Evidence map›Paper›PMID 32931864›Full record

ArticleInternational journal of radiation oncology, biology, physics2021

Improving the Pediatric Patient Experience During Radiation Therapy-A Children's Oncology Group Study.

Douglas E Holt, Susan M Hiniker, John A Kalapurakal, John C Breneman, Jay C Shiao, Nicole Boik, Benjamin T Cooper, Paige L Dorn, Matthew D Hall, Natalie Logie and 12 more

Open access · greenAbstract read
In one paragraph

Article in International journal of radiation oncology, biology, physics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

6 citing papers in PubMed, 22 citations in OpenAlex.

  1. Allies not enemies-creating a more empathetic and uplifting patient experience through technology and art.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2025
    Review
  2. Article
  3. ACR-ARS Practice Parameter for the Performance of Proton Beam Therapy.International journal of particle therapy · 2024
    Article
  4. Article
  5. Article
  6. 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

22 authors at 17 institutions in 2 countries.

Douglas E HoltDepartment of Radiation Oncology, University of Colorado, Aurora, Colorado. Electronic address: douglas.holt@cuanschutz.edu.
Susan M HinikerDepartment of Radiation Oncology, Stanford University, Stanford, California.
John A KalapurakalDepartment of Radiation Oncology, Northwestern University, Chicago, Illinois.
John C BrenemanDepartment of Radiation Oncology, University of Cincinnati, Cincinnati, Ohio.
Jay C ShiaoDepartment of Radiation Oncology, University of Colorado, Aurora, Colorado.
Nicole BoikDepartment of Radiation Oncology, Miami Cancer Institute, Miami, Florida.
Benjamin T CooperDepartment of Radiation Oncology, NYU Langone Health, New York City, New York.
Paige L DornDepartment of Radiation Oncology, Rocky Mountain Hospital for Children, Denver, Colorado.
Matthew D HallDepartment of Radiation Oncology, Miami Cancer Institute, Miami, Florida.
Natalie LogieDepartment of Radiation Oncology, University of Calgary, Calgary, Alberta, Canada.
John T LucasDepartment of Radiation Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee.
Iain J MacEwanDepartment of Radiation Oncology, University of California San Diego, La Jolla, California.
Adam C OlsonDepartment of Radiation Oncology, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania.
Joshua D PalmerDepartment of Radiation Oncology, Ohio State University, Columbus, Ohio.
Samir PatelDivision of Radiation Oncology, Department of Oncology, University of Alberta, Edmonton, Alberta, Canada.
Luke E PaterDepartment of Radiation Oncology, University of Cincinnati, Cincinnati, Ohio.
Stephanie SurgenerDepartment of Oncology, Children's Hospital of Colorado, Aurora, Colorado.
Derek S TsangRadiation Medicine Program, Princess Margaret Cancer Center, Toronto, Ontario, Canada.
Jennifer H VogelDepartment of Radiation Oncology Johns Hopkins University Medical Center, Baltimore, Maryland.
Alyssa WojcikDepartment of Oncology, Children's Hospital of Colorado, Aurora, Colorado.
Cheng-Chia WuDepartment of Radiation Oncology, Columbia University Irving Medical Center, New York City, New York.
Sarah A MilgromDepartment of Radiation Oncology, University of Colorado, Aurora, Colorado.
University of Colorado Anschutz Medical Campus · USMiami Heart Research Institute · USUniversity of Cincinnati · USChildren's Hospital Colorado · USChildren's Hospital of Pittsburgh · USColumbia University Irving Medical Center · USNorthwestern University · USPrincess Margaret Cancer Centre · CARocky Mountain Hospital for Children · USStanford University · USSt. Jude Children's Research Hospital · USThe Ohio State University · USUniversity Hospital and Clinics · USUniversity of Alberta · CAUniversity of Calgary · CAUniversity of California, San Diego · USUniversity of Colorado Denver · US

Funding

NCTN BIQSFP ANBL1531 (NRT)U10CA180886 · NCI · PUBLIC HEALTH INSTITUTE · PI Douglas S. Hawkins · 2014 to 2026
$390.6M
Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
NCI NIH HHS P30 CA021765NCI NIH HHS U10 CA180886
6 · The paper itself

Abstract

purposeTreatment with radiation therapy (RT) can cause anxiety and distress for pediatric patients and their families. Radiation oncology teams have developed strategies to reduce the negative psychological impact. This survey study aimed to characterize these methods. METHODS AND MATERIALS: A 37-item questionnaire was sent to all radiation oncology members of the Children's Oncology Group to explore strategies to improve the pediatric patient experience. The Wilcoxon rank-sum test was used to assess factors associated with use of anesthesia for older children.

resultsSurveys were completed by 106 individuals from 84/210 institutions (40%). Respondents included 89 radiation oncologists and 17 supportive staff. Sixty-one percent of centers treated ≤50 children per year. Respondents described heterogenous interventions. The median age at which most children no longer required anesthesia was 6 years (range: ≤3 years to ≥8 years). Routine anesthesia use at an older age was associated with physicians' lack of awareness of these strategies (P = .04) and <10 years of pediatric radiation oncology experience (P = .04). Fifty-two percent of respondents reported anesthesia use added >45 minutes in the radiation oncology department daily. Twenty-six percent of respondents planned to implement new strategies, with 65% focusing on video-based distraction therapy and/or augmented reality/virtual reality.

conclusionsMany strategies are used to improve children's experience during RT. Lack of awareness of these interventions is a barrier to their implementation and is associated with increased anesthesia use. This study aims to disseminate these methods with the goal of raising awareness, facilitating implementation, and, ultimately, improving the experience of pediatric cancer patients and their caregivers.

Indexed as

CaregiversChildChild, PreschoolFemaleHealth Knowledge, Attitudes, PracticeHumansMaleNeoplasmsPatient SatisfactionRadiotherapy

Identifiers

PMID32931864
PMCPMC9092316
OpenAlexW3084461539

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.