Evidence map›Paper›PMID 34319759›Full record

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

Revised Neuroblastoma Risk Classification System: A Report From the Children's Oncology Group.

Meredith S Irwin, Arlene Naranjo, Fan F Zhang, Susan L Cohn, Wendy B London, Julie M Gastier-Foster, Nilsa C Ramirez, Ruthann Pfau, Shalini Reshmi, Elizabeth Wagner and 7 more

Open access · greenAbstract read
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 309 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
309citing papers in PubMed, 3 pooled it
32.8field-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

309 citing papers in PubMed, 3 syntheses or guidelines pooled it, 451 citations in OpenAlex.

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  18. Revista de neurologia · 2026
    Article
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249 more citing papers are in PubMed but not listed here.

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 11 institutions in 2 countries.

Meredith S IrwinDepartment of Pediatrics, Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0002-2452-5181
Arlene NaranjoChildren's Oncology Group Statistics and Data Center, Department of Biostatistics, University of Florida, Gainesville, FL.ORCID 0000-0001-7737-4324
Fan F ZhangChildren's Oncology Group Statistics and Data Center, Monrovia, CA.ORCID 0000-0002-1606-7766
Susan L CohnDepartment of Pediatrics, The University of Chicago, Chicago, IL.ORCID 0000-0001-5749-7650
Wendy B LondonDana-Farber/Boston Children's Cancer and Blood Disorders Center, Harvard Medical School, Boston, MA.ORCID 0000-0003-3571-6538
Julie M Gastier-FosterInstitute for Genomic Medicine and Biopathology Center, Nationwide Children's Hospital, Columbus, OH.ORCID 0000-0001-7141-8031
Nilsa C RamirezInstitute for Genomic Medicine and Biopathology Center, Nationwide Children's Hospital, Columbus, OH.
Ruthann PfauInstitute for Genomic Medicine and Biopathology Center, Nationwide Children's Hospital, Columbus, OH.
Shalini ReshmiInstitute for Genomic Medicine and Biopathology Center, Nationwide Children's Hospital, Columbus, OH.
Elizabeth WagnerInstitute for Genomic Medicine and Biopathology Center, Nationwide Children's Hospital, Columbus, OH.
Jed NuchternDivision of Pediatric Surgery, Department of Surgery, Texas Children's Hospital, Baylor College of Medicine, Houston, TX.
Shahab AsgharzadehDivision of Hematology/Oncology, Children's Hospital of Los Angeles, Los Angeles, CA.ORCID 0000-0002-0510-3848
Hiroyuki ShimadaDepartments of Pathology and Pediatrics, Stanford University, Stanford, CA.
John M MarisDepartment of Pediatrics, Children's Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-8088-7929
Rochelle BagatellDepartment of Pediatrics, Children's Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-5729-8819
Julie R ParkDepartment of Pediatrics, Seattle Children's Hospital, University of Washington, Seattle, WA.ORCID 0000-0002-6777-9165
Michael D HogartyDepartment of Pediatrics, Children's Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-9221-4852
Nationwide Children's Hospital · USChildren's Hospital of Philadelphia · USBaylor College of Medicine · USChildren's Hospital of Los Angeles · USChildren's Oncology Group · USHarvard University · USHospital for Sick Children · CASeattle Children's Hospital · USStanford University · USUniversity of Chicago · USUniversity of Florida · US

Funding

NCTN BIQSFP ANBL1531 (NRT)U10CA180886 · NCI · PUBLIC HEALTH INSTITUTE · PI Douglas S. Hawkins · 2014 to 2026
$390.6M
COG FOREIGN ACCRUALU10CA098543 · NCI · NATIONAL CHILDHOOD CANCER FOUNDATION · PI ADAMSON, PETER C. · 2003 to 2013
$335.5M
COG SDMC - Statistics CoreU10CA180899 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TODD A ALONZO · 2014 to 2026
$132.8M
Children's Oncology Group Statistics &Data Center GrantU10CA098413 · NCI · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI ANDERSON, JAMES R · 2003 to 2013
$67.5M
COG U24 Funding 2026-2027U24CA196173 · NCI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI Mignon Lee-Cheun Loh, Nilsa Del Carmen Ramirez Milan · 2015 to 2026
$62.5M
NCI NIH HHS U10 CA098413NCI NIH HHS U10 CA098543NCI NIH HHS U10 CA180886NCI NIH HHS U10 CA180899NCI NIH HHS U24 CA196173
6 · The paper itself

Abstract

purposeTreatment planning for children with neuroblastoma requires accurate assessment of prognosis. The most recent Children's Oncology Group (COG) risk classification system used tumor stage as defined by the International Neuroblastoma Staging System. Here, we validate a revised classifier using the International Neuroblastoma Risk Group Staging System (INRGSS) and incorporate segmental chromosome aberrations (SCA) as an additional genomic biomarker.

methodsNewly diagnosed patients enrolled on the COG neuroblastoma biology study ANBL00B1 between 2007 and 2017 with known age, International Neuroblastoma Staging System, and INRGSS stage were identified (N = 4,832). Tumor

resultsMost patients with locoregional tumors had excellent outcomes except for those with image-defined risk factors (INRGSS L2) with

conclusionA revised 2021 COG neuroblastoma risk classifier (version 2) that uses the INRGSS and incorporates SCAs has been adopted to prospectively define COG clinical trial eligibility and treatment assignment.

Indexed as

AdolescentChildChild, PreschoolHumansInfantNeoplasm StagingNeuroblastomaRisk Factors

Identifiers

PMID34319759
PMCPMC8500606
OpenAlexW3184057816

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.