Evidence map›Paper›PMID 23720361›Full record

Trial reportPediatric blood & cancer2013

Pilot study of vascular health in survivors of osteosarcoma.

Daniel A Mulrooney, Kirsten K Ness, Sujuan Huang, Anna Solovey, Robert P Hebbel, James D Neaton, Denis R Clohisy, Aaron S Kelly, Joseph P Neglia

Abstract readClinical Trial
In one paragraph

Trial report in Pediatric blood & cancer, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Doxorubicin-Induced Cardiomyopathy in Children.Comprehensive Physiology · 2019
    Review
  7. The TGF-β pathway mediates doxorubicin effects on cardiac endothelial cells.Journal of molecular and cellular cardiology · 2016
    Article
  8. The tell-tale heart: molecular and cellular responses to childhood anthracycline exposure.American journal of physiology. Heart and circulatory physiology · 2014
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Daniel A MulrooneyDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA. daniel.mulrooney@stjude.org
Kirsten K Ness
Sujuan Huang
Anna Solovey
Robert P Hebbel
James D Neaton
Denis R Clohisy
Aaron S Kelly
Joseph P Neglia

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
VASCULAR PATHOBIOLOGY OF SICKLE CELL DISEASEP01HL055552 · NHLBI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI HEBBEL, ROBERT P · 1995 to 2011
$17.3M
Scholar Development Clinical Research (RMI)K12RR023247 · NCRR · UNIVERSITY OF MINNESOTA TWIN CITIES · PI LUEPKER, RUSSELL V · 2005 to 2009
$13.5M
Cardiovascular Risk and Insulin Resistance: Age 7-40R01DK072124 · NIDDK · UNIVERSITY OF MINNESOTA · PI STEINBERGER, JULIA · 2007 to 2011
$3.0M
NCI NIH HHS CA21765NCI NIH HHS P30 CA021765NCRR NIH HHS 1K12RR023247NCRR NIH HHS K12 RR023247NHLBI NIH HHS 5P01HL055552-13NHLBI NIH HHS P01 HL055552NIDDK NIH HHS 01DK072124-01A3NIDDK NIH HHS R01 DK072124
6 · The paper itself

Abstract

backgroundCardiovascular-related toxicities have been reported among survivors of osteosarcoma.

methodsFasting blood samples from 24 osteosarcoma survivors were analyzed for high-sensitivity C-reactive protein (hsCRP), triglycerides, total cholesterol, high-density lipoprotein (HDL), apolipoprotein-ß, lipoprotein (a), fibrinogen, circulating endothelial cells (CECs), and surface expression of vascular cell adhesion molecule-1 (VCAM-1). Values were compared to subjects in the natural history Coronary Artery Risk Development in Young Adults (CARDIA) cohort study except for CECs and VCAM-1 expression, which were compared to controls studied at the University of Minnesota Lillehei clinical trials unit. PROCEDURE: Survivors (54.2% male), median age 18 years (9-32) at diagnosis, 36.5 years (20-56) at evaluation were treated with a variety of chemotherapeutic exposures, all but one were exposed to doxorubicin (median dose 450 mg/m(2) ; range: 90-645 mg/m(2)), 14 (58.3%) received cisplatin, and 3 (12.5%) were exposed to carboplatin. Two survivors (8.3%) received radiation therapy for disease relapse. Compared to CARDIA subjects, mean hsCRP (3.0 mg/L ± 2.0 vs. 1.6 ± 2.3), triglycerides (151 mg/dl ± 81.7 vs. 95.4 ± 101.3), lipoprotein (a) (34.9 mg/dl ± 17.7 vs. 13.8 ± 22.0), and fibrinogen (315.0 mg/dl ± 49.3 vs. 252.4 ± 61.7) were significantly elevated. The number of CECs (0.47 cells/ml ± 2.5 vs. 0.92 ± 2.5) did not differ while surface expression of VCAM-1 (86.4% ± 34.0 vs. 42.1 ± 33.8) was significantly elevated compared to controls.

conclusionsAmong survivors of osteosarcoma, assessed a median of 14 years from diagnosis, there is evidence of vascular inflammation, dyslipidemia, and early atherogenesis.

Indexed as

SurvivorsAdolescentAdultAntineoplastic AgentsAtherosclerosisChildCohort StudiesC-Reactive ProteinDyslipidemiasFemaleGene Expression RegulationHumansLipidsMaleOsteosarcomaPilot ProjectsAntineoplastic AgentsC-Reactive ProteinLipidsVascular Cell Adhesion Molecule-1osteosarcomasurvivorshipvascular late effects

Identifiers

PMID23720361
PMCPMC3968821

What OpenQuestion holds

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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.