Evidence map›Paper›PMID 29272441›Full record

ArticleJournal of the National Cancer Institute2018

Validation of the Symptom Screening in Pediatrics Tool in Children Receiving Cancer Treatments.

L Lee Dupuis, Donna L Johnston, Christina Baggott, Shannon Hyslop, Deborah Tomlinson, Paul Gibson, Andrea Orsey, David Dix, Vicky Price, Magimairajan Vanan and 5 more

3 registry-linked trialsOpen access · bronzeAbstract readValidation Study
In one paragraph

Article in Journal of the National Cancer Institute, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 58 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 3 pooled it
17.1field-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.

NCT04614662 nacompletednot on this mapstarted 2021, after this paper: background citation

Symptom Screening Linked to Care Pathways for Children With Cancer: a Cluster Randomized Trial

TypeinterventionalSponsorThe Hospital for Sick ChildrenRan2021 to 2023Enrolled445ConditionsPediatric Cancer, Quality of LifeArmsSPARK Symptom Screening Linked to Feedback to Providers
NCT05012917 nacompletednot on this mapstarted 2021, after this paper: background citation

A Randomized Controlled Trial a Dyad Approach to Symptom Screening (Co-SSPedi) vs. Proxy-report (Proxy-SSPedi) and Self-report (SSPedi or Mini-SSPedi) for Pediatric Patients Receiving Cancer Treatments

TypeinterventionalSponsorThe Hospital for Sick ChildrenRan2021 to 2023Enrolled420ConditionsPediatric Cancer, Quality of Life, Symptom ScreeningArmsPatient/Proxy-SSPedi, Co-SSPedi
NCT06814795 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Feasibility of Medically Tailored Meals for Pediatric Populations at Risk for Disparities in Serious Illness Outcomes Due to Inequities in Social Drivers of Health (MTM-Kids)

TypeinterventionalSponsorUNC Lineberger Comprehensive Cancer CenterRan2025 to 2026Enrolled32ConditionsPediatric CancerArmsMedically tailored meals
3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 3 syntheses or guidelines pooled it, 112 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Perspectives of children, family caregivers, and health professionals about pediatric oncology symptoms: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Implementation of a universal psychosocial screening program across the pediatric cancer treatment trajectory: a standard of care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  9. Observational
  10. Scaling up symptom screening for routine use in pediatric oncology: provincial implementation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  11. Observational
  12. Review
  13. Article
  14. Article
  15. Review
  16. Development of an electronic system for self/proxy symptom tracking alongside children with cancer and their caregivers: a co-design exemplar.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  17. Do Not Throw Away Your Patient's Shot at Complete Vomiting Control.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2025
    Article
  18. Article
  19. Article
  20. Language understanding and preferences when reporting symptoms for pediatric patients receiving cancer treatments and their guardians.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    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

15 authors at 12 institutions in 2 countries.

L Lee DupuisProgram in Child Health Evaluative Sciences, The Hospital for Sick Children, Peter Gilgan Centre for Research and Learning, Toronto, Ontario, Canada.
Donna L JohnstonDivision of Hematology/Oncology, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
Christina BaggottPediatric Hematology/Oncology, Stanford University Cancer Clinical Trials Office, Palo Alto, CA.
Shannon HyslopProgram in Child Health Evaluative Sciences, The Hospital for Sick Children, Peter Gilgan Centre for Research and Learning, Toronto, Ontario, Canada.
Deborah TomlinsonProgram in Child Health Evaluative Sciences, The Hospital for Sick Children, Peter Gilgan Centre for Research and Learning, Toronto, Ontario, Canada.
Paul GibsonHaematology/Oncology, Department of Pediatrics, London Health Sciences Centre, London, Ontario, Canada.
Andrea OrseyDivision of Pediatric Hematology/Oncology, Connecticut Children's Medical Center, Hartford, CT.
David DixDivision of Hematology/Oncology/BMT, Department of Pediatrics, BC Children's Hospital, Vancouver, British Columbia, Canada.
Vicky PriceDivision of Pediatric Hematology/Oncology, Department of Pediatrics, IWK Health Centre, Halifax, Nova Scotia, Canada.
Magimairajan VananPediatric Hematology/Oncology/BMT, CancerCare Manitoba, Research Institute in Oncology and Hematology, Departments of Pediatrics and Child Health and Biochemistry and Medical Genetics, University of Manitoba, Winnipeg, Manitoba, Canada.
Carol PortwineDivision of Haematology/Oncology, McMaster Children's Hospital, Health Sciences Centre, Hamilton, Ontario, Canada.
Susan KuczynskiOntario Parents Advocating for Children with Cancer (OPACC), Toronto, Ontario, Canada.
Brenda SpieglerDepartment of Psychology, The Hospital for Sick Children, Toronto, Ontario, Canada.
George A TomlinsonDepartment of Medicine, Toronto General Hospital, Toronto, Ontario, Canada.
Lillian SungProgram in Child Health Evaluative Sciences, The Hospital for Sick Children, Peter Gilgan Centre for Research and Learning, Toronto, Ontario, Canada.
Hospital for Sick Children · CAInstitute for Clinical Evaluative Sciences · CABritish Columbia Children's Hospital · CAChildren's Hospital of Eastern Ontario · CAConnecticut Children's Medical Center · USIzaak Walton Killam Health Centre · CALondon Health Sciences Centre · CAMcMaster Children's Hospital · CASickKids Foundation · CAStanford University · USToronto General Hospital · CAUniversity of Manitoba · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The objective was to evaluate the reliability and validity of the self-report Symptom Screening in Pediatrics Tool (SSPedi) from the perspective of children with cancer and pediatric hematopoietic stem cell transplant (HSCT) recipients. Methods: In this multicenter study, respondents were children age eight to 18 years who had cancer or had received HSCT, and their parents. Two different child respondent populations were targeted. More symptomatic respondents were receiving active treatment for cancer, admitted to the hospital, and expected to be in the hospital three days later. Less symptomatic respondents were in maintenance therapy for acute lymphoblastic leukemia or had completed cancer therapy. Children completed SSPedi and then responded to validated self-report measures of mucositis, nausea, pain, and global quality of life. Children in the more symptomatic group repeated SSPedi and a global symptom change scale three days later. Parent proxy-report was optional. Reliability was evaluated using intraclass correlations while convergent validity was evaluated using Spearman correlations. Results: Of 502 children enrolled, 302 were in the more symptomatic group and 200 were in the less symptomatic group. Intraclass correlation coefficients were 0.88 (95% confidence interval [CI] = 0.82 to 0.92) for test-retest reliability and 0.76 (95% CI = 0.71 to 0.80) for inter-rater reliability. The mean difference in SSPedi scores between more and less symptomatic groups was 7.8 (95% CI = 6.4 to 9.2). SSPedi was responsive to change in global symptoms. All hypothesized relationships among measures were observed. Conclusions: SSPedi is a self-report symptom bother tool for children with cancer and HSCT recipients that is reliable, valid, and responsive to change. SSPedi can be used for clinical and research purposes. Future work should focus on integration into care delivery.

Indexed as

Diagnostic Self EvaluationPediatricsSymptom AssessmentAdolescentAge of OnsetChildFemaleHematopoietic Stem Cell TransplantationHumansMaleMass ScreeningNeoplasmsPsychometricsReproducibility of ResultsSelf ReportTransplant Recipients

Identifiers

PMID29272441
PMCPMC6005103
OpenAlexW2777868404

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.