Diagnosis-to-treatment interval is associated with outcomes in follicular lymphoma treated with immunochemotherapy

P Prokop Vodička (1First Department of Medicine, First Faculty of Medicine Charles University and General Hospital, Prague, Czech Republic) T Tarec Christoffer El-Galaly (3Departments of Hematology, Clinical Epidemiology, and Molecular Medicine, Aarhus University Hospital, Aarhus, Denmark) V Vit Prochazka C Christopher R. Flowers (Department of Hematology and Medical Oncology, Winship Cancer Institute, Emory University School of Medicine) D Diego Villa (8Division of Medical Oncology, BC Cancer Centre for Lymphoid Cancer and The University of British Columbia, Vancouver, Canada) C Caroline E. Dietrich (5Division of Clinical Epidemiology, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden) L Lasse H. Jakobsen (4Department of Hematology, Aalborg University Hospital, Aalborg, Denmark) H Hervé Ghesquieres (Hopital Lyon Sud, Claude Bernard Lyon 1 University, Pierre-Benite, France) M Michael R. Clausen (10Department of Medicine, Vejle Hospital, Vejle, Denmark) R Robert Kridel (Princess Margaret Cancer Centre, Toronto) C Chan Y. Cheah (12Department of Haematology, Sir Charles Gairdner Hospital, Perth, Australia) E Eliza A. Hawkes (14Olivia Newton-John Cancer Research Institute, Austin Health, Melbourne, Australia) B Björn Wahlin (15Department of Hematology, Karolinska University Hospital, Stockholm, Sweden) M Maher K. Gandhi (17Translational Research Institute, Mater Research Institute University of Queensland, Brisbane, QLD, Australia) M Melissa C. Larson (2Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN) E Elliot J. Cahn (2Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN) J Jonathan W. Friedberg (18Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY) P Peter Martin D Dai Chihara J Jonathon B. Cohen (Department of Hematology and Medical Oncology, Winship Cancer Institute, Emory University School of Medicine) T Thomas M. Habermann (22Division of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN) C Carla Casulo (18Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY) Y Yucai Wang (State Key Laboratory of Immune Response and Immunotherapy, Department of Radiology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine) P Peter de Nully Brown (23Department of Hematology, Rigshospitalet, Copenhagen, Denmark) E Eric Mou (24Division of Hematology, Oncology, and Blood and Marrow Transplantation, Department of Internal Medicine, University of Iowa, Iowa City, IA) D David Belada (4th Department of Internal Medicine - Haematology, University Hospital and Faculty of Medicine, Hradec Kralove, Czech Republic) A Andrea Janíková (26Department of Internal Medicine, Hematology and Oncology, University Hospital Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic) H Heidi Mocikova R Richard Burack I Izidore S. Lossos (29Division of Hematology, Department of Medicine, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL) B Brad S. Kahl (30Division of Oncology, Washington University School of Medicine, St. Louis, MO) K Karin E. Smedby (5Division of Clinical Epidemiology, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden) L Laurie H. Sehn (8Division of Medical Oncology, BC Cancer Centre for Lymphoid Cancer and The University of British Columbia, Vancouver, Canada) M Marek Trneny J James R. Cerhan M Matthew J. Maurer (2Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN)

Abstract

Abstract A short diagnosis-to-treatment interval independently predicts inferior outcomes in follicular lymphoma. Using international discovery and validation cohorts, we demonstrate its prognostic value beyond established prognostic indices, with implications for risk stratification, clinical trial design, and interpretation.

Article Details

Journal Blood
Volume / Issue Vol. 147, Issue 26
Published June 25, 2026
Pages 3248-3252
ISSN 0006-4971
Publisher Elsevier BV

Journal Info

Blood

Elsevier BV

ISSN: 0006-4971 Health Sciences

Authors (36)

P

Prokop Vodička

1First Department of Medicine, First Faculty of Medicine Charles University and General Hospital, Prague, Czech Republic

T

Tarec Christoffer El-Galaly

3Departments of Hematology, Clinical Epidemiology, and Molecular Medicine, Aarhus University Hospital, Aarhus, Denmark

V

Vit Prochazka

C

Christopher R. Flowers

Department of Hematology and Medical Oncology, Winship Cancer Institute, Emory University School of Medicine

D

Diego Villa

8Division of Medical Oncology, BC Cancer Centre for Lymphoid Cancer and The University of British Columbia, Vancouver, Canada

C

Caroline E. Dietrich

5Division of Clinical Epidemiology, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden

L

Lasse H. Jakobsen

4Department of Hematology, Aalborg University Hospital, Aalborg, Denmark

H

Hervé Ghesquieres

Hopital Lyon Sud, Claude Bernard Lyon 1 University, Pierre-Benite, France

M

Michael R. Clausen

10Department of Medicine, Vejle Hospital, Vejle, Denmark

R

Robert Kridel

Princess Margaret Cancer Centre, Toronto

C

Chan Y. Cheah

12Department of Haematology, Sir Charles Gairdner Hospital, Perth, Australia

E

Eliza A. Hawkes

14Olivia Newton-John Cancer Research Institute, Austin Health, Melbourne, Australia

B

Björn Wahlin

15Department of Hematology, Karolinska University Hospital, Stockholm, Sweden

M

Maher K. Gandhi

17Translational Research Institute, Mater Research Institute University of Queensland, Brisbane, QLD, Australia

M

Melissa C. Larson

2Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN

E

Elliot J. Cahn

2Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN

J

Jonathan W. Friedberg

18Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY

P

Peter Martin

D

Dai Chihara

J

Jonathon B. Cohen

Department of Hematology and Medical Oncology, Winship Cancer Institute, Emory University School of Medicine

T

Thomas M. Habermann

22Division of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN

C

Carla Casulo

18Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY

Y

Yucai Wang

State Key Laboratory of Immune Response and Immunotherapy, Department of Radiology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine

P

Peter de Nully Brown

23Department of Hematology, Rigshospitalet, Copenhagen, Denmark

E

Eric Mou

24Division of Hematology, Oncology, and Blood and Marrow Transplantation, Department of Internal Medicine, University of Iowa, Iowa City, IA

D

David Belada

4th Department of Internal Medicine - Haematology, University Hospital and Faculty of Medicine, Hradec Kralove, Czech Republic

A

Andrea Janíková

26Department of Internal Medicine, Hematology and Oncology, University Hospital Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic

H

Heidi Mocikova

R

Richard Burack

I

Izidore S. Lossos

29Division of Hematology, Department of Medicine, Sylvester Comprehensive Cancer Center, University of Miami, Miami, FL

B

Brad S. Kahl

30Division of Oncology, Washington University School of Medicine, St. Louis, MO

K

Karin E. Smedby

5Division of Clinical Epidemiology, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden

L

Laurie H. Sehn

8Division of Medical Oncology, BC Cancer Centre for Lymphoid Cancer and The University of British Columbia, Vancouver, Canada

M

Marek Trneny

J

James R. Cerhan

M

Matthew J. Maurer

2Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN