Skip to main content
. 2020 Jan 13;2020(1):CD012643. doi: 10.1002/14651858.CD012643.pub3

Hutchings 2005.

Study characteristics
Methods Secondary citation(s)
  • NA


Language of publication
  • English


Study design
  • Not reported


Study centre(s)
  • Guy’s and St. Thomas’ Hospital, London


Country
  • UK


Median follow‐up time (range)
  • 40.2 months (6‐125)

Participants Number of included participants
  • 85


Inclusion criteria
  • Histologically‐confirmed HL

  • Early interim FDG‐PET scans


Exclusion criteria
  • None


Consent
  • Not reported


Recruitment period
  • May 1993 to January 2004


Age (range, in years)
  • 36.7 (15‐73)


Ethnic group(s)
  • Not reported


Stages of disease
  • All stages


Comorbidities
  • Not reported


Therapy regimen
  • According to departmental protocols: mainly ABVD, number of cycles not reported; additional radiotherapy depending on stage and site of HL

  • Alternative therapy for participants without satisfactory remission during initial chemotherapy

Prognostic factor(s) Prognostic factor(s)
  • Interim PET


Definition of prognostic factor(s)
  • Half‐body PET scan (mid‐brain to upper thigh)


Timing of prognostic factor measurement
  • After 2 or 3 cycles of chemotherapy, within the second week of the interval between cycles or as late as possible before administration of the next cycle


Method for measurement (use of specific scale and cut‐off)
  • No specific scale indicated

  • 2 experienced nuclear medicine physicians interpreted all scans, differences decided by consensus

  • PET‐negative defined as no evidence of disease; PET‐positive defined as increased uptake suspicious for malignant disease; Minimal residual uptake (MRU) defined as low‐grade uptake not likely to represent malignancy


Was the same definition and method for measurement used in all participants?
  • Yes


Were prognostic factor(s) assessed blinded for outcome(s), and for each other (if relevant)?
  • Not reported

Outcome(s) Primary outcome(s) and definition(s)
  • Progression‐free survival (PFS), defined as the time from diagnosis to first evidence of progression or relapse, or to disease‐related death

  • Overall survival (OS), defined as the time from diagnosis to death from any cause


Secondary outcome(s) and definition(s)
  • None


Timing of outcome measurement
  • At 2 and 5 years


Was the same definition and method for measurement used in all participants?
  • Yes


Was/were outcome(s) assessed blinded for prognostic factor(s), and for each other (if relevant)?
  • Not reported

Missing data Participants with any missing value?
  • No


If yes, how were missing data handled?
  • NA

Analysis Univariable analysis: Yes
Total number of participants included in univariable analysis for each outcome
  • PFS: all

  • OS: not reported


Statistical method
  • Kaplan‐Meier (survival curves)

  • Log‐rank (differences between groups)

  • Proportional hazards Cox regression analysis


How was the prognostic factor treated?
  • Binary


Multivariable analysis: Yes
Total number of participants included in multivariable analysis for each outcome
  • PFS: all

  • OS: none


Statistical method
  • Kaplan‐Meier (survival curves)

  • Log‐rank (differences between groups)

  • Proportional hazards Cox regression analysis


How was the prognostic factor treated?
  • Binary


Number of candidate covariates
  • 4


List of all candidate covariates
  • Early interim PET

  • Ann Arbor stage

  • PET‐MRU vs. PET‐negative

  • PET‐positive vs. PET‐negative

Risk of bias (QUIPS) Study participation
  • Unclear risk

  • All eligible participants included. Clear description of participants and study characteristics. No inclusion / exclusion criteria provided. No comparison to baseline population, and no explanation of missing scans provided.


Study attrition
  • Moderate risk

  • Loss to follow‐up (8 participants), but reasons not provided.


Prognostic factor measurement
  • Low risk

  • Adequate description. PET results separated into negative, positive and low MRU, which sometimes was considered negative (clearly stated in these cases). No clear cut‐off in numbers.


Outcome: Overall survival
Outcome measurement
  • Low risk

  • Clear definition. Outcome measured the same way for all participants. Participants lost to follow‐up were still included in analysis.


'Other prognostic factors (covariates)'
  • High risk

  • Disease stage not accounted for.


Statistical analysis and reporting
  • Low risk

  • Statistical method in univariable analysis appropriate for the data.


Outcome: Progression‐free survival
Outcome measurement
  • Low risk

  • Clear definition. Outcome measured the same way for all participants. Participants lost to follow‐up were still included in analysis.


'Other prognostic factors (covariates)'
  • Low risk

  • Adjusted for disease stage.


Statistical analysis and reporting
  • Low risk

  • Statistical method appropriate for the data.


Outcome: Adverse events
Not reported
Notes Conflict of interest
  • Not reported


Funding
  • Not reported