Evidence map›Paper›PMID 28549148›Full record

SynthesisJournal of the Pediatric Infectious Diseases Society2018

Risk Factors for Invasive Fungal Disease in Pediatric Cancer and Hematopoietic Stem Cell Transplantation: A Systematic Review.

Brian T Fisher, Paula D Robinson, Thomas Lehrnbecher, William J Steinbach, Theoklis E Zaoutis, Bob Phillips, Lillian Sung

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Journal of the Pediatric Infectious Diseases Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 6 pooled it
4.7field-weighted citation impact, top 4% 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

60 citing papers in PubMed, 6 syntheses or guidelines pooled it, 143 citations in OpenAlex.

  1. Pooled it
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  3. Guideline
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  6. Guideline
  7. Trial
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  13. Article
  14. Comparative analysis ofSAGE open medicine · 2026
    Article
  15. Review
  16. Fungal Infections in Pediatric Patients With Hematologic Malignancies and Stem Cell Transplantation: Impact on the Upper and Lower Respiratory Systems.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2026
    Review
  17. Article
  18. Article
  19. The prevalence of pediatric nosocomial fungal infections.Iranian journal of microbiology · 2025
    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

7 authors at 6 institutions in 4 countries.

Brian T FisherDivision of Pediatric Infectious Diseases, Children's Hospital of Philadelphia, Pennsylvania.
Paula D RobinsonPediatric Oncology Group of Ontario, Toronto, Canada.
Thomas LehrnbecherDivision of Pediatric Hematology and Oncology, Hospital for Children and Adolescents, Johann Wolfgang Goethe University, Frankfurt, Germany.
William J SteinbachDivision of Pediatric Infectious Diseases, Department of Molecular Genetics and Microbiology, Duke University Medical Center, Durham, North Carolina.
Theoklis E ZaoutisDivision of Pediatric Infectious Diseases, Children's Hospital of Philadelphia, Pennsylvania.
Bob PhillipsLeeds General Infirmary, Leeds Teaching Hospitals, NHS Trust.
Lillian SungDivision of Haematology/Oncology, Child Health Evaluative Sciences, Hospital for Sick Children, Toronto, Ontario, Canada.
Children's Hospital of Philadelphia · USDuke Medical Center · USGoethe University Frankfurt · DELeeds Teaching Hospitals NHS Trust · GBPediatric Oncology Group · CASickKids Foundation · CA

Funding

Department of Health PDF-2014-07-072Medical Research Council G0800472
6 · The paper itself

Abstract

backgroundAlthough a number of risk factors have been associated with invasive fungal disease (IFD), a systematic review of the literature to document pediatric-specific factors has not been performed.

methodsWe used the Ovid SP platform to search Medline, Medline In-Process, and Embase for studies that identified risk factors for IFD in children with cancer or those who undergo hematopoietic stem cell transplantation (HSCT). We included studies if they consisted of children or adolescents (<25 years) who were receiving treatment for cancer or undergoing HSCT and if the study evaluated risk factors among patients with and those without IFD.

resultsAmong the 3566 studies screened, 22 studies were included. A number of pediatric factors commonly associated with an increased risk for IFD were confirmed, including prolonged neutropenia, high-dose steroid exposure, intensive-timing chemotherapy for acute myeloid leukemia, and acute and chronic graft-versus-host disease. Increasing age, a factor not commonly associated with IFD risk, was identified as a risk factor in multiple published cohorts.

conclusionsWith this systematic review, we have confirmed IFD risk factors that are considered routinely in daily clinical practice. Increasing age should also be considered when assessing patient risk for IFD. Future efforts should focus on defining more precise thresholds for a particular risk factor (ie, age, neutropenia duration) and on development of prediction rules inclusive of individual factors to further refine the risk prediction.

Indexed as

AdolescentAdrenal Cortex HormonesAge FactorsAntineoplastic AgentsChildGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansImmunosuppressive AgentsInvasive Fungal InfectionsLeukemia, Myeloid, AcuteNeoplasmsNeutropeniaRisk FactorsAdrenal Cortex HormonesAntineoplastic AgentsImmunosuppressive Agents

Identifiers

PMID28549148
PMCPMC12427443
OpenAlexW2619798408

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.