Evidence map›Paper›PMID 35698215›Full record

Trial reportBMC cancer2022

Integrative medicine during the intensive phase of chemotherapy in pediatric oncology in Germany: a randomized controlled trial with 5-year follow up.

Georg Seifert, Sarah B Blakeslee, Gabriele Calaminus, Farid I Kandil, Andrea Barth, Toralf Bernig, Carl Friedrich Classen, Selim Corbacioglu, Jürgen Föll, Sven Gottschling and 11 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 16% 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

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

  1. Pooled it
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

21 authors at 13 institutions in 1 country.

Georg SeifertDepartment of Pediatrics, Division of Oncology and Hematology, Charité - Universitätsmedizin Berlin, Berlin, Germany. georg.seifert@charite.de.ORCID https://orcid.org/0000-0002-7109-9277
Sarah B BlakesleeDepartment of Pediatrics, Division of Oncology and Hematology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Gabriele CalaminusDepartment of Pediatric Hematology and Oncology, University Children's Hospital, Düsseldorf, Germany.
Farid I KandilDepartment of Pediatrics, Division of Oncology and Hematology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Andrea BarthInstitute of Applied Analysis and Numerical Simulation, Research Group for Computational Methods for Uncertainty Quantification, University of Stuttgart, Stuttgart, Germany.
Toralf BernigDepartment of Pediatrics, Martin Luther University Halle-Wittenberg, Halle, Germany.
Carl Friedrich ClassenDivision of Pediatric Oncology, Hematology and Palliative Medicine Section, Department of Pediatrics and Adolescent Medicine, University Medicine Rostock, Rostock, Germany.
Selim CorbaciogluDepartment of Pediatric Hematology, Oncology and Stem Cell Transplantation, University Hospital Regensburg, Regensburg, Germany.
Jürgen FöllDepartment of Pediatric Hematology, Oncology and Stem Cell Transplantation, University Hospital Regensburg, Regensburg, Germany.
Sven GottschlingCenter for Palliative Care and Pediatric Pain Medicine, Saarland University Medical Center, Homburg, Germany.
Bernd GruhnDepartment of Pediatrics, Jena University Hospital, Jena, Germany.
Claudia Vom Hoff-HeiseDepartment of Pediatrics, Division of Oncology and Hematology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Holger N LodeDepartment of Pediatric Hematology and Oncology, University Medicine, Greifswald, Germany.
David MartinDepartment of Hematology Oncology, University Children's Hospital, Tübingen, Germany.
Michaela NathrathPediatric Hematology and Oncology, Klinikum Kassel, Kassel, Germany.
Felix NeunhoefferDepartment of Pediatric Cardiology, Pulmonology and Pediatric Intensive Care Medicine, University Children's Hospital, Tübingen, Germany.
Arnulf PekrunDepartment of Pediatric Hematology and Oncology, Hospital Bremen-Mitte, Bremen, Germany.
Beate WulffDepartment of Pediatric Hematology-Oncology, Pediatrics III, University Hospital of Essen, Essen, Germany.
Tycho ZuzakDepartment of Pediatric Hematology-Oncology, Pediatrics III, University Hospital of Essen, Essen, Germany.
Günter HenzeDepartment of Pediatrics, Division of Oncology and Hematology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Alfred LänglerDepartment of Integrative Pediatric and Adolescent Medicine, Gemeinschaftskrankenhaus Herdecke, Herdecke, Germany.
Charité - Universitätsmedizin Berlin · DEEssen University Hospital · DEUniversity Hospital Regensburg · DEWitten/Herdecke University · DEJena University Hospital · DEKlinikum Bremen-Mitte · DEKlinikum Kassel · DEMartin Luther University Halle-Wittenberg · DESaarland University · DEUniversitätsmedizin Greifswald · DEUniversity Children's Hospital Tübingen · DEUniversity Hospital Bonn · DEUniversity of Stuttgart · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntegrative medicine is used frequently alongside chemotherapy treatment in pediatric oncology, but little is known about the influence on toxicity. This German, multi-center, open-label, randomized controlled trial assessed the effects of complementary treatments on toxicity related to intensive-phase chemotherapy treatment in children aged 1-18 with the primary outcome of the toxicity sum score. Secondary outcomes were chemotherapy-related toxicity, overall and event-free survival after 5 years in study patients.

methodsIntervention and control were given standard chemotherapy according to malignancy & tumor type. The intervention arm was provided with anthroposophic supportive treatment (AST); given as anthroposophic base medication (AMP), as a base medication for all patients and additional on-demand treatment tailored to the intervention malignancy groups. The control was given no AMP. The toxicity sum score (TSS) was assessed using NCI-CTC scales.

resultsData of 288 patients could be analyzed. Analysis did not reveal any statistically significant differences between the AST and the control group for the primary endpoint or the toxicity measures (secondary endpoints). Furthermore, groups did not differ significantly in the five-year overall and event-free survival follow up. DISCUSSION: In this trial findings showed that AST was able to be safely administered in a clinical setting, although no beneficial effects of AST between group toxicity scores, overall or event-free survival were shown.

Indexed as

Integrative MedicineNeoplasmsAntineoplastic Combined Chemotherapy ProtocolsChildFollow-Up StudiesHumansMedical OncologyAnthroposophic medicineComplementary cancer treatmentMistletoePediatric oncology trialRandomized controlled trialRCT

Identifiers

PMID35698215
PMCPMC9195372
OpenAlexW4282833766

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.