Evidence map›Paper›PMID 30440007›Full record

ArticlePloS one2018

Second malignant neoplasms after childhood cancer: A nationwide population-based study in Korea.

Hee Young Ju, Eun-Kyeong Moon, Jiwon Lim, Byung Kiu Park, Hee Young Shin, Young-Joo Won, Hyeon Jin Park

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

11 citing papers in PubMed, 22 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Hee Young JuCenter for Pediatric Cancer, National Cancer Center, Goyang, Korea.
Eun-Kyeong MoonCancer Registration and Statistics Branch, National Cancer Center, Goyang, Korea.
Jiwon LimCancer Registration and Statistics Branch, National Cancer Center, Goyang, Korea.
Byung Kiu ParkCenter for Pediatric Cancer, National Cancer Center, Goyang, Korea.
Hee Young ShinDepartment of Pediatrics, Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Young-Joo WonCancer Registration and Statistics Branch, National Cancer Center, Goyang, Korea.ORCID 0000-0001-9861-6740
Hyeon Jin ParkCenter for Pediatric Cancer, National Cancer Center, Goyang, Korea.
National Cancer Center · KRSeoul National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSecond malignant neoplasm is one of the most devastating late effects of childhood cancers. This study aimed to evaluate the incidence and survival outcomes of patients developing second malignant neoplasms (SMNs) after surviving childhood cancer in Korea.

methodsMedical data of childhood cancer patients diagnosed between 1993 and 2012 were obtained from the Korea Central Cancer Registry. The risk of developing SMNs was calculated using standardized incidence ratio (SIR), excess absolute risk (EAR), and cumulative risk. Kaplan-Meier survival curves were estimated, stratified by SMN status.

resultsA total of 28,405 childhood cancer patients were diagnosed in the study period, and 337 (1.2%) developed SMN. The total follow-up period was 197,359 person-years at risk (PYR), with a median follow-up duration of 5.6 years. Overall SIR was 20.0, which was 23.2 in women, and 17.6 in men. The overall EAR was 16.4 per 10,000 PYR. The most common types of SMNs, in order of incidence, were other malignant epithelial neoplasms, leukemia, and soft tissue sarcomas. The cumulative incidence of developing SMNs was 0.7% at 5 years, 1.2% at 10 years, and 2% at 15 years. After primary cancer diagnosis, the 10-year overall survival rate of patients with SMNs was 65.1%, which was lower than the 73.4% in patients without SMN. After SMN diagnosis, the 10-year overall survival rate was 55.8%.

conclusionThrough this registry-based study of 5.6 years of follow up, childhood cancer survivors were found to be at 20-fold higher risk of developing a malignant neoplasm compared to the general population. The majority of malignant neoplasms are malignant epithelial neoplasms, leukemia, and soft tissue sarcomas. Continued surveillance for assessing long-term risks, and guidance for appropriate long-term follow up of childhood cancer survivors, are needed.

Indexed as

AdolescentAdultAge of OnsetCancer SurvivorsChildChild, PreschoolFemaleFollow-Up StudiesHumansIncidenceInfantMaleNeoplasms, Second PrimaryRegistriesRepublic of KoreaRisk

Identifiers

PMID30440007
PMCPMC6237355
OpenAlexW2901507927

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.