Evidence map›Paper›PMID 30381081›Full record

ArticleCurrent pediatric reviews2018

A Cross-sectional Study of Two Chemotherapy Protocols on Long Term Neurocognitive Functions in Egyptian Children Surviving Acute Lymphoblastic Leukemia.

Laila M Sherief, Reda Sanad, Alaa ElHaddad, Adel Shebl, Elhamy R Abdelkhalek, Eman R Elsafy, Tamer H Hassan, Nelly Raafat, Naglaa M Kamal, Eman I Attia

Abstract readMulticenter Study
In one paragraph

Article in Current pediatric reviews, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Cognitive performance and brain volume among survivors of pediatric hematological malignancies: a case-control study.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Article
  6. The association of environmental factors with neurocognitive outcomes in survivors of childhood acute lymphoblastic leukemia (ALL).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  7. [Recent research on cognitive impairment in children with acute lymphoblastic leukemia].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2023
    Review
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  9. Article
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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

10 authors.

Laila M SheriefPediatric Oncology Unit, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Reda SanadPediatric Department, Benha Pediatric Special Hospital, Benha, Egypt.
Alaa ElHaddadPediatric oncology department, National Cancer Institute, Cairo, Egypt.
Adel SheblPediatric Department, Benha Pediatric Special Hospital, Benha, Egypt.
Elhamy R AbdelkhalekPediatric Oncology Unit, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Eman R ElsafyPsychiatry Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Tamer H HassanPediatric Oncology Unit, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Nelly RaafatPsychiatry Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Naglaa M KamalPediatric Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
Eman I AttiaPediatric Oncology Unit, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSubtle neurocognitive deficits have been recently observed in Acute Lymphoblastic Leukemia (ALL) survivors.

aimWe aim to assess the neurocognitive functions of ALL survivors who had been treated with chemotherapy only using two different protocols, and to identify treatment-related risk factors. PATIENTS AND

methodsWe carried a multicenter study involving 3 pediatric oncology centers on 100 children who were treated for ALL. Fifty patients were treated by the modified Children's Cancer Group (CCG) 1991 protocol with low dose methotrexate and 50 children were treated by Total XV protocol with high dose methotrexate. Fifty healthy children were included as a control group. Psychometric assessment using Arabic version of Wechsler intelligence scale for children (WISC III) was performed for all patients and controls.

resultsPatients had significantly lower mean full scale IQ, performance IQ and verbal IQ than controls. Patients ≤ 5 years at diagnosis had significantly lower mean full scale IQ and performance IQ than patients>5 years at diagnosis, while the verbal IQ showed no significant difference between both age groups. Female patients had significantly lower mean full scale IQ, performance IQ and verbal IQthan males. Patients who received Total XV protocol with high dose methotrexate had significantly lower mean full scale IQ, performance IQ and verbal IQ than patients who received modified CCG 1991 protocol with low dose methotrexate.

conclusionsCNS directed chemotherapy might appear to affect neurocognitive functions in children with ALL, which is more significant in young children at diagnosis, in girls and in those receiving high dose methotrexate.

Indexed as

AdolescentAntineoplastic Combined Chemotherapy ProtocolsCancer SurvivorsChildChild, PreschoolCognitionCross-Sectional StudiesEgyptFemaleHumansIntelligence TestsMaleMethotrexateNeurocognitive DisordersPrecursor Cell Lymphoblastic Leukemia-LymphomaPsychometricsMethotrexateALLchemotherapychildrenleukemiaNeurocognitivesurvivors.

Identifiers

PMID30381081
PMCPMC6416189

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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.