Evidence map›Paper›PMID 34295774›Full record

ArticleTranslational pediatrics2021

An analysis of the diagnosis, clinical characteristics, treatment, and survival outcomes of 36 extracranial malignant rhabdoid tumor patients.

Yuhua Shan, Jiaoyang Cai, Yali Han, Chenjie Xie, Honxiang Gao, Lei Zhang, Jingjing Li, Ruicheng Tian, Yu Liang, Jing Wang and 5 more

Open access · diamondAbstract read
In one paragraph

Article in Translational pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 44% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

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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

15 authors at 1 institution in 1 country.

Yuhua ShanDepartment of Pediatric Surgery, Shanghai Childrens' Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Jiaoyang CaiDepartment of Hematology and Oncology, Shanghai Childrens' Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Yali HanDepartment of Hematology and Oncology, Shanghai Childrens' Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Chenjie XieDepartment of Pediatric Surgery, Shanghai Childrens' Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Honxiang GaoDepartment of Pediatric Surgery, Shanghai Childrens' Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Lei ZhangDepartment of Pediatric Surgery, Shanghai Childrens' Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Jingjing LiDepartment of Pediatric Surgery, Shanghai Childrens' Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Ruicheng TianDepartment of Pediatric Surgery, Shanghai Childrens' Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Yu LiangDepartment of Pediatric Surgery, Shanghai Childrens' Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Jing WangDepartment of Pediatric Surgery, Shanghai Childrens' Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Changcheng ChenDepartment of Hematology and Oncology, Shanghai Childrens' Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Bin JiOperation Room, Shanghai Childrens' Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Jingyan TangDepartment of Hematology and Oncology, Shanghai Childrens' Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Min XuDepartment of Pediatric Surgery, Shanghai Childrens' Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Song GuDepartment of Pediatric Surgery, Shanghai Childrens' Medical Center Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Shanghai Children's Medical Center · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtracranial malignant Rhabdoid tumors (eMRTs) are rare but aggressive lesions in young children. This work aimed to review and analyze the diagnosis, clinical characteristics, treatment, and survival of eMRTs so as to summarize experience for future therapy.

methodsA total of 36 eMRT cases were treated between January 2008 and August 2019 according to Shanghai Children's Medical Center (SCMC) multimodal protocol of mixed surgery, radiation and chemotherapy involving vincristine, carboplatin, doxorubicin, etoposide, cyclophosphamide and ifosfamide. We collected information including: age at diagnosis, tumor location, disease stage, therapy, outcomes, etc. Overall survival (OS) and event free survival (EFS) were calculated and risk factors for survival were analyzed.

resultsThe patients had a median age of 1.80 years at diagnosis (range, 1.4 m-13.42 years), and were followed up for 9.17 months in median (range, 4 d-11.14 y). A total of 16 patients achieved complete remission (CR), and 7 survived without reoccurrence till December 2019. The 3-year EFS was 17.4% (95% CI: 11.0-23.8%) with a 3-year OS of 23.4% (95% CI: 15.8-31.0%). Recurrence was found only in children younger than the median age (1.80 y). Localized staging (Log Rank P=0.039 for OS and P=0.021) and older age (Log Rank P=0.016 for OS and P=0.002 for EFS) were associated with improved outcome. Younger age (Cox regression, OS, OR =2.610, 95% CI: 1.147-5.937, P=0.022; EFS, OR =3.401, 95% CI: 1.495-7.752, P=0.004) were independent risk factors for death and recurrence.

conclusionsThose eMRTs treated according to SCMC protocol turned out to have poor outcomes. Higher staging at diagnosis and reoccurrence in younger patients remain major threats to the prognosis.

Indexed as

chemotherapyPediatric extracranial malignant rhabdoid tumor (eMRT)recurrencesurvival

Identifiers

PMID34295774
PMCPMC8261579
OpenAlexW3186865730

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LicenceCC BY-NC-ND
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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.