Evidence map›Paper›PMID 33505537›Full record

ReviewDisease markers2021

Cardiotoxicity: A Major Setback in Childhood Leukemia Treatment.

Diana R Lazăr, Anca D Farcaş, Cristina Blag, Alexandra Neaga, Mihnea T Zdrenghea, Călin Căinap, Florin L Lazăr, Adrian Stef, Simona S Căinap

Open access · hybridAbstract readReview
In one paragraph

Review in Disease markers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Evaluating the role of montelukast on doxorubicin-induced cardiotoxicity in breast cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Anthracycline-induced hypertension in pediatric cancer survivors: unveiling the long-term cardiovascular risks.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2024
    Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Review
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

9 authors at 1 institution in 1 country.

Diana R LazărEmergency County Hospital for Children, Pediatric Clinic No. 2, Department of Pediatric Cardiology, Cluj-Napoca, Romania.ORCID https://orcid.org/0000-0001-7000-9949
Anca D FarcaşEmergency Clinical County Hospital, Cardiology Department, Cluj-Napoca, Romania.ORCID https://orcid.org/0000-0002-9407-2261
Cristina Blag"Iuliu Hatieganu" University of Medicine and Pharmacy, Department No. 9, Mother & Child, Cluj-Napoca 400012, Romania.ORCID https://orcid.org/0000-0003-4111-1295
Alexandra Neaga"Iuliu Hatieganu" University of Medicine and Pharmacy, Department No. 9, Mother & Child, Cluj-Napoca 400012, Romania.ORCID https://orcid.org/0000-0002-2237-4164
Mihnea T Zdrenghea"Iuliu Hatieganu" University of Medicine and Pharmacy, Department No. 11, Oncology, Cluj-Napoca 400012, Romania.ORCID https://orcid.org/0000-0002-9461-987X
Călin Căinap"Iuliu Hatieganu" University of Medicine and Pharmacy, Department No. 11, Oncology, Cluj-Napoca 400012, Romania.ORCID https://orcid.org/0000-0002-7535-8766
Florin L Lazăr"Nicolae Stancioiu" Heart Institute, Cluj-Napoca, Romania.ORCID https://orcid.org/0000-0003-3847-0940
Adrian Stef"Nicolae Stancioiu" Heart Institute, Cluj-Napoca, Romania.ORCID https://orcid.org/0000-0001-5574-3969
Simona S CăinapEmergency County Hospital for Children, Pediatric Clinic No. 2, Department of Pediatric Cardiology, Cluj-Napoca, Romania.ORCID https://orcid.org/0000-0001-9500-2372
Iuliu Hațieganu University of Medicine and Pharmacy · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ongoing research in the field of pediatric oncology has led to an increased number of childhood cancer survivors reaching adulthood. Therefore, ensuring a good quality of life for these patients has become a rising priority. Considering this, the following review focuses on summarizing the most recent research in anthracycline-induced cardiac toxicity in children treated for leukemia. For pediatric cancers, anthracyclines are one of the most used anticancer drugs, with over half of the childhood cancer survivors believed to have been exposed to them. Anthracyclines cause irreversible cardiomyocyte loss, leading to chronic, progressive heart failure. The risk of developing cardiotoxicity has been known to increase with the treatment-free interval and total cumulative dose. However, because of individual variations in anthracycline metabolism, it has recently been shown that there is no risk-free dose. Moreover, studies have shown that diagnosing anthracycline-induced cardiomyopathy in the symptomatic phase is associated with poor treatment response and prognosis. Thus, early and systematic evaluation of these patients is crucial to allow optimal therapeutic intervention. Although currently echocardiographic assessment of left ventricle ejection fraction and cardiac biomarker evaluation are being used for cardiac function monitoring in oncologic patients, there is no established follow-up and treatment protocol for these patients, and these methods are neither specific nor sensitive for identifying early cardiac dysfunction. All things considered, the need for ongoing research in the field of pediatric cardiooncology is crucial to offer these patients a chance at a good quality of life as adults.

Indexed as

AnthracyclinesAntineoplastic AgentsCardiotoxicityChildHeart FailureHeart Function TestsHumansPrecursor Cell Lymphoblastic Leukemia-LymphomaAnthracyclinesAntineoplastic Agents

Identifiers

PMID33505537
PMCPMC7810535
OpenAlexW3120566878

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.