Evidence map›Paper›PMID 36308746›Full record

ArticlePediatric blood & cancer2023

A retrospective investigation of the relationship between neuroblastoma response to anti-GD2 monoclonal antibodies and exposure to opioids for pain management.

Kyle J Morgan, Andrew Dudas, Wayne L Furman, M Beth McCarville, Barry L Shulkin, Zhaohua Lu, Himani Darji, Doralina L Anghelescu

Abstract read
In one paragraph

Article in Pediatric blood & cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

8 authors.

Kyle J MorganSt. Jude Children's Research Hospital, Department of Pediatric Medicine, Memphis, Tennessee, USA.ORCID 0000-0002-2031-3851
Andrew DudasSt. Jude Children's Research Hospital, Department of Pediatric Medicine, Memphis, Tennessee, USA.
Wayne L FurmanSt. Jude Children's Research Hospital, Department of Oncology, Memphis, Tennessee, USA.
M Beth McCarvilleSt. Jude Children's Research Hospital, Department of Radiological Sciences, Memphis, Tennessee, USA.
Barry L ShulkinSt. Jude Children's Research Hospital, Department of Radiological Sciences, Memphis, Tennessee, USA.ORCID 0000-0003-4784-7914
Zhaohua LuSt. Jude Children's Research Hospital, Department of Biostatistics, Memphis, Tennessee, USA.
Himani DarjiSt. Jude Children's Research Hospital, Department of Biostatistics, Memphis, Tennessee, USA.
Doralina L AnghelescuSt. Jude Children's Research Hospital, Department of Pediatric Medicine, Memphis, Tennessee, USA.ORCID 0000-0002-8521-2744

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
NCI NIH HHS P30 CA021765
6 · The paper itself

Abstract

objectiveRecent increased awareness and research studies reflect possible associations between opioid exposure and cancer outcomes. Children with neuroblastoma (NB) often require opioid treatment for pain. However, associations between tumor response to chemotherapy and opioid exposure have not been investigated in clinical settings.

methodsThis is a single-institution retrospective review of patients with NB treated between 2013 and 2016. We evaluated opioid consumption quantified in morphine equivalent doses (mg/kg) based on nurse- or patient-controlled analgesia during antibody infusions. We also analyzed their associations with change in primary tumor volume and total tumor burden.

resultsOf 42 patients given opioids for pain related to anti-disialoganglioside monoclonal antibodies (anti-GD2 mAb), data completion was achieved for 36, and details of statistical analyses were entered. Median total weight-based morphine equivalent (over 8 days) was 4.71 mg/kg (interquartile range 3.49-7.96). We found a statistically insignificant weak negative relationship between total weight-based morphine equivalents and tumor volume ratio (correlation coefficient -.0103, p-value .9525) and a statistically insignificant weak positive relationship between total weight-based morphine equivalent and Curie score ratio (correlation coefficient .1096, p-value .5247).

conclusionOur study found no statistically significant correlation between opioid consumption and natural killer (NK) cell-mediated killing of NB cells as measured by effects on tumor volume/tumor load.

Indexed as

Antineoplastic AgentsNeuroblastomaAnalgesics, OpioidAntibodies, MonoclonalChildHumansMorphine DerivativesPainPain ManagementRetrospective StudiesAnalgesics, OpioidAntibodies, MonoclonalAntineoplastic AgentsMorphine Derivativesanti-GD2 mAbhematologyopioidpainpediatrictumor volume ratio

Identifiers

PMID36308746
PMCPMC9790035

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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.