherapeutic agents
novel chemotherapeutic agents
tumor lysis syndrome
status_str publishedVersion
title Tumor lysis syndrome in chronic lymphocytic leukemia: conventional treatment versus novel agents A protocol for systematic review and meta-analysis
title_full Tumor lysis syndrome in chronic lymphocytic leukemia: conventional treatment versus novel agents A protocol for systematic review and meta-analysis
title_fullStr Tumor lysis syndrome in chronic lymphocytic leukemia: conventional treatment versus novel agents A protocol for systematic review and meta-analysis
title_full_unstemmed Tumor lysis syndrome in chronic lymphocytic leukemia: conventional treatment versus novel agents A protocol for systematic review and meta-analysis
title_short Tumor lysis syndrome in chronic lymphocytic leukemia: conventional treatment versus novel agents A protocol for systematic review and meta-analysis
title_sort Tumor lysis syndrome in chronic lymphocytic leukemia: conventional treatment versus novel agents A protocol for systematic review and meta-analysis
topic Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Oncology and carcinogenesis
Mathematical sciences
Statistics
chronic lymphocytic leukaemia
conventional chemotherapeutic agents
novel chemotherapeutic agents
tumor lysis syndrome