Evidence map›Paper›PMID 31866182›Full record

GuidelineThe Lancet. Child & adolescent health2020

Prevention of cisplatin-induced ototoxicity in children and adolescents with cancer: a clinical practice guideline.

David R Freyer, Penelope R Brock, Kay W Chang, L Lee Dupuis, Sidnei Epelman, Kristin Knight, Denise Mills, Robert Phillips, Emma Potter, Demie Risby and 5 more

Open access · greenAbstract readPractice Guideline
In one paragraph

Guideline in The Lancet. Child & adolescent health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed
4.0field-weighted citation impact, top 5% 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

74 citing papers in PubMed, 117 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Therapeutic Potential of MgHNeuroscience bulletin · 2026
    Article
  8. Article
  9. Article
  10. Review
  11. Transtympanic Injection of Antioxidant-Eluting Microparticles for Otoprotection From Cisplatin Toxicity in a Mouse Model.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Article
  12. [Preliminary efficacy and safety of a dose-intensified C5VD regimen in 24 children with locally advanced hepatoblastoma].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Approaches to Reduce Toxicity in Pediatric Brain Tumors.Current oncology (Toronto, Ont.) · 2025
    Review
  19. Article
  20. Review

14 more citing papers are in PubMed but not listed here.

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

15 authors at 11 institutions in 5 countries.

David R FreyerChildren's Center for Cancer and Blood Diseases, Children's Hospital Los Angeles, Los Angeles, CA, USA; Departments of Pediatrics and Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, US.
Penelope R BrockDepartment of Haematology and Oncology, Great Ormond Street Hospital, London, UK.
Kay W ChangDepartment of Otolaryngology-Head and Neck Surgery, Stanford University, Palo Alto, CA, USA.
L Lee DupuisDepartment of Pharmacy, The Hospital for Sick Children, Toronto, ON, Canada; Child Health Evaluative Sciences, Research Institute, The Hospital for Sick Children, Toronto, ON, Canada; Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada.
Sidnei EpelmanDepartment of Pediatric Oncology, Casa de Saude Santa Marcelina, Sao Paolo, Brazil.
Kristin KnightPediatric Audiology, Doernbecher Children's Hospital, Oregon Health and Science University, Portland, OR, USA.
Denise MillsDivision of Haematology and Oncology, The Hospital for Sick Children, Toronto, ON, Canada; Pediatric Oncology Group of Ontario, Toronto, ON, Canada.
Robert PhillipsDepartment of Haematology and Oncology, Leeds Teaching Hospital, NHS Trust, Leeds, UK; Centre for Reviews and Dissemination, University of York, York, UK.
Emma PotterDivision of Oncology, Royal Marsden Hospital, London, UK.
Demie RisbyGreat Ormond Street Hospital, London, UK.
Philippa SimpkinLondon, UK.
Michael SullivanChildren's Cancer Centre, Royal Children's Hospital, Melbourne, VIC, Australia; Department of Paediatrics, Faculty of Medicine, University of Melbourne, Melbourne, VIC, Australia.
Sandra CabralPediatric Oncology Group of Ontario, Toronto, ON, Canada.
Paula D RobinsonPediatric Oncology Group of Ontario, Toronto, ON, Canada.
Lillian SungChild Health Evaluative Sciences, Research Institute, The Hospital for Sick Children, Toronto, ON, Canada; Division of Haematology and Oncology, The Hospital for Sick Children, Toronto, ON, Canada. Electronic address: lillian.sung@sickkids.ca.
Pediatric Oncology Group · CAGreat Ormond Street Hospital · GBDoernbecher Children's Hospital · USHospital Santa Marcelina · BRInstitute for Clinical Evaluative Sciences · CARoyal Children's Hospital · AURoyal Marsden Hospital · GBStanford University · USUniversity of Southern California · USUniversity of Toronto · CAUniversity of York · GB

Funding

USC/NORRIS COMPREHENSIVE CANCER CENTER (CORE) SUPPORTP30CA014089 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Fumito Ito · 1985 to 2026
$181.4M
Cancer Research UK 28028Cancer Research UK 8156Medical Research Council G0800472NCI NIH HHS P30 CA014089
6 · The paper itself

Abstract

Despite ototoxicity being a prevalent consequence of cisplatin chemotherapy, little guidance exists on interventions to prevent this permanent and progressive adverse event. To develop a clinical practice guideline for the prevention of cisplatin-induced ototoxicity in children and adolescents with cancer, we convened an international, multidisciplinary panel of experts and patient advocates to update a systematic review of randomised trials for the prevention of cisplatin-induced ototoxicity. The systematic review identified 27 eligible adult and paediatric trials that evaluated amifostine, sodium diethyldithiocarbamate or disulfiram, systemic sodium thiosulfate, intratympanic therapies, and cisplatin infusion duration. Regarding systemic sodium thiosulfate, the panel made a strong recommendation for administration in non-metastatic hepatoblastoma, a weak recommendation for administration in other non-metastatic cancers, and a weak recommendation against its routine use in metastatic cancers. Amifostine, sodium diethyldithiocarbamate, and intratympanic therapy should not be routinely used. Cisplatin infusion duration should not be altered as a means to reduce ototoxicity. Further research to determine the safety of sodium thiosulfate in patients with metastatic cancer is encouraged.

Indexed as

AdolescentAntineoplastic AgentsChildCisplatinFemaleHearing LossHumansMaleNeoplasmsOtotoxicityPrognosisRandomized Controlled Trials as TopicSurvival RateSystematic Reviews as TopicThiosulfatesAntineoplastic AgentsCisplatinsodium thiosulfateThiosulfates

Identifiers

PMID31866182
PMCPMC7521149
OpenAlexW2996408672

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.