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. 2020 Jan 13;2020(1):CD012643. doi: 10.1002/14651858.CD012643.pub3

Mesguich 2016.

Study characteristics
Methods Secondary citation(s)
  • NA


Language of publication
  • English


Study design
  • Retrospective, multi‐centre study (2 centres)


Study centre(s)
  • Haut‐Lévêque Hospital and Bergonié Institute, Bordeaux, France


Country
  • France


Median follow‐up time (range)
  • 58.9 months

Participants Number of included participants
  • 76


Inclusion criteria
  • Biopsy‐proven, classic HL

  • Availability of baseline, interim and end‐of‐treatment PET‐CT


Exclusion criteria
  • Treatment with chemotherapy different than ABVD

  • Planned treatment modification following int‐PET results

  • End‐PET performance > 6 months after end of treatment


Consent
  • No; waived because of retrospective design


Recruitment period
  • December 2005 to April 2011


Age (range, in years)
  • 37 (median; 14‐67)


Ethnic group(s)
  • Not reported


Stages of disease
  • All stages


Comorbidities
  • Not reported


Therapy regimen
  • Various therapy regimens: 3, 4, 6 or 8 cycles of ABVD with or without radiotherapy

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


Definition of prognostic factor(s)
  • Not reported


Timing of prognostic factor measurement
  • After 2, 3 or 4 treatment cycles


Method for measurement (use of specific scale and cut‐off)
  • Deauville 5‐point scoring system

  • Consensual reading of two nuclear medicine physicians

  • Two cut‐offs for interim PET positivity tested and compared: either scores 4 to 5 considered PET positive, or scores 3 to 5 considered PET positive


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)?
  • Yes

Outcome(s) Primary outcome(s) and definition(s)
  • Progression‐free survival (PFS), defined as the time from diagnosis to either failure of first‐line treatment, relapse or death


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


Timing of outcome measurement
  • At 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 univariate analysis for each outcome
  • PFS: all


Statistical method
  • Kaplan Meier analysis curve

  • Log‐rank test


How was the prognostic factor treated?
  • Binary


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


Statistical method
  • Cox proportional hazard models


How was the prognostic factor treated?
  • Binary


Number of candidate covariates
  • 3


List of all candidate covariates
  • Interim PET

  • Disease stage*

  • Bulky disease*


*2 separate models, each adjusted for one of the 2 covariates other than interim PET
Risk of bias (QUIPS) Study participation
  • Low risk

  • Clear description of participants and study characteristics.


Study attrition
  • Low risk

  • No loss to follow‐up.


Prognostic factor measurement
  • Low risk

  • Adequate measurement and description. Prognostic factor measured the same way for all participants.


Outcome: Overall survival
Not reported
Outcome: Progression‐free survival
Outcome measurement
  • Low risk

  • Clear definition. Outcome measured the same way for all participants. Blinding not reported.


'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
  • None declared.


Funding
  • No funding was sought or received for this study.