Evidence map›Paper›PMID 33630659›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2021

Impact of Risk-Adapted Therapy for Pediatric Hodgkin Lymphoma on Risk of Long-Term Morbidity: A Report From the Childhood Cancer Survivor Study.

Kevin C Oeffinger, Kayla L Stratton, Melissa M Hudson, Wendy M Leisenring, Tara O Henderson, Rebecca M Howell, Suzanne L Wolden, Louis S Constine, Lisa R Diller, Charles A Sklar and 7 more

Open access · greenAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
8.0field-weighted citation impact, top 2% 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

23 citing papers in PubMed, 37 citations in OpenAlex.

  1. Trial
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  4. Article
  5. Self-reported late effects and chronic fatigue, information needs and follow-up in long-term survivors of Hodgkin lymphoma-a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  6. Article
  7. Review
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  9. Trends in Radiation Use from 2004 to 2020 among Adolescents and Young Adults with Hodgkin Lymphoma.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  10. Article
  11. Review
  12. Review
  13. Pediatric and Adolescent Hodgkin Lymphoma: Paving the Way for Standards of Care and Shared Decision Making.American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2024
    Review
  14. Review
  15. Phase I trial of Ganitumab plus Dasatinib to Cotarget the Insulin-Like Growth Factor 1 Receptor and Src Family Kinase YES in Rhabdomyosarcoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Article
  16. Article
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  19. Mitigating, monitoring, and managing long-term chemotherapy- and radiation-induced cardiac toxicity.Hematology. American Society of Hematology. Education Program · 2022
    Article
  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

17 authors at 12 institutions in 3 countries.

Kevin C OeffingerDuke Cancer Institute and Duke University, Durham, NC.ORCID 0000-0003-0806-7894
Kayla L StrattonFred Hutchinson Cancer Research Center, Seattle, WA.
Melissa M HudsonSt Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0001-6984-2407
Wendy M LeisenringFred Hutchinson Cancer Research Center, Seattle, WA.ORCID 0000-0001-7405-0906
Tara O HendersonThe University of Chicago, Chicago, IL.ORCID 0000-0001-9394-6206
Rebecca M HowellThe University of Texas MD Anderson Cancer Center, Houston, TX.
Suzanne L WoldenMemorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-5234-4134
Louis S ConstineJames P. Wilmot Cancer Institute, University of Rochester Medical Center, Rochester, NY.ORCID 0000-0003-0742-1740
Lisa R DillerDana-Farber Cancer Institute and Harvard Medical School, Boston, MA.
Charles A SklarMemorial Sloan Kettering Cancer Center, New York, NY.
Paul C NathanThe Hospital for Sick Children, Toronto, ON.ORCID 0000-0003-0334-0871
Sharon M CastellinoEmory University, Aflac Cancer and Blood Disorders Center, Atlanta, GA.
Dana BarneaTel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Susan A SmithThe University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-6367-3080
Raymond J HutchinsonUniversity of Michigan, Ann Arbor, MI.
Gregory T ArmstrongSt Jude Children's Research Hospital, Memphis, TN.
Leslie L RobisonSt Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0001-7460-8578
St. Jude Children's Research Hospital · USFred Hutch Cancer Center · USMemorial Sloan Kettering Cancer Center · USThe University of Texas MD Anderson Cancer Center · USDuke Medical Center · USEmory University · USHarvard University · USHospital for Sick Children · CATel Aviv Sourasky Medical Center · ILUniversity of Chicago · USUniversity of Michigan · USUniversity of Rochester Medical Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
Mach-LETSGO: Machine-LEarning of Treatment, Survey, and Genetics towards Obtaining Correct Classification of Chronic Conditions in Adult Survivors in the Childhood Cancer Survivor Study - CCSS SupplU24CA055727 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Gregory Armstrong · 1999 to 2026
$96.7M
Survivorship: Mentoring and Bridging Primary Care and OncologyK05CA160724 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI OEFFINGER, KEVIN CHARLES · 2011 to 2015
$821k
Health Beliefs and Behavior: Cohort Studies in Pediatric Cancer SurvivorshipK07CA134935 · NCI · UNIVERSITY OF CHICAGO · PI HENDERSON, TARA OLIVE · 2008 to 2011
$518k
NCI NIH HHS K05 CA160724NCI NIH HHS K07 CA134935NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA021765NCI NIH HHS U24 CA055727
6 · The paper itself

Abstract

purposeTo determine the incidence of serious chronic health conditions among survivors of pediatric Hodgkin lymphoma (HL), compare by era of therapy and by selected cancer therapies, and provide estimates of risks associated with contemporary therapy.

methodsAssessing 2,996 5-year HL survivors in the Childhood Cancer Survivor Study diagnosed from 1970 to 1999, we examined the cumulative incidence of severe to fatal chronic conditions (grades 3-5) using self-report conditions, medically confirmed subsequent malignant neoplasms, and cause of death based on the National Death Index. We used multivariable regression models to estimate hazard ratios (HRs) per decade and by key treatment exposures.

resultsHL survivors were of a mean age of 35.6 years (range, 12-58 years). The cumulative incidence of any grade 3-5 condition by 35 years of age was 31.4% (95% CI, 29.2 to 33.5). Females were twice as likely (HR, 2.1; 95% CI, 1.8 to 2.4) to have a grade 3-5 condition compared with males. From the 1970s to the 1990s, there was a 20% reduction (HR, 0.8; 95% CI, 0.7 to 0.9) in decade-specific risk of a grade 3-5 condition (

conclusionThis study demonstrates that risk-adapted therapy for pediatric HL has resulted in a significant reduction in serious long-term outcomes.

Indexed as

Cancer SurvivorsAdolescentAdultAge of OnsetCanadaCause of DeathChildChild, PreschoolChronic DiseaseFemaleHodgkin DiseaseHumansIncidenceInfantInfant, NewbornMale

Identifiers

PMID33630659
PMCPMC8260906
OpenAlexW3132415718

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.