Evidence map›Paper›PMID 35253352›Full record

ReviewPediatric blood & cancer2022

Clinical group and modified TNM stage for rhabdomyosarcoma: A review from the Children's Oncology Group.

Jacquelyn N Crane, Wei Xue, Amira Qumseya, Zhengya Gao, Carola A S Arndt, Sarah S Donaldson, Douglas J Harrison, Douglas S Hawkins, Corinne M Linardic, Leo Mascarenhas and 7 more

Abstract readReview
In one paragraph

Review in Pediatric blood & cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Trial
  2. Article
  3. Pediatric Rhabdomyosarcoma in the Head and Neck: An Overview.Journal of neurological surgery reports · 2026
    Article
  4. Sarcomas in Adolescents and Young Adults.Current oncology reports · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Cancer Stem Cell Markers in Rhabdomyosarcoma in Children.Diagnostics (Basel, Switzerland) · 2022
    Article
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Jacquelyn N CraneDepartment of Pediatrics, Stanford University, Stanford, California, USA.ORCID 0000-0002-8227-5694
Wei XueDepartment of Biostatistics, College of Public Health and Health Professions and College of Medicine, University of Florida, Gainesville, Florida, USA.
Amira QumseyaDepartment of Biostatistics, College of Public Health and Health Professions and College of Medicine, University of Florida, Gainesville, Florida, USA.
Zhengya GaoDepartment of Biostatistics, College of Public Health and Health Professions and College of Medicine, University of Florida, Gainesville, Florida, USA.
Carola A S ArndtDepartment of Pediatric and Adolescent Medicine, Mayo Clinic and Foundation, Rochester, Minnesota, USA.
Sarah S DonaldsonDepartment of Radiation Oncology, Stanford University, Stanford, California, USA.ORCID 0000-0001-7125-3118
Douglas J HarrisonDepartment of Pediatrics, Texas Children's Cancer Center, Baylor College of Medicine, Houston, Texas, USA.
Douglas S HawkinsDepartment of Pediatrics, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Washington, USA.ORCID 0000-0003-3602-1375
Corinne M LinardicDepartment of Pediatrics, Duke University School of Medicine, Durham, North Carolina, USA.
Leo MascarenhasChildren's Hospital Los Angeles and University of Southern California Keck School of Medicine, Los Angeles, California, USA.ORCID 0000-0001-7790-0777
William H MeyerUniversity of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
David A RodebergDivision of Pediatric Surgery, Department of Surgery, East Carolina University, Greenville, North Carolina, USA.ORCID 0000-0003-3594-7547
Erin R RudzinskiDepartment of Laboratories, Seattle Children's Hospital, Seattle, Washington, USA.ORCID 0000-0002-7591-956X
Barry L ShulkinDepartment of Diagnostic Imaging, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.ORCID 0000-0003-4784-7914
David O WalterhouseDepartment of Pediatrics, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Rajkumar VenkatramaniDepartment of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.
Aaron R WeissDepartment of Pediatrics, Maine Medical Center, Portland, Maine, USA.

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 DEVIDAS, MEENAKSHI · 2003 to 2013
$67.5M
A Lead Academic Participating Site in Oklahoma for the Design and Conduct of NCTN Clinical TrialsUG1CA233193 · NCI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI Muhammad Furqan · 2019 to 2026
$13.7M
NCI NIH HHS U10 CA098413NCI NIH HHS U10 CA098543NCI NIH HHS U10 CA180886NCI NIH HHS U10 CA180899NCI NIH HHS UG1 CA233193
6 · The paper itself

Abstract

The Children's Oncology Group (COG) uses Clinical Group (CG) and modified Tumor Node Metastasis (TNM) stage to classify rhabdomyosarcoma (RMS). CG is based on surgicopathologic findings and is determined after the completion of initial surgical procedure(s) but prior to chemotherapy and/or radiation therapy. The modified TNM stage is based on clinical and radiographic findings and is assigned prior to any treatment. These systems have evolved over several decades. We review the history, evolution, and rationale behind the current CG and modified TNM classification systems used by COG for RMS. Data from the seven most recently completed and reported frontline COG trials (D9602, D9802, D9803, ARST0331, ARST0431, ARST0531, ARST08P1) were analyzed, and confirm that CG and modified TNM stage remain relevant and useful for predicting prognosis in RMS. We propose updates based on recent data and discuss factors warranting future study to further optimize these classification systems.

Indexed as

Neoplasms, Second PrimaryRhabdomyosarcomaRhabdomyosarcoma, EmbryonalChildHumansPrognosisclinical grouprhabdomyosarcomastage

Identifiers

PMID35253352
PMCPMC9233945

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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.