Evidence map›Paper›PMID 29090520›Full record

Trial reportPediatric blood & cancer2018

An investigation of toxicities and survival in Hispanic children and adolescents with ALL: Results from the Dana-Farber Cancer Institute ALL Consortium protocol 05-001.

Justine M Kahn, Peter D Cole, Traci M Blonquist, Kristen Stevenson, Zhezhen Jin, Sergio Barrera, Randy Davila, Emily Roberts, Donna S Neuberg, Uma H Athale and 9 more

Open access · bronzeAbstract readClinical TrialComparative StudyMulticenter Study
In one paragraph

Trial report in Pediatric blood & cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.0field-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

22 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Incidence and Mortality Rates for Childhood Acute Lymphoblastic Leukemia in Puerto Rican Hispanics, 2012-2016.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Survival by Race and Ethnicity in Pediatric and Adolescent Patients With Hodgkin Lymphoma: A Children's Oncology Group Study.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2019
    Article
  20. Disparities in Survival and Health Outcomes in Childhood Leukemia.Current hematologic malignancy reports · 2019
    Review
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

19 authors at 14 institutions in 3 countries.

Justine M KahnDivision of Pediatric Hematology/Oncology/Stem Cell Transplantation, Columbia University Medical Center, New York, New York.ORCID 0000-0003-3330-6754
Peter D ColeDivision of Pediatric Hematology/Oncology, Children's Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York.
Traci M BlonquistDepartment of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Kristen StevensonDepartment of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Zhezhen JinDepartment of Biostatistics, Columbia University Medical Center, New York, New York.
Sergio BarreraDepartment of Economics, University of Minnesota, Minneapolis, Minnesota.
Randy DavilaDepartment of Psychology, University of California, Davis, California.
Emily RobertsDepartment of Biostatistics, University of Michigan, Ann Arbor, Michigan.
Donna S NeubergDepartment of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Uma H AthaleDivision of Pediatric Hematology/Oncology, McMaster University, Hamilton, Ontario, Canada.
Luis A ClavellDivision of Pediatric Oncology, San Jorge Children's Hospital, San Juan, Puerto Rico.
Caroline LaverdiereDivision of Hematology and Oncology, Hospital Sainte-Justine, University of Montreal, Montreal, Canada.
Jean-Marie LeclercDivision of Hematology and Oncology, Hospital Sainte-Justine, University of Montreal, Montreal, Canada.
Bruno MichonDivision of Hematology-Oncology, Centre Hospitalier de l'Université Laval, Quebec City, Canada.
Marshall A SchorinInova Fairfax Hospital for Children, Falls Church, Virginia.
Jennifer J G WelchDivision of Pediatric Hematology-Oncology, Hasbro Children's Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Stephen E SallanDepartment of Pediatric Oncology, Dana-Farber Cancer Institute and Division of Pediatric Hematology-Oncology, Boston Children's Hospital, Boston, Massachusetts.
Lewis B SilvermanDepartment of Pediatric Oncology, Dana-Farber Cancer Institute and Division of Pediatric Hematology-Oncology, Boston Children's Hospital, Boston, Massachusetts.
Kara M KellyDivision of Pediatric Hematology/Oncology/Stem Cell Transplantation, Columbia University Medical Center, New York, New York.
Harvard University · USBoston Children's Hospital · USCentre Hospitalier Universitaire Sainte-Justine · CAColumbia University Irving Medical Center · USAlbert Einstein College of Medicine · USBrown University · USCentre hospitalier de l'Université Laval · CAInova Children's Hospital · USMcMaster University · CASan Juan City Hospital · PRUniversity of California, Davis · USUniversity of Michigan · USUniversity of Minnesota · USWomen & Children's Hospital of Buffalo · US

Funding

Training Program in Cancer-Related Population SciencesR25CA094061 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI NEUGUT, ALFRED I. · 2002 to 2016
$5.9M
NCI NIH HHS R25 CA094061
6 · The paper itself

Abstract

purposeThis study compared the relative incidence of treatment-related toxicities and the event-free and overall survival between Hispanic and non-Hispanic children undergoing therapy for acute lymphoblastic leukemia (ALL) on Dana-Farber Cancer Institute ALL Consortium protocol 05-001. PATIENTS AND

methodsSecondary analysis of prospectively collected data from a phase III multicenter study in children and adolescents of 1-18 years with previously untreated ALL.

resultsBetween 2005 and 2011, 794 eligible patients enrolled on DFCI 05-001, 730 of whom were included in this analysis (19% [N = 150] Hispanic, 73% [N = 580] non-Hispanic). Hispanic patients were more likely to be ≥10 years of age (32% vs. 24%, P = 0.045) at diagnosis. Toxicity analyses revealed that Hispanic patients had significantly lower cumulative incidence of bone fracture (P < 0.001) and osteonecrosis (ON; P = 0.047). In multivariable risk regression, the risk of ON was significantly lower in Hispanic patients ≥10 years (HR 0.23; P = 0.006). Hispanic patients had significantly lower 5-year event-free survival (EFS) (79.4%; 95% CI: 71.6-85.2) and overall survival (OS) (89.2%; 95% CI: 82.7-93.4) than non-Hispanic patients (EFS: 87.5%; 95% CI: 84.5-90.0, P = 0.004; OS: 92.7%; 95% CI: 90.2-94.6, P = 0.006). Exploratory analyses revealed differences between Hispanic and non-Hispanic patients in the frequency of common variants in genes related to toxicity or ALL outcome.

conclusionHispanic children treated for ALL on DFCI 05-001 had fewer bone-related toxicities and inferior survival than non-Hispanic patients. While disease biology is one explanatory variable for outcome disparities, these findings suggest that biologic and non-biologic mechanisms affecting drug delivery and exposure in this population may be important contributing factors as well.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsHispanic or LatinoOsteonecrosisPrecursor Cell Lymphoblastic Leukemia-LymphomaAdolescentChildChild, PreschoolDisease-Free SurvivalFemaleFractures, BoneHumansIncidenceInfantMaleSurvival Rateacute lymphoblastic leukemiaethnicityHispanicoutcomessurvivaltoxicities

Identifiers

PMID29090520
PMCPMC5766393
OpenAlexW2765593029

What OpenQuestion holds

Textmetadata
LicenceTDM
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.