Evidence map›Paper›PMID 32346835›Full record

ArticleJournal of neuro-oncology2020

Predictors of narcolepsy and hypersomnia due to medical disorder in pediatric craniopharyngioma.

Belinda N Mandrell, Kayla LaRosa, Donna Hancock, Mary Caples, April Sykes, Zhaohua Lu, Merrill S Wise, Raja B Khan, Thomas E Merchant, Valerie McLaughlin-Crabtree

Abstract read
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In one paragraph

Article in Journal of neuro-oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 10% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  11. Sleep and Cancer.Cancers · 2025
    Review
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  19. Hypothalamic syndrome.Nature reviews. Disease primers · 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

10 authors at 2 institutions in 1 country.

Belinda N MandrellDivision of Nursing Research, Department of Pediatric Medicine, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN, 38105, USA. belinda.mandrell@stjude.org.ORCID http://orcid.org/0000-0002-6041-7559
Kayla LaRosaDepartment of Psychology, St. Jude Children's Research Hospital, Memphis, TN, 38105, USA.
Donna HancockDivision of Nursing Research, Department of Pediatric Medicine, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN, 38105, USA.
Mary CaplesDivision of Nursing Research, Department of Pediatric Medicine, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN, 38105, USA.
April SykesDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN, 38105, USA.
Zhaohua LuDepartment of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN, 38105, USA.
Merrill S WiseMid-South Pulmonary and Sleep Specialists, 5050 Poplar Avenue, Memphis, TN, 38157, USA.
Raja B KhanDivision of Neurology, Department of Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, 38105, USA.
Thomas E MerchantDepartment of Radiation Oncology, St. Jude Children's Research Hospital, Memphis, TN, 38105, USA.
Valerie McLaughlin-CrabtreeDepartment of Psychology, St. Jude Children's Research Hospital, Memphis, TN, 38105, USA.
St. Jude Children's Research Hospital · USRetina Specialists · 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 CA21765
6 · The paper itself

Abstract

purposeSeveral studies describe sleep-wake disturbances in pediatric craniopharyngioma, but none have determined the prevalence or associated predictors of excessive sleepiness in this group after diagnosis and prior to post-operative observation or adjuvant radiotherapy. In this study, we report sleep-wake disturbances in children and adolescents with craniopharyngioma and associated clinical and treatment variables.

methodsAfter surgery and prior to radiotherapy or observation, pediatric patients (n = 110) with craniopharyngioma ≥ 3 years old completed a baseline sleep clinic evaluation by a pediatric sleep specialist, polysomnography (PSG) and next-day multiple sleep latency test (MSLT). MSLT was limited to those ≥ 6 years old. Logistic regression models were used to determine the relationship between patient characteristics and the presence and type of hypersomnia.

resultsAmongst patients completing PSG and MSLT, 80% had polygraphic evidence of excessive daytime sleepiness. Hypersomnia due to medical condition was diagnosed in 45% and narcolepsy in 35%. Overweight or obese patients were more likely to be diagnosed with hypersomnia (P = 0.012) or narcolepsy (P = 0.009). Grade 2 hypothalamic involvement (HI) at diagnosis was associated with the diagnosis of narcolepsy (P = 0.0008).

conclusionsThis study describes the prevalence and associated predictors of hypersomnia for patients with craniopharyngioma after surgical resection. HI was predictive of narcolepsy diagnosis, and a higher body mass index z-score was associated with hypersomnia due to medical condition and narcolepsy. We recommend that sleep assessment and intervention begin after surgical resection, especially in overweight or obese patients and those with extensive tumors.

Indexed as

AdolescentChildChild, PreschoolCraniopharyngiomaDisorders of Excessive SomnolenceFemaleHumansInfantMaleNarcolepsyPituitary NeoplasmsHypersomniaHypothalamic involvementNarcolepsyPediatric craniopharyngioma

Identifiers

PMID32346835
OpenAlexW3017662784

What OpenQuestion holds

Textmetadata
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.