Evidence map›Paper›PMID 25896312›Full record

Trial reportStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2015

Long-term side effects of radiotherapy for pediatric localized neuroblastoma : results from clinical trials NB90 and NB94.

Anne Ducassou, Marion Gambart, Caroline Munzer, Laetitia Padovani, Christian Carrie, Daphne Haas-Kogan, Valérie Bernier-Chastagner, Charlotte Demoor, Line Claude, Sylvie Helfre and 15 more

Abstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Role and practical guidelines for the use of radiotherapy in neuroblastoma - a narrative review of literature and clinical trial protocols.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2025
    Review
  5. Article
  6. Review
  7. Haematological and renal toxicity of radiation therapy in neuroblastoma paediatric patients.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
    Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Observational
  18. Impact of Extent of Resection on Local Control and Survival in Patients From the COG A3973 Study With High-Risk Neuroblastoma.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2017
    Article
  19. Local Control With 21-Gy Radiation Therapy for High-Risk Neuroblastoma.International journal of radiation oncology, biology, physics · 2016
    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

25 authors at 11 institutions in 3 countries.

Anne DucassouDépartement de radiothérapie, Institut Claudius Regaud, 31059, Toulouse, France, ducassou.anne@iuct-oncopole.fr.
Marion Gambart
Caroline Munzer
Laetitia Padovani
Christian Carrie
Daphne Haas-Kogan
Valérie Bernier-Chastagner
Charlotte Demoor
Line Claude
Sylvie Helfre
Stéphanie Bolle
Julie Leseur
Aymeri Huchet
Hervé Rubie
Dominique Valteau-Couanet
Gudrun Schleiermacher
Carole Coze
Anne-Sophie Defachelles
Aurélien Marabelle
Stéphane Ducassou
Christine Devalck
Virginie Gandemer
Martine Munzer
Anne Laprie
Neuroblastoma study group and radiotherapy group of the French Society of Children with Cancer (SFCE)
Institut d’Hématologie et d’Oncologie Pédiatrique · FRInstitut Gustave Roussy · FRHôpital des Enfants · FRCentre de Radiothérapie Bayard · FRCentre Hospitalier Universitaire de Bordeaux · FRCentre Léon Bérard · FRInstitut Claudius Regaud · FRUniversité Toulouse III - Paul Sabatier · FRUniversity of California, San Francisco · USCentre Oscar Lambret · FRQueen Fabiola Children's University Hospital · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNeuroblastoma (NB) is the most frequent indication for extracranial pediatric radiotherapy. As long-term survival of high-risk localized NB has greatly improved, we reviewed treatment-related late toxicities in pediatric patients who received postoperative radiotherapy (RT) for localized NB within two French prospective clinical trials: NB90 and NB94. PATIENTS AND

methodsFrom 1990-2000, 610 children were enrolled. Among these, 35 were treated with induction chemotherapy, surgery, and RT. The recommended RT dose was 24 Gy at ≤ 2 years, 34 Gy at > 2 years, ± a 5 Gy boost in both age groups.

resultsThe 22 patients still alive after 5 years were analyzed. The median follow-up time was 14 years (range 5-21 years). Late effects after therapy occurred in 73 % of patients (16/22), within the RT field for 50 % (11/22). The most frequent in-field effects were musculoskeletal abnormalities (n = 7) that occurred only with doses > 31 Gy/1.5 Gy fraction (p = 0.037). Other effects were endocrine in 3 patients and second malignancies in 2 patients. Four patients presented with multiple in-field late effects only with doses > 31 Gy.

conclusionAfter a median follow-up of 14 years, late effects with multimodality treatment were frequent. The most frequent effects were musculoskeletal abnormalities and the threshold for their occurrence was 31 Gy.

Indexed as

Radiotherapy, AdjuvantAdolescentChildChild, PreschoolDose Fractionation, RadiationFemaleFranceGene AmplificationHumansInfantMaleNeoplasm, ResidualNeoplasms, Radiation-InducedNeuroblastomaN-Myc Proto-Oncogene ProteinNuclear ProteinsMYCN protein, humanN-Myc Proto-Oncogene ProteinNuclear ProteinsOncogene Proteins

Identifiers

PMID25896312
OpenAlexW2133185906

What OpenQuestion holds

Textmetadata
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.