Evidence map›Paper›PMID 30724342›Full record

ArticleInternational journal of cancer2019

Pediatric malignancies in neurofibromatosis type 1: A population-based cohort study.

Sirkku Peltonen, Roope A Kallionpää, Matti Rantanen, Elina Uusitalo, Päivi M Lähteenmäki, Minna Pöyhönen, Janne Pitkäniemi, Juha Peltonen

Abstract read
In one paragraph

Article in International journal of cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
–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

33 citing papers in PubMed.

  1. Article
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  16. Review
  17. Nervous system (NS) Tumors in Cancer Predisposition Syndromes.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2022
    Review
  18. Review
  19. [Progress in diagnosis and treatment of neurofibromatosis in children].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2022
    Review
  20. 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

8 authors.

Sirkku PeltonenDepartment of Dermatology, University of Turku, Turku, Finland.ORCID 0000-0003-0990-1430
Roope A KallionpääInstitute of Biomedicine, University of Turku, Turku, Finland.
Matti RantanenFinnish Cancer Registry - Institute for Statistical and Epidemiological Cancer Research, Helsinki, Finland.
Elina UusitaloInstitute of Biomedicine, University of Turku, Turku, Finland.
Päivi M LähteenmäkiDepartment of Pediatric and Adolescent Medicine, Turku University Hospital and University of Turku, Turku, Finland.
Minna PöyhönenDepartment of Clinical Genetics, HUSLAB, Helsinki University Central Hospital, Helsinki, Finland.
Janne PitkäniemiFinnish Cancer Registry - Institute for Statistical and Epidemiological Cancer Research, Helsinki, Finland.
Juha PeltonenInstitute of Biomedicine, University of Turku, Turku, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neurofibromatosis type 1 (NF1) is a cancer predisposition syndrome with an incidence of 1:2,000. Patients with NF1 have an increased cancer risk and mortality, but there are no population-based cohort studies specifically investigating the risk of childhood malignancies. We used the Finnish NF1 cohort to analyze the incidence, risk and prognosis of malignancies in NF1 patients <20 years of age. Persons born in 1987-2011 were included, and 524 persons were followed through the files of the Finnish Cancer Registry from birth up to age 20 years. This amounted to 8,376 person years. Fifty-three patients had cancer <20 years of age, yielding a standardized incidence ratio (SIR) of 35.6. The most frequent location of pediatric cancers was the central nervous system (CNS); there were 45 cases and the SIR was 115.7. Exclusion of 22 optic pathway gliomas (OPGs) gave an SIR of 59.1 for the CNS and 21.6 for all cancers. There were nine malignant peripheral nerve sheath tumors (MPNSTs); their cumulative risk was 2.7% by age 20. No cases of leukemia were observed. NF1 patients showed considerable excess mortality with a standardized mortality ratio (SMR) of 73.1. The survival of NF1 patients with CNS tumors other than OPGs did not differ from that of non-NF1 controls (HR 0.64, 95% CI 0.23 to 1.76). In conclusion, brain tumors in childhood and MPNSTs in adolescence are malignancies of major concern in patients with NF1. The risk for myeloid malignancies may not be as high as suggested in the literature.

Indexed as

AdolescentCentral Nervous System NeoplasmsChildCohort StudiesFemaleFinlandHumansIncidenceMaleMortalityNerve Sheath NeoplasmsNeurofibromatosis 1PrognosisYoung Adultastrocytomagliomaleukemiamalignant peripheral nerve sheath tumorplexiform neurofibroma

Identifiers

PMID30724342
PMCPMC6849871

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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.