Evidence map›Paper›PMID 34190405›Full record

ArticlePediatric blood & cancer2021

PediCARE: Development of a poverty-targeted intervention for pediatric cancer.

Puja J Umaretiya, Anna Revette, Anna Seo, Yael Flamand, Lenka Ilcisin, Daniel J Zheng, Smita Bhatia, Joanne Wolfe, Kira Bona

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. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
11.3field-weighted citation impact, top 1% 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

30 citing papers in PubMed, 43 citations in OpenAlex.

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  12. Loss of Follow-up for Thyroid Nodules in Patients Living in Poverty.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2025
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  14. Targeting hardship: poverty as a modifiable risk factor in childhood leukemia and lymphoma treatment.Hematology. American Society of Hematology. Education Program · 2024
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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

9 authors at 4 institutions in 1 country.

Puja J UmaretiyaDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0002-7587-4875
Anna RevetteDivision of Population Sciences, Dana-Farber Cancer Institute, Boston, Massachusetts.
Anna SeoDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Yael FlamandDepartment of Data Science, Dana-Farber Cancer Institute, Boston, Massachusetts.
Lenka IlcisinDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0001-8934-5029
Daniel J ZhengDepartment of Pediatrics, Boston Children's Hospital, Boston, Massachusetts.ORCID 0000-0003-2217-088X
Smita BhatiaSchool of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Joanne WolfeDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0002-4406-7413
Kira BonaDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0001-5602-7059
Boston Children's Hospital · USDana-Farber Cancer Institute · USBrigham and Women's Hospital · USUniversity of Alabama at Birmingham · US

Funding

U Mass Boston / DFHCC U54 Partnership (1 of 2)U54CA156732 · NCI · DANA-FARBER CANCER INST · PI WENDY Beth LONDON · 2010 to 2026
$25.6M
Material Hardship as a Targetable Measure of Poverty in Pediatric CancerK07CA211847 · NCI · DANA-FARBER CANCER INST · PI BONA, KIRA O. · 2016 to 2021
$731k
NCI NIH HHS K07 CA211847NCI NIH HHS U54 CA156732
6 · The paper itself

Abstract

backgroundPoverty is associated with inferior psychosocial outcomes, higher rates of relapse, and decreased overall survival in children with cancer. Despite this, there are few evidence-based, poverty-targeted interventions and none specific to pediatric oncology. To address this gap, we developed and refined the Pediatric Cancer Resource Equity (PediCARE) intervention, a household material hardship (HMH) targeted intervention providing transportation and groceries to pediatric oncology families.

methodsThis was a single-arm pilot study conducted at a single, large, tertiary pediatric cancer center. Newly diagnosed patients with HMH-exposure were directly assigned to receive PediCARE for a total of three months. Quantitative and qualitative approaches were used to evaluate its acceptability and to rapidly refine the intervention.

resultsNine families (100% of those approached) consented to enrollment with no attrition over the three-month study period. Families were highly satisfied with the intervention and recommended participation to others. All of the families utilized the grocery delivery component of PediCARE, and seven utilized the transportation component. Qualitative participant feedback was used to rapidly refine the intervention including logistics of intervention delivery, and dose of intervention components.

conclusionPediCARE, a poverty-targeted intervention, was highly acceptable to pediatric oncology families. The intervention was refined in real-time utilizing quantitative and qualitative feedback. Next steps include intervention evaluation in a randomized, controlled feasibility study.

Indexed as

NeoplasmsPovertyChildFeasibility StudiesHumansMedical OncologyPilot Projectscancerdisparitiesequityhousehold material hardshipinterventionpediatricspoverty

Identifiers

PMID34190405
PMCPMC8384686
OpenAlexW3176633970

What OpenQuestion holds

Textmetadata
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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.