Evidence map›Paper›PMID 32052421›Full record

Trial reportDevelopmental medicine and child neurology2020

Predictors of cognitive development in children with neurofibromatosis type 1 and plexiform neurofibromas.

Yang Hou, Taryn Allen, Pamela L Wolters, Mary Anne Toledo-Tamula, Staci Martin, Andrea Baldwin, Stephanie Reda, Andy Gillespie, Anne Goodwin, Brigitte C Widemann

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Developmental medicine and child neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 19% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
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  7. Review
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  10. Parent-child discrepancies in reports of child psychosocial functioning in neurofibromatosis type 1.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2025
    Article
  11. Article
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  16. Verbal learning and memory in youth with neurofibromatosis type 1 and plexiform neurofibromas: Relationships with disease severity.European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society · 2022
    Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Yang HouDepartment of Family Sciences, University of Kentucky, Lexington, KY, USA.ORCID 0000-0002-7360-5751
Taryn AllenClinical Research Directorate, Frederick National Laboratory for Cancer Research sponsored by the National Cancer Institute, Frederick, MD, USA.
Pamela L WoltersNIH Pediatric Oncology Branch, National Cancer Institute, Bethesda, MD, USA.
Mary Anne Toledo-TamulaClinical Research Directorate, Frederick National Laboratory for Cancer Research sponsored by the National Cancer Institute, Frederick, MD, USA.
Staci MartinNIH Pediatric Oncology Branch, National Cancer Institute, Bethesda, MD, USA.
Andrea BaldwinClinical Research Directorate, Frederick National Laboratory for Cancer Research sponsored by the National Cancer Institute, Frederick, MD, USA.
Stephanie RedaNIH Pediatric Oncology Branch, National Cancer Institute, Bethesda, MD, USA.
Andy GillespieNIH Pediatric Oncology Branch, National Cancer Institute, Bethesda, MD, USA.
Anne GoodwinNIH Pediatric Oncology Branch, National Cancer Institute, Bethesda, MD, USA.
Brigitte C WidemannNIH Pediatric Oncology Branch, National Cancer Institute, Bethesda, MD, USA.
National Cancer Institute · USFrederick National Laboratory for Cancer Research · USUniversity of Kentucky · US

Funding

Pediatric Oncology Branch Behvioral Science CoreZIDBC011517 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI GLOD, JOHN · 2013 to 2025
$15.6M
CCR NIH HHS HHSN261200800001CIntramural NIH HHS Z99 CA999999NCI NIH HHS HHSN261200800001E
6 · The paper itself

Abstract

aimTo describe the cognitive development of children with neurofibromatosis type 1 (NF1) and plexiform neurofibromas, and identify predictors of cognitive development.

methodParticipants included 88 children with NF1 and plexiform neurofibromas (50 males, 38 females, aged 6-18y, mean=12y, SD=3y 7mo) on a natural history study at the National Cancer Institute. Neuropsychological assessments (e.g. IQ, academic achievement, attention, and executive functioning) were administered three times over 6 years.

resultsRelative to normative peers, the total sample of children with NF1 and plexiform neurofibromas demonstrated significantly lower scores in most cognitive domains and decreasing z-scores over time in math, writing, inhibitory control, and working memory. Children who had parents with (vs without) NF1 were more likely to experience decreased z-scores in performance IQ, reading, writing, attention, and working memory. Higher (vs lower) parental education was related to higher levels of IQ, math, reading, and cognitive flexibility and a slower decrease in math z-scores. Children's sex and the number of NF1 disease-related complications were not related to most cognitive outcomes.

interpretationChildren with NF1 and plexiform neurofibromas are at high risk for cognitive difficulties and declining z-scores in various domains of cognitive functioning over time. The findings highlight the need for a better understanding of the within-group differences in these children and their need for individualized educational plans. WHAT THIS PAPER ADDS: Math, writing, inhibitory control, and working memory scores decreased over time. The proportion of children with clinically significant cognitive deficits increased over time. Parental neurofibromatosis type 1 and low education were related to greater cognitive difficulties in children.

Indexed as

Child DevelopmentCognitionAdolescentChildFemaleHumansLongitudinal StudiesMaleNeurofibroma, PlexiformNeurofibromatosis 1Neuropsychological Tests

Identifiers

PMID32052421
PMCPMC7332409
OpenAlexW3006430987

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.