Evidence map›Paper›PMID 34416705›Full record

ReviewJournal of the National Comprehensive Cancer Network : JNCCN2021

Impact of the First Generation of Children's Oncology Group Clinical Trials on Clinical Practice for Wilms Tumor.

Jeffrey S Dome, Elizabeth A Mullen, David B Dix, Eric J Gratias, Peter F Ehrlich, Najat C Daw, James I Geller, Murali Chintagumpala, Geetika Khanna, John A Kalapurakal and 4 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of the National Comprehensive Cancer Network : JNCCN, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

25 citing papers in PubMed, 46 citations in OpenAlex.

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  20. Late Health Outcomes Among Survivors of Wilms Tumor Diagnosed Over Three Decades: A Report From the Childhood Cancer Survivor Study.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 12 institutions in 2 countries.

Jeffrey S DomeDivision of Oncology, Center for Cancer and Blood Disorders, Children's National Hospital and the Department of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, DC.
Elizabeth A MullenDana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, Massachusetts.
David B DixPediatric Hematology/Oncology, British Columbia Children's Hospital, Vancouver, British Columbia, Canada.
Eric J GratiaseviCore healthcare, Bluffton, South Carolina.
Peter F EhrlichDepartment of Pediatric Surgery, University of Michigan, CS Mott Children's Hospital, Ann Arbor, Michigan.
Najat C DawDivision of Pediatrics, The University of Texas MD Anderson Cancer Center, Houston, Texas.
James I GellerDivision of Oncology, Cancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Murali ChintagumpalaTexas Children's Hospital and Baylor College of Medicine, Houston, Texas.
Geetika KhannaDepartment of Radiology, Children's Healthcare of Atlanta, Atlanta, Georgia.
John A KalapurakalDepartment of Radiation Oncology, Northwestern University School of Medicine, Chicago, Illinois.
Lindsay A RenfroChildren's Oncology Group and Division of Biostatistics, University of Southern California, Los Angeles, California.
Elizabeth J PerlmanDepartment of Pathology, Northwestern University Feinberg School of Medicine, and the Robert H. Lurie Cancer Center, Chicago, Illinois.
Paul E GrundyDepartment of Pediatrics, University of Alberta Hospital, Edmonton, Alberta, Canada; and.
Conrad V FernandezDivision of Pediatric Hematology/Oncology, IWK Health Centre, Halifax, Nova Scotia, Canada.
Baylor College of Medicine · USBritish Columbia Children's Hospital · CAChildren's Healthcare of Atlanta · USChildren's Oncology Group · USCincinnati Children's Hospital Medical Center · USC. S. Mott Children's Hospital · USDana-Farber/Boston Children's Cancer and Blood Disorders Center · USGeorge Washington University · USNorthwestern University · USRobert H. Lurie Comprehensive Cancer Center of Northwestern UniversityThe University of Texas MD Anderson Cancer Center · USUniversity of Alberta Hospital · CA

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
Support for Human Specimen Banking in NCI-Supported Cancer Clinical TrialsU24CA114766 · NCI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI RAMIREZ MILAN, NILSA DEL CARMEN · 2005 to 2014
$14.5M
NCI NIH HHS U10 CA098413NCI NIH HHS U10 CA098543NCI NIH HHS U10 CA180886NCI NIH HHS U10 CA180899NCI NIH HHS U24 CA114766
6 · The paper itself

Abstract

Refinements in surgery, radiation therapy, and chemotherapy since the mid-20th century have resulted in a survival rate exceeding 90% for patients with Wilms tumor (WT). Although this figure is remarkable, a significant proportion of patients continue to have event-free survival (EFS) estimates of <75%, and nearly 25% of survivors experience severe chronic medical conditions. The first-generation Children's Oncology Group (COG) renal tumor trials (AREN '0'), which opened to enrollment in 2006, focused on augmenting treatment regimens for WT subgroups with predicted EFS <75% to 80%, including those with the adverse prognostic marker of combined loss of heterozygosity (LOH) at chromosomes 1p/16q, pulmonary metastasis with incomplete lung nodule response after 6 weeks of chemotherapy, bilateral disease, and anaplastic histology. Conversely, therapy was reduced for patient subgroups with good outcomes and potential for long-term toxicity, such as those with lung metastasis with complete lung nodule response after 6 weeks of chemotherapy. This article summarizes the key findings of the first-generation COG renal tumor studies and their implications for clinical practice.

Indexed as

Kidney NeoplasmsLung NeoplasmsWilms TumorChildHumansProgression-Free SurvivalSurvival Rate

Identifiers

PMID34416705
PMCPMC8805512
OpenAlexW3194832450

What OpenQuestion holds

Textmetadata
LicenceTDM
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.