Evidence map›Paper›PMID 37290024›Full record

ArticleJCO global oncology2023

Pediatric Acute Lymphoblastic Leukemia: Clinical Characteristics, Treatment Outcomes, and Prognostic Factors: 10 Years' Experience From a Low- and Middle-Income Country.

Ishfaq Ahmad, Tariq Ghafoor, Anwar Ullah, Shaista Naz, Muhammad Tahir, Shakeel Ahmed, Awais Arshad, Asghar Ali, Tariq Azam Khattack, Fatima Batool

Abstract read
In one paragraph

Article in JCO global oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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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.

Ishfaq AhmadDepartment of Paediatric Oncology, Combined Military Hospital, Rawalpindi, Pakistan.
Tariq GhafoorDepartment of Paediatric Oncology, Combined Military Hospital, Rawalpindi, Pakistan.ORCID 0000-0003-1279-7160
Anwar UllahDepartment of Paediatric Oncology, Combined Military Hospital, Rawalpindi, Pakistan.
Shaista NazDepartment of Paediatric Oncology, Combined Military Hospital, Rawalpindi, Pakistan.
Muhammad TahirDepartment of Paediatric Oncology, Combined Military Hospital, Rawalpindi, Pakistan.ORCID 0000-0003-3742-9487
Shakeel AhmedDepartment of Paediatric Oncology, Combined Military Hospital, Rawalpindi, Pakistan.ORCID 0000-0002-8222-1856
Awais ArshadDepartment of Paediatric Oncology, Combined Military Hospital, Rawalpindi, Pakistan.
Asghar AliArmed Forces Bone Marrow Transplant Centre, CMH Medical Complex, Rawalpindi, Pakistan.ORCID 0000-0002-7060-3160
Tariq Azam KhattackArmed Forces Bone Marrow Transplant Centre, CMH Medical Complex, Rawalpindi, Pakistan.
Fatima BatoolIslamabad Medical and Dental College, Islamabad, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAcute lymphoblastic leukemia (ALL) represents around 70% of pediatric leukemia. In high-income countries, the 5-year survival is above 90%, but survival in low- and middle-income countries is inferior. This study documents the treatment outcome and prognostic factors of pediatric ALL in Pakistan. MATERIALS AND

methodsIn this prospective cohort study, all newly diagnosed patients with ALL/lymphoblastic lymphoma from age 1 to 16 years enrolled between January 1, 2012, and December 31, 2021, were included. The treatment was based on the standard arm of the UKALL2011 protocol.

resultsData from 945 patients with ALL, including 597 males (63.2%), were analyzed. The mean age at diagnosis was 5.73 ± 3.51 years. Pallor was the commonest presentation in 95.2% followed by fever in 84.2% of patients. The mean WBC count was 56.6 ± 103.4 × 10

conclusionIn this largest cohort of childhood ALL from Pakistan, a high WBC count, malnutrition, delayed presentation, previous steroids use, intensive chemotherapy, and poor response to the induction chemotherapy were associated with decreased OS and DFS rates.

Indexed as

Precursor Cell Lymphoblastic Leukemia-LymphomaAdolescentChildChild, PreschoolDisease-Free SurvivalHumansInfantMalePrognosisProspective StudiesTreatment Outcome

Identifiers

PMID37290024
PMCPMC10497281

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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.