Evidence map›Paper›PMID 29922939›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2019

A decrease in vitamin D levels is associated with methotrexate-induced oral mucositis in children with acute lymphoblastic leukemia.

N Oosterom, N F Dirks, S G Heil, R de Jonge, W J E Tissing, R Pieters, M M van den Heuvel-Eibrink, A C Heijboer, S M F Pluijm

3 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2019. 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 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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.

NCT04096846 unknown statusnot on this map

Relationship Between Vitamin D Deficiency and Oral Mucositis in Patients With Acute Lymphoblastic Leukemia Receiving Methotrexate in South Egypt Cancer Institute , a Prospective Study

TypeobservationalSponsorAssiut UniversityRan2019 to 2020Enrolled100ConditionsAcute Lymphoblastic LeukemiaArmslaboratory investigation
NCT04308161 phase2unknown statusnot on this map

The Effectiveness of Topical Oral Vitamin D Gel in Prevention of Radiation-induced Oral Mucositis

TypeinterventionalSponsorHams Hamed AbdelrahmanRan2019 to 2020Enrolled45ConditionsOral Mucositis Due to RadiationArmsvitamin D oral gel, Miconazole Topical Gel, BBC oral spray, Oracure gel, Alkamisr sachets
NCT04488237 unknown statusnot on this mapstarted 2020, after this paper: background citation

Effect of Vitamin D Administration on Methotrexate Adverse Effects in Patients With Acute Lymphoblastic Leukemia

TypeobservationalSponsorAssiut UniversityRan2020 to 2021Enrolled50ConditionsAcute Lymphoblastic LeukemiaArmsVitamin D
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. The evolution of nutritional care in children and young people with acute lymphoblastic leukaemia: a narrative review.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
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  11. Review
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  16. Current evidence for vitamin D in intestinal function and disease.Experimental biology and medicine (Maywood, N.J.) · 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

9 authors at 5 institutions in 1 country.

N OosteromPrincess Máxima Center for Pediatric Oncology, P.O. 85090, 3508 AB, Utrecht, The Netherlands. N.Oosterom@prinsesmaximacentrum.nl.
N F DirksEndocrine Laboratory, Department of Clinical Chemistry, VU University Medical Center, Amsterdam, The Netherlands.
S G HeilDepartment of Clinical Chemistry, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
R de JongeDepartment of Clinical Chemistry, VU University Medical Center, Amsterdam, The Netherlands.
W J E TissingDepartment of Pediatric Oncology, University Medical Center Groningen, Groningen, The Netherlands.
R PietersPrincess Máxima Center for Pediatric Oncology, P.O. 85090, 3508 AB, Utrecht, The Netherlands.
M M van den Heuvel-EibrinkPrincess Máxima Center for Pediatric Oncology, P.O. 85090, 3508 AB, Utrecht, The Netherlands.
A C HeijboerEndocrine Laboratory, Department of Clinical Chemistry, VU University Medical Center, Amsterdam, The Netherlands.
S M F PluijmPrincess Máxima Center for Pediatric Oncology, P.O. 85090, 3508 AB, Utrecht, The Netherlands.
Princess Máxima Center · NLAmsterdam UMC Location VUmc · NLAcademic Medical Center · NLErasmus MC · NLUniversity Medical Center Groningen · NL

Funding

Stichting Kinderen Kankervrij 197
6 · The paper itself

Abstract

purposeChildren with acute lymphoblastic leukemia (ALL) are at increased risk of vitamin D deficiency, which might make them more susceptible to developing adverse events. Previous studies showed that low vitamin D levels were associated with an increased inflammatory mucosal state and impaired mucosal tissue barriers. We examined the prevalence of vitamin D deficiency and studied the association between vitamin D levels and methotrexate (MTX)-induced oral mucositis in pediatric ALL.

methodsWe assessed 25-hydroxyvitamin D (25(OH)D

resultsVitamin D deficiency occurred in respectively 8% (< 30 nmol/L) and 33% (< 50 nmol/L) of the patients at T0, and more frequently in children > 4 years of age as compared to children between 1 and 4 years of age. A decrease in 25(OH)D

conclusionsThis study showed that vitamin D deficiency occurs frequently in pediatric ALL patients above the age of 4 years. A decrease in 25(OH)D

Indexed as

AdolescentAntineoplastic Combined Chemotherapy ProtocolsChildChild, PreschoolCohort StudiesDose-Response Relationship, DrugFemaleHumansInfantMaleMethotrexateNetherlandsPrecursor Cell Lymphoblastic Leukemia-LymphomaPrevalenceStomatitisVitamin DMethotrexateVitamin DAcute lymphoblastic leukemiaMethotrexateOral mucositisVitamin D

Identifiers

PMID29922939
PMCPMC6280960
OpenAlexW2808837482

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.