Evidence map›Paper›PMID 21907493›Full record

ArticlePain2011

Pain in long-term adult survivors of childhood cancers and their siblings: a report from the Childhood Cancer Survivor Study.

Qian Lu, Kevin R Krull, Wendy Leisenring, Jason E Owen, Toana Kawashima, Jennie C I Tsao, Bradley Zebrack, Ann Mertens, Gregory T Armstrong, Marilyn Stovall and 2 more

Open access · greenAbstract read
In one paragraph

Article in Pain, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 3% of its field
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

53 citing papers in PubMed, 2 syntheses or guidelines pooled it, 132 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Cancer pain.Nature reviews. Disease primers · 2026
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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

12 authors at 8 institutions in 1 country.

Qian LuDepartment of Psychology, University of Houston, Houston, TX, USA Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA Cancer Prevention Program, Fred Hutchinson Cancer Research Center, Seattle, WA, USA Department of Psychology, Loma Linda University, Loma Linda, CA, USA Pediatric Pain Program, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA University of Michigan, School of Social Work, Ann Arbor, MI, USA Division of Epidemiology, Emory University, Atlanta, GA, USA Department of Radiation Physics, MD Anderson Cancer Center, Houston, TX, USA.
Kevin R Krull
Wendy Leisenring
Jason E Owen
Toana Kawashima
Jennie C I Tsao
Bradley Zebrack
Ann Mertens
Gregory T Armstrong
Marilyn Stovall
Leslie L Robison
Lonnie K Zeltzer
St. Jude Children's Research Hospital · USFred Hutch Cancer Center · USUniversity of California, Los Angeles · USEmory University · USLoma Linda University · USRadiation Oncology Associates · USUniversity of Houston · USUniversity of Michigan–Ann Arbor · US

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI SUZANNE J. BAKER · 1985 to 2026
$166.9M
Mach-LETSGO: Machine-LEarning of Treatment, Survey, and Genetics towards Obtaining Correct Classification of Chronic Conditions in Adult Survivors in the Childhood Cancer Survivor Study - CCSS SupplU24CA055727 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Gregory Armstrong · 1999 to 2026
$96.7M
NCI NIH HHS CA21765NCI NIH HHS P30 CA021765NCI NIH HHS U24 CA055727NCI NIH HHS U24 CA55727
6 · The paper itself

Abstract

Little is known about pain among long-term adult survivors of childhood cancers. The study investigated pain prevalence in this population compared with sibling controls and examined pain-related risk factors. Three self-reported pain outcomes including pain conditions, prescription analgesics used, and pain attributed to cancer and treatment were assessed among 10,397 cancer survivors and 3034 sibling controls from the Childhood Cancer Survivor Study. Pain conditions (pain/abnormal sensation, migraines, and other headaches) were reported by 12.3%, 15.5%, and 20.5% of survivors, respectively; 16.7% of survivors reported use of prescription analgesics, and 21% attributed pain to cancer and treatment. Risks of reporting pain conditions and using prescription analgesics were higher among survivors than siblings, adjusting for sociodemographic factors. Younger age at diagnosis and a history of non-Hodgkin lymphoma, Wilms tumor, or neuroblastoma (compared to leukemia) were associated with greater risk of reporting pain conditions. A history of bone cancer or soft tissue sarcoma (compared to leukemia) was associated with greater risks of using prescription analgesics and cancer-related pain attribution. Non-brain-directed scatter irradiation was associated with elevated risk for migraines and cancer-related pain attribution. Female gender and lower educational attainment were associated with increased reports of all 3 pain outcomes; minority status, unemployment, and being single were associated with greater risks for reporting pain conditions. These findings contribute to the understanding of pain and associated risk factors among adult survivors of childhood cancer and suggest areas of focus for pain intervention.

Indexed as

AdolescentAdultChildChild, PreschoolChronic PainFemaleHumansMaleNeoplasmsSiblingsSurvivorsTimeYoung Adult

Identifiers

PMID21907493
PMCPMC3304496
OpenAlexW2104981578

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.