Evidence map›Paper›PMID 28581463›Full record

Trial reportBone marrow transplantation2017

The burden of chemotherapy-induced nausea and vomiting in children receiving hematopoietic stem cell transplantation conditioning: a prospective study.

J Flank, J Sparavalo, H Vol, L Hagen, R Stuhler, D Chong, S Courtney, J J Doyle, A Gassas, T Schechter and 1 more

Abstract readClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report in Bone marrow transplantation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 pooled it
2.2field-weighted citation impact, top 13% 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

21 citing papers in PubMed, 4 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Outcomes of chemotherapy-induced nausea and vomiting guideline adherence in pediatric and adult patients: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
  3. Interventions for the prevention of acute phase chemotherapy-induced nausea and vomiting in adult and pediatric patients: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
  4. Guideline
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Risk factors associated with anticipatory nausea and vomiting in children receiving chemotherapy: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  10. Article
  11. Article
  12. Impact of dexamethasone on transplant-related mortality in pediatric patients: a multi-site, propensity score-weighted, retrospective assessment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  13. Evaluation of chemotherapy-induced nausea and vomiting in pediatric patients with high-grade glioma treated with lomustine-a case series.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  14. Article
  15. Article
  16. Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2021
    Article
  17. Article
  18. Observational
  19. Antiemetic Prophylaxis with Fosaprepitant and 5-HTDrug design, development and therapy · 2020
    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 4 institutions in 2 countries.

J FlankDepartment of Pharmacy, The Hospital for Sick Children, Toronto, Ontario, Canada.
J SparavaloDepartment of Pharmacy, The Hospital for Sick Children, Toronto, Ontario, Canada.
H VolDepartment of Pharmacy, The Hospital for Sick Children, Toronto, Ontario, Canada.
L HagenDepartment of Dietetics, The Hospital for Sick Children, Toronto, Ontario, Canada.
R StuhlerDepartment of Dietetics, The Hospital for Sick Children, Toronto, Ontario, Canada.
D ChongDepartment of Pharmacy, The Hospital for Sick Children, Toronto, Ontario, Canada.
S CourtneyDepartment of Nursing, The Hospital for Sick Children, Toronto, Ontario, Canada.
J J DoyleSection of Pediatric Hematology/Oncology, CancerCare Manitoba, Winnipeg, Manitoba, Canada.
A GassasSchool of Clinical Sciences, University of Bristol and Bristol Royal Hospital for Children, Bristol, UK.
T SchechterDepartment of Paediatrics, Division of Haematology/Oncology, The Hospital for Sick Children and Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
L L DupuisDepartment of Pharmacy, The Hospital for Sick Children, Toronto, Ontario, Canada.
University of Toronto · CAHospital for Sick Children · CABristol Royal Hospital for Children · GBUniversity of Manitoba · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This prospective study describes chemotherapy-induced nausea and vomiting (CINV) in children (4-18 years) receiving their first hematopoietic stem cell transplant. Emetic episodes, nausea severity (assessed using a validated, self-report nausea severity assessment tool) and antiemetic administration were documented from the start of conditioning until 24 h after the last conditioning agent was administered (acute) and for a further 7 days (delayed). Relationships between CINV control and parenteral nutrition (PN) use and acute gut GvHD (aGvHD) were explored. Fifty-nine children (4.6-17.4 years) were evaluable. Complete chemotherapy-induced vomiting (CIV; acute: 24%; delayed 22%) and chemotherapy-induced nausea (CIN; acute 7%; delayed 12%) control rates were low. Few children experienced complete CINV control (no vomiting/retching and no nausea) during the acute (5%) or delayed phases (12%). Children experiencing complete acute or delayed CIN control or complete delayed CIV control were more likely to have received: a lower proportion of their total energy requirement as PN at the end of the delayed phase (P<0.036) and PN for a shorter time (P<0.044). Low patient numbers did not permit evaluation of the association between gut aGvHD and CINV control. Effective and safe interventions aimed at improving CINV control in children are required.

Indexed as

AdolescentAntineoplastic AgentsChildChild, PreschoolFemaleHematopoietic Stem Cell TransplantationHumansMaleNauseaProspective StudiesTransplantation ConditioningVomitingAntineoplastic Agents

Identifiers

PMID28581463
OpenAlexW2624178947

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.