Evidence map›Paper›PMID 24462384›Full record

Trial reportInternational journal of radiation oncology, biology, physics2014

Emotional and behavioral functioning after conformal radiation therapy for pediatric ependymoma.

Victoria W Willard, Heather M Conklin, Frederick A Boop, Shengjie Wu, Thomas E Merchant

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in International journal of radiation oncology, biology, physics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
8.1field-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

15 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Supratentorial and Infratentorial Ependymoma.Advances and technical standards in neurosurgery · 2024
    Review
  4. Article
  5. Article
  6. The rationale and development of a CyberKnife© registry for pediatric patients with CNS lesions.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
    Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. The role of resection alone in select children with intracranial ependymoma: the Canadian Pediatric Brain Tumour Consortium experience.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2015
    Article
  15. Article
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

5 authors at 1 institution in 1 country.

Victoria W WillardDepartment of Psychology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Heather M ConklinDepartment of Psychology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Frederick A BoopDepartment of Surgery, St. Jude Children's Research Hospital, Memphis, Tennessee; Department of Neurosurgery, Semmes-Murphey Neurologic and Spine Institute, Memphis, Tennessee.
Shengjie WuDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, Tennessee.
Thomas E MerchantDivision of Radiation Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee. Electronic address: thomas.merchant@stjude.org.
St. Jude Children's Research Hospital · US

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
NCI NIH HHS CA21765NCI NIH HHS P30 CA021765
6 · The paper itself

Abstract

purposeThe standard of care for pediatric patients with ependymoma involves postoperative radiation therapy. Prior research suggests that conformal radiation therapy (CRT) is associated with relative sparing of cognitive and academic functioning, but little is known about the effect of CRT on emotional and behavioral functioning. METHODS AND MATERIALS: A total of 113 patients with pediatric ependymoma underwent CRT using photons as part of their enrollment on an institutional trial. Patients completed annual evaluations of neurocognitive functioning during the first 5 years after CRT. Emotional and behavioral functioning was assessed via the Child Behavior Checklist.

resultsBefore CRT, emotional and behavioral functioning were commensurate with those of the normative population and within normal limits. After 5 years, means remained within normal limits but were significantly below the normative mean. Linear mixed models revealed a significant increase in attention problems over time. These problems were associated with age at diagnosis/CRT, tumor location, and extent of resection. A higher-than-expected incidence of school problems was present at all assessment points after baseline.

conclusionsThe use of photon CRT for ependymoma is associated with relatively stable emotional and behavioral functioning during the first 5 years after treatment. The exception is an increase in attention problems. Results suggest that intervening earlier in the survivorship period-during the first year posttreatment-may be beneficial.

Indexed as

AdolescentAge FactorsAttentionAttention Deficit Disorder with HyperactivityBrain NeoplasmsChildChild, PreschoolEmotionsEpendymomaFemaleHumansIncidenceInfantInfratentorial NeoplasmsLinear ModelsMale

Identifiers

PMID24462384
PMCPMC4261227
OpenAlexW2072546355

What OpenQuestion holds

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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.