Evidence map›Paper›PMID 33258395›Full record

ArticleLeukemia & lymphoma2021

Quantifying the difference in risk of adverse events by induction treatment regimen in pediatric acute lymphoblastic leukemia.

Zachary E West, Sharon M Castellino, Caitlin Monroe, Amanda S Thomas, Courtney McCracken, Tamara P Miller

Open access · greenAbstract read
In one paragraph

Article in Leukemia & lymphoma, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.9field-weighted citation impact, top 22% 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

10 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
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  7. Adolescents and young adults (AYAs) vs pediatric patients: survival, risks, and barriers to enrollment.Hematology. American Society of Hematology. Education Program · 2023
    Article
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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

6 authors at 2 institutions in 1 country.

Zachary E WestDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Sharon M CastellinoDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0001-8367-2002
Caitlin MonroeAflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, Atlanta, GA, USA.
Amanda S ThomasDepartment of Pediatrics, Biostatistics Core, Emory University School of Medicine, Atlanta, GA, USA.
Courtney McCrackenDepartment of Pediatrics, Biostatistics Core, Emory University School of Medicine, Atlanta, GA, USA.
Tamara P MillerDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0003-4250-5376
Emory University · USAflac (United States) · US

Funding

Improving Adverse Event Reporting on Cooperative Oncology Group TrialsK07CA211956 · NCI · EMORY UNIVERSITY · PI MILLER, TAMARA PORTER · 2017 to 2022
$916k
NCI NIH HHS K07 CA211956
6 · The paper itself

Abstract

The differences in overall morbidity by induction treatment regimen for pediatric acute lymphoblastic leukemia (ALL) are unknown. We examined a cohort of children with ALL who received induction chemotherapy between January 2010 and May 2018. We evaluated 20 clinically relevant adverse events (AEs) and readmission and ICU admission rates. Outcomes were compared between standard 3- and 4-drug treatment regimens in multivariate analyses using Cox proportional hazard ratios. Among 486 eligible patients, the risks of sepsis (HR = 2.16, 95% CI = 1.11-4.19), hypoxia (HR = 2.08, 95% CI = 1.03-4.18), hyperbilirubinemia (HR = 2.48, 95% CI = 1.07-5.74), hyperglycemia (HR = 2.65, 95% CI = 1.29-5.42), thromboembolic event (HR = 4.50, 95% CI = 1.30-15.6), and hyponatremia (HR = 7.88, 95% CI = 1.26-49.4) were significantly higher during 4-drug induction. Despite no differences in readmission or ICU admission rates, 4-drug induction patients had greater total inpatient days (12 vs. 4 days;

Indexed as

Precursor Cell Lymphoblastic Leukemia-LymphomaChildCohort StudiesHumansInduction ChemotherapyAdverse eventsclinical trialsinductionpediatric oncologyrisk

Identifiers

PMID33258395
PMCPMC8012228
OpenAlexW3110093562

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.