Evidence map›Paper›PMID 31736198›Full record

ArticlePediatric blood & cancer2020

The association of mediastinal mass in the formation of thrombi in pediatric patients with non-lymphoblastic lymphomas.

Jessica Gartrell, Sue C Kaste, John T Sandlund, Jamie Flerlage, Yinmei Zhou, Cheng Cheng, Jeremie Estepp, Monika L Metzger

Open access · greenAbstract read
In one paragraph

Article in Pediatric blood & cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Central venous catheter-associated complications in pediatric patients diagnosed with Hodgkin lymphoma: implications for catheter choice.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    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 at 1 institution in 1 country.

Jessica GartrellDepartment of Oncology, St Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0002-1722-2924
Sue C KasteUniversity of Tennessee Health Science Center, Memphis, Tennessee.
John T SandlundDepartment of Oncology, St Jude Children's Research Hospital, Memphis, Tennessee.
Jamie FlerlageDepartment of Oncology, St Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0002-4182-9355
Yinmei ZhouDepartment of Biostatistics, St Jude Children's Research Hospital, Memphis, Tennessee.
Cheng ChengDepartment of Biostatistics, St Jude Children's Research Hospital, Memphis, Tennessee.
Jeremie EsteppUniversity of Tennessee Health Science Center, Memphis, Tennessee.
Monika L MetzgerDepartment of Oncology, St Jude Children's Research Hospital, Memphis, Tennessee.
St. Jude Children's Research Hospital · US

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
NCI NIH HHS CA-21765NCI NIH HHS P30 CA021765
6 · The paper itself

Abstract

backgroundChildren diagnosed with cancer are at a significantly higher risk of developing a thrombotic event (TE) compared with the general population. The rarity of these events makes it difficult to discern the specific risk factors; however, age, sex, presence of central venous lines, inherited thrombophilia, and mediastinal mass may play a role. The primary aim of this study is to identify prognostic characteristics of children diagnosed with non-lymphoblastic lymphomas associated with a greater risk of developing a TE early on in their disease, with an increased focus on mediastinal mass characteristics.

methodsRetrospective chart review of pediatric patients diagnosed with non-lymphoblastic lymphoma between 2004 and 2014 at St. Jude Children's Research Hospital.

resultsTE occurred in 8.5% (n = 28/330) of individuals at a median of 21 days from the diagnosis of a non-lymphoblastic lymphoma, with 60% of TEs occurring within 30 days of diagnosis. Of the variables evaluated, only presence of a peripherally inserted central catheter (odds ratio [OR]: 3.14 [95% CI: 1.24-7.98; P = 0.02]) and degree of superior vena cava (SVC) compression of > 25% increased the odds of developing a TE (OR: 2.2 [95% CI: 1.01-4.93; P = 0.048]).

conclusionPediatric patients with non-lymphoblastic lymphoma are at increased risk of developing TEs. In contrast to previous studies, the presence of a mediastinal mass alone was not associated with a higher risk of TE, but individuals with a mediastinal mass with 25% or greater degree of SVC compression were more likely to develop a TE. This finding highlights a high-risk group of children who may benefit from prophylactic anticoagulation.

Indexed as

AdolescentAdultChildChild, PreschoolFemaleFollow-Up StudiesHumansInfantInfant, NewbornMaleMediastinal NeoplasmsPrecursor Cell Lymphoblastic Leukemia-LymphomaPrognosisRetrospective StudiesThrombosisYoung Adulthematologyhemostasis and thrombosislymphomanon-Hodgkin lymphomapediatric hematology/oncology

Identifiers

PMID31736198
PMCPMC7233458
OpenAlexW2985288914

What OpenQuestion holds

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Registered trials

None linked

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.