Evidence map›Paper›PMID 33049111›Full record

ArticlePediatric blood & cancer2021

Height, weight, and cardiovascular effects of stimulants on children with brain tumors.

Raja B Khan, Maha Bano, Fang Wang, Pan Haitao, Anthony Christensen, Jessica Smith, Andrea Simmons, Zsila S Sadighi

Open access · greenAbstract read
In one paragraph

Article in Pediatric blood & cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 86% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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 3 institutions in 1 country.

Raja B KhanDivision of Neurology, St Jude Children's Research Hospital, Memphis, Tennessee.ORCID 0000-0003-3702-7250
Maha BanoDepartment of Pediatrics, University of Tennessee, Memphis, Tennessee.
Fang WangDepartment of Biostatistics, St Jude Children's Research Hospital, Memphis, Tennessee.
Pan HaitaoDepartment of Biostatistics, St Jude Children's Research Hospital, Memphis, Tennessee.
Anthony ChristensenPharmaceutical Services, St Jude Children's Research Hospital, Memphis, Tennessee.
Jessica SmithDivision of Neurology, St Jude Children's Research Hospital, Memphis, Tennessee.
Andrea SimmonsDivision of Neurology, St Jude Children's Research Hospital, Memphis, Tennessee.
Zsila S SadighiDepartment of Neuro-Oncology, MD Anderson Cancer Center, Houston, Texas.
St. Jude Children's Research Hospital · USThe University of Texas MD Anderson Cancer Center · USUniversity of Tennessee Health Science Center · US

Funding

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

Abstract

introductionChildren with brain tumors may develop inattention, slow processing, and hypersomnia. Stimulant medications improve these problems, but their effect on growth, heart rate, and blood pressure (BP) are inadequately explored. PROCEDURE: We retrospectively studied children with brain tumors treated at our institution that had data available for 1 year pre and 2 years on stimulant treatment. Tumor location, gender, radiation treatment (RT), age at RT, drug type, and hormone therapy were variables of interest.

resultsWe identified 65 children (35 males) that fulfilled eligibility criteria. Focal RT was utilized in 58; 11 additionally had whole brain RT; and seven received no RT. Thirty were treated for hypersomnia and inattention, eight for hypersomnia alone, and rest for inattention. Modafinil was the first drug in 18 (27.7%), and methylphenidate in the others. Forty-seven (72.3%), 45 (69.2%), and 49 (75.4%) were on thyroxine, cortisone, and growth hormones, respectively. There was no difference in pre- and post-stimulant body mass index (BMI), heart rate, and BP. There was also no difference between modafinil and methylphenidate groups. Rate of height acquisition slowed on stimulants (P = .0096). Thyroxine treatment correlated with increase in BMI after stimulants (P = .04). Younger age (P = .0003) and higher prestimulant BMI (P = .0063) correlated with increased heart rate on stimulants, while higher age at RT (P =.016) correlated with elevated systolic BP on stimulants. No associations were found with height acquisition and diastolic BP.

conclusionStimulants are well tolerated by children with brain tumors that are appropriately managed for endocrine deficiencies, but may reduce the trajectory of height attainment.

Indexed as

Body HeightBody WeightHeart RateBlood PressureBody Mass IndexBrain NeoplasmsCentral Nervous System StimulantsChildFemaleFollow-Up StudiesHumansMalePrognosisRadiotherapyRetrospective StudiesCentral Nervous System Stimulantsblood pressurebrain tumorschildhoodheart ratestimulantsweight

Identifiers

PMID33049111
PMCPMC7872133
OpenAlexW3092260897

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Registered trials

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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.