Evidence map›Paper›PMID 25030039›Full record

Trial reportLeukemia & lymphoma2015

Skeletal, neuromuscular and fitness impairments among children with newly diagnosed acute lymphoblastic leukemia.

Kirsten K Ness, Sue C Kaste, Liang Zhu, Ching-Hon Pui, Sima Jeha, Paul C Nathan, Hiroto Inaba, Karen Wasilewski-Masker, Durga Shah, Robert J Wells and 3 more

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Leukemia & lymphoma, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 60 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 2 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.

NCT00137111 phase3completednot on this map

Total XV - Total Therapy Study XV for Newly Diagnosed Patients With Acute Lymphoblastic Leukemia

TypeinterventionalSponsorSt. Jude Children's Research HospitalRan2000 to 2014Enrolled501ConditionsLymphoblastic Leukemia, AcuteArmsPrednisone, Dexamethasone, Vincristine, Daunorubicin, Doxorubicin, L-asparaginase, PEG-L-asparaginase, Erwinia asparaginase, Methotrexate, Cyclophosphamide, Cytarabine, Etoposide, Mercaptopurine, Imatinib, chemotherapy, intrathecal chemotherapy
NCT04672681 naactive not recruitingnot on this mapstarted 2021, after this paper: background citation

Rehabilitation Including Structured Active Play for Preschoolers With Cancer.

TypeinterventionalSponsorRigshospitalet, DenmarkRan2021 to 2026Enrolled84ConditionsPediatric CancerArmsPlay-based physical activity intervention
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

13 authors.

Kirsten K NessDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital , Memphis, TN , USA.
Sue C Kaste
Liang Zhu
Ching-Hon Pui
Sima Jeha
Paul C Nathan
Hiroto Inaba
Karen Wasilewski-Masker
Durga Shah
Robert J Wells
Robyn E Karlage
Leslie L Robison
Cheryl L Cox

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
Physical Activity to Modify Sequelae and QOL in Childhood ALL: A Nursing TrialR01CA129384 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI COX, CHERYL LORANE · 2009 to 2013
$4.3M
NCI NIH HHS CA21765NCI NIH HHS P30 CA021765NCI NIH HHS R01 CA129384
6 · The paper itself

Abstract

This study describes skeletal, neuromuscular and fitness impairments among 109 children (median age 10 [range 4-18] years, 65.1% male, 63.3% white) with acute lymphoblastic leukemia (ALL). Outcomes were measured 7-10 days after diagnosis and compared to age- and sex-specific expected values. Associations between function and health-related quality of life (HRQL) were evaluated with logistic regression. Children with ALL had sub-optimal bone mineral density (BMD) Z-score/height (mean ± standard error: - 0.53 ± 0.16 vs. 0.00 ± 0.14, p < 0.01), body mass index percentile (57.6 ± 3.15 vs. 50.0 ± 3.27%, p = 0.02), quadriceps strength (201.9 ± 8.3 vs. 236.1 ± 5.4 N, p < 0.01), 6 min walk distance (385.0 ± 13.1 vs. 628.2 ± 7.1 m, p < 0.001) and Bruininks-Oseretsky Test of Motor Proficiency scores (23 ± 2.5 vs. 50 ± 3.4%, p < 0.01). Quadriceps weakness was associated with a 20.9-fold (95% confidence interval 2.5-173.3) increase in poor physical HRQL. Children with newly diagnosed ALL have weakness and poor endurance and may benefit from early rehabilitation that includes strengthening and aerobic conditioning.

Indexed as

Bone DensityAdolescentBody Mass IndexChildChild, PreschoolExercise TherapyFemaleHumansLogistic ModelsMaleMotor SkillsMultivariate AnalysisMuscle StrengthNeuromuscular JunctionPrecursor Cell Lymphoblastic Leukemia-LymphomaQuality of LifeAcute lymphoblastic leukemiamuscle strengthpediatricphysical endurancequality of life

Identifiers

PMID25030039
PMCPMC4336225

What OpenQuestion holds

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Registered trials

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.