Evidence map›Paper›PMID 27179013›Full record

ArticleBiological research for nursing2016

Fatigue and Oxidative Stress in Children Undergoing Leukemia Treatment.

Cheryl Rodgers, Chelse Sanborn, Olga Taylor, Patricia Gundy, Alice Pasvogel, Ida M Ki Moore, Marilyn J Hockenberry

Abstract readComparative Study
In one paragraph

Article in Biological research for nursing, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Brain glutathione and GABA+ levels in autistic children.Autism research : official journal of the International Society for Autism Research · 2024
    Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Sestrin family of genes and their role in cancer-related fatigue.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Article
  11. Article
  12. Article
  13. Article
  14. The Longitudinal Parallel Process Analysis of Biomarkers of Oxidative Stress, Symptom Clusters, and Cognitive Function in Children With Leukemia.Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses
    Article
  15. Symptoms in Children Receiving Treatment for Cancer-Part I: Fatigue, Sleep Disturbance, and Nausea/Vomiting.Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses
    Review
  16. Symptom Biomarkers for Children Receiving Treatment for Cancer: State of the Science.Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses
    Review
  17. 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

7 authors at 4 institutions in 1 country.

Cheryl RodgersDuke University School of Nursing, Durham, NC, USA cheryl.rodgers@duke.edu.
Chelse SanbornDuke Children's Hospital & Health Center, Durham, NC, USA.
Olga TaylorTexas Children's Hospital, Houston, TX, USA.
Patricia GundyUniversity of Arizona College of Nursing, Tucson, AZ, USA.
Alice PasvogelUniversity of Arizona College of Nursing, Tucson, AZ, USA.
Ida M Ki MooreUniversity of Arizona College of Nursing, Tucson, AZ, USA.
Marilyn J HockenberryDuke University School of Nursing, Durham, NC, USA.
University of Arizona · USDuke University · USDuke Children's Hospital & Health Center · USTexas Children's Hospital · US

Funding

Phenotype-Genotype Associations with Symptoms During Childhood Leukemia TreatmentR01CA169398 · NCI · DUKE UNIVERSITY · PI HOCKENBERRY, MARILYN J, SCHEURER, MICHAEL E. · 2012 to 2016
$2.9M
Childhood Leukemia: Oxidative Stress, Cognitive Changes & Academic OutcomesR01NR010889 · NINR · UNIVERSITY OF ARIZONA · PI MOORE, IDA MARIE, DNSC · 2009 to 2013
$2.8M
NCI NIH HHS R01 CA169398NINR NIH HHS R01 NR010889
6 · The paper itself

Abstract

Fatigue is a frequent and distressing symptom in children undergoing leukemia treatment; however, little is known about factors influencing this symptom. Antioxidants such as glutathione can decrease symptom severity in adult oncology patients, but no study has evaluated antioxidants' effects on symptoms in pediatric oncology patients. This study describes fatigue patterns and associations of fatigue with antioxidants represented by reduced glutathione (GSH) and the reduced/oxidized glutathione (GSH/GSSG) ratio among children receiving leukemia treatment. A repeated measures design assessed fatigue and antioxidants among 38 children from two large U.S. cancer centers. Fatigue was assessed among school-age children and by parent proxy among young children. Antioxidants (GSH and GSH/GSSG ratio) were assessed from cerebrospinal fluid at four phases during leukemia treatment. Young children had a steady decline of fatigue from the end of induction treatment through the continuation phase of treatment, but no significant changes were noted among the school-age children. Mean antioxidant scores varied slightly over time; however, the GSH/GSSG ratios in these children were significantly lower than the normal ratio. Mean GSH/GSSG ratios significantly correlated to fatigue scores of the school-age children during early phases of treatment. Children with low mean GSH/GSSG ratios demonstrated oxidative stress. The low ratios noted early in therapy were significantly correlated with higher fatigue scores during induction and postinduction treatment phases. This finding suggests that increased oxidative stress during the more intensive phases of therapy may explain the experience of fatigue children report.

Indexed as

AdolescentAntioxidantsChildChild, PreschoolFatigueFemaleGlutathioneHumansInfantLeukemiaMaleOxidative StressUnited StatesAntioxidantsGlutathionefatigueleukemiaoxidative stresspediatric

Identifiers

PMID27179013
PMCPMC5279822
OpenAlexW2357979658

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.