Evidence map›Paper›PMID 26773735›Full record

Trial reportCancer2016

Anxiety, pain, and nausea during the treatment of standard-risk childhood acute lymphoblastic leukemia: A prospective, longitudinal study from the Children's Oncology Group.

L Lee Dupuis, Xiaomin Lu, Hannah-Rose Mitchell, Lillian Sung, Meenakshi Devidas, Leonard A Mattano, William L Carroll, Naomi Winick, Stephen P Hunger, Kelly W Maloney and 1 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 3 pooled it
19.0field-weighted citation impact, top 1% 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

47 citing papers in PubMed, 3 syntheses or guidelines pooled it, 105 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. The gut microbiome, symptoms, and targeted interventions in children with cancer: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Pooled it
  4. Preparing Children for Invasive Medical Cancer Treatment with "My Logbook": Preliminary Results of a Pilot Study.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
    Trial
  5. Trial
  6. Quality of life in pediatric oncology patients, caregivers and siblings after psychosocial screening: a randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Trial
  7. Associations of Age, Gender, and Family Income with Quality of Life in Children With Advanced Cancer.Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses
    Trial
  8. Trial
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Fear, coping and support- from the perspective of children aged 10-17-year old having acute lymphoblastic leukemia.International journal of qualitative studies on health and well-being · 2024
    Article
  19. Article
  20. 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

11 authors at 7 institutions in 2 countries.

L Lee DupuisDepartment of Pharmacy, Research Institute, Hospital for Sick Children, Toronto, Canada.
Xiaomin LuDepartment of Biostatistics, Public Health and Health Professions, College of Medicine, University of Florida, Gainesville, Florida.
Hannah-Rose MitchellSchool of Medicine, Yale University School of Medicine, New Haven, Connecticut.
Lillian SungDivision of Haematology/Oncology, Hospital for Sick Children, Toronto, Canada.
Meenakshi DevidasDepartment of Biostatistics, Public Health and Health Professions, College of Medicine, University of Florida, Gainesville, Florida.
Leonard A MattanoHARP Pharma Consulting, Mystic, Connecticut.
William L CarrollPerlmutter Cancer Center, Langone Medical Center, New York University, New York, New York.
Naomi WinickPediatric Hematology-Oncology, University of Texas Southwestern Medical Center, Dallas, Texas.
Stephen P HungerDivision of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia and University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Kelly W MaloneyCenter for Cancer and Blood Disorders, Children's Hospital Colorado, Aurora, Colorado.
Nina S Kadan-LottickSection of Pediatric Hematology/Oncology, Yale University School of Medicine, New Haven, Connecticut.
Hospital for Sick Children · CAUniversity of Florida · USYale University · USChildren's Hospital of Philadelphia · USNYU Langone Health · USThe University of Texas Southwestern Medical Center · USUniversity of Colorado Denver · US

Funding

NCTN BIQSFP ANBL1531 (NRT)U10CA180886 · NCI · PUBLIC HEALTH INSTITUTE · PI Douglas S. Hawkins · 2014 to 2026
$390.6M
COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
COG SDMC - Statistics CoreU10CA180899 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TODD A ALONZO · 2014 to 2026
$132.8M
Towards a preventive cancer vaccine for children with constitutional mismatch repair deficiencyUG1CA189955 · NCI · PUBLIC HEALTH INSTITUTE · PI BRAD H POLLOCK, Michael E. Roth · 2014 to 2026
$62.5M
CHILDRENS CANCER STUDY GROUP CHAIRMAN'S GRANTU10CA013539 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI REAMAN, GREGORY H · 1985 to 2002
$43.1M
Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
Community Clinical Oncology Program Research BaseU10CA095861 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI POLLOCK, BRAD H · 2002 to 2013
$19.5M
NCATS NIH HHS UL1 TR001427NCI NIH HHS CA13539NCI NIH HHS CA98543NCI NIH HHS U10 CA095861NCI NIH HHS U10 CA098543NCI NIH HHS U10 CA180886NCI NIH HHS U10 CA180899NCI NIH HHS UG1 CA189955
6 · The paper itself

Abstract

backgroundThis prospective study describes the procedure-related anxiety, treatment-related anxiety, pain, and nausea experienced by children with standard-risk acute lymphoblastic leukemia (ALL) during the first year of treatment.

methodsThis study was undertaken at 31 Children's Oncology Group (COG) sites. Eligible children who were 2 to 9.99 years old were enrolled in a COG trial for patients with newly diagnosed standard-risk ALL from 2005 to 2009. Parents completed a demographic survey at the baseline and the Pediatric Quality of Life Inventory 3.0 Cancer Module (proxy version) and the General Functioning Scale of the Family Assessment Device 1, 6, and 12 months after the diagnosis. The association between patient-related (age, sex, ethnicity, and treatment), parent-related (marital status and education), and family-related factors (functioning, income, and size) and symptom scores was evaluated.

resultsThe mean scores for procedure-related anxiety, treatment-related anxiety, and pain improved during the first year of treatment (P < .0389). The mean nausea score was poorer 6 months after the diagnosis in comparison with the other assessments (P = .0085). A younger age at diagnosis was associated with significantly worse procedure-related anxiety (P = .004). An older age (P = .0002) and assignment to the intensified consolidation study arm (P = .02) were associated with significantly worse nausea.

conclusionsChildren with ALL experienced decreasing treatment-related anxiety, procedure-related anxiety, and pain during the first year of treatment. In comparison with scores at 1 and 12 months, nausea was worse 6 months after the diagnosis. Minimization of procedure-related anxiety in younger children and improved nausea control in older children and those receiving more intensified treatment should be prioritized.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsAnxietyAsparaginaseChildChild, PreschoolConsolidation ChemotherapyCyclophosphamideCytarabineDexamethasoneFemaleHumansInduction ChemotherapyLongitudinal StudiesMaintenance ChemotherapyMaleMercaptopurineAsparaginaseCyclophosphamideCytarabineDexamethasoneMercaptopurineMethotrexatepegaspargasePolyethylene GlycolsVincristineanxietychildhood acute lymphoblastic leukemianauseapain

Identifiers

PMID26773735
PMCPMC5138861
OpenAlexW2235987501

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.