Evidence map›Paper›PMID 36938203›Full record

ArticleCureus2023

Trends in Pediatric Cancer Care in Florida From 1981-2020: Changing Patterns in a Growing and Increasingly Diverse Population.

Peter H Shaw, Jonathan Metts, Ernest Amankwah, Don E Eslin, Scott Bradfield, William B Slayton, Brian Hays, Brian Calkins, Juan Rico, Jeffrey Krischer

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Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Peter H ShawPediatrics/Oncology, Children's Wisconsin/Medical College of Wisconsin, Milwaukee, USA.
Jonathan MettsPediatric Oncology, Johns Hopkins All Children's Hospital, St. Petersburg, USA.
Ernest AmankwahOncology, Johns Hopkins All Children's Hospital, St. Petersburg, USA.
Don E EslinPediatric Oncology, St. Joseph's Children's Hospital, Tampa, USA.
Scott BradfieldPediatric Oncology, Nemours Children's Health System, Jacksonville, USA.
William B SlaytonPediatric Oncology, University of Florida College of Medicine, Gainesville, USA.
Brian HaysEpidemiology, University of South Florida Morsani College of Medicine, Tampa, USA.
Brian CalkinsEpidemiology, University of South Florida Morsani College of Medicine, Tampa, USA.
Juan RicoPediatric Hematology Oncology, University of South Florida Morsani College of Medicine, Tampa, USA.
Jeffrey KrischerEpidemiology and Biostatistics, University of South Florida Morsani College of Medicine, Tampa, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background The Florida Association of Pediatric Tumor Programs (FAPTP) has used the Statewide Patient Information Reporting System (SPIRS) since 1981 to track all new cases of pediatric cancer. We reviewed the last 40 years of data to see how pediatric cancer care has evolved. Methods We retrospectively analyzed SPIRS data from 1981 through 2020 in five-year increments, looking at numbers of new diagnoses, care delivery sites, and trial enrollment in Children's Oncology Group (COG) studies. Results From 1981-2020 Florida's population increased almost 88% while the pediatric population only grew 61%. New pediatric cancer diagnoses increased 326% to over 1,000 new cases/year. The percentage of patients treated at FAPTP centers grew from 30% to 57% with an annual percentage change (APC) of 10.3% (95% Confidence Interval [CI] of 0.6 to 20.9%). The rate of COG clinical trial enrollment decreased from 32% in 1981-1985 to 20% in 2016-2020, for an APC of 8.91% (95% CI of -13.3 to -4.3%). Conclusions The striking increase in pediatric cancer cases in Florida over the last 40 years was out of proportion to the population growth. More patients received care at FAPTP centers, but a lower percentage were enrolled on COG trials.

Indexed as

cancer epidemiologycancer incidenceclinical trial enrollmenthealthcare disparitypediatric cancer

Identifiers

PMID36938203
PMCPMC10023130

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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.