Evidence map›Paper›PMID 37790759›Full record

ArticleFrontiers in oncology2023

Evaluation of factors leading to poor outcomes for pediatric acute lymphoblastic leukemia in Mexico: a multi-institutional report of 2,116 patients.

Daniel C Moreira, Oscar González-Ramella, Maite Echavarría Valenzuela, Angela K Carrillo, Lane Faughnan, Godwin Job, Yichen Chen, Cesar Villegas, Andrea Ellis Irigoyen, Rosario Barra Urbays and 33 more

Abstract read
In one paragraph

Article in Frontiers in oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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  12. Clinical Outcomes of Pediatric Acute Lymphoblastic Leukemia in the Bajio Region of Mexico: A Retrospective Cohort Study.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2025
    Article
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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

43 authors.

Daniel C MoreiraDepartment of Global Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.
Oscar González-RamellaDepartment of Pediatric Hematology/Oncology, Hospital Civil de Guadalajara Juan I. Menchaca, Guadalajara, Mexico.
Maite Echavarría ValenzuelaDepartment of Pediatric Oncology, Hospital Pediátrico de Sinaloa, Culiacán, Mexico.
Angela K CarrilloDepartment of Global Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.
Lane FaughnanDepartment of Global Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.
Godwin JobDepartment of Global Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.
Yichen ChenDepartment of Global Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.
Cesar VillegasDepartment of Global Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.
Andrea Ellis IrigoyenDepartment of Pediatric Oncology, Hospital Infantil Teletón de Oncología, Querétaro, Mexico.
Rosario Barra UrbaysDepartment of Pediatric Oncology, Centro Estatal de Cancerologia Dr. Miguel Dorantes Mesa, Xalapa, Mexico.
Maribel Ramírez MartinezDepartment of Pediatric Oncology, Hospital General de Tijuana, Tijuana, Mexico.
Eduardo Altamirano AlvarezDepartment of Pediatric Hematology/Oncology, Hospital General con Especialidades "Juan María Salvatierra", La Paz, Mexico.
José Antonio León EspitiaDepartment of Pediatric Oncology, Hospital General Leoón, León, Mexico.
Norma Araceli López FacundoDepartment of Pediatric Oncology, Hospital Materno Infantil ISSEMYM Toluca, Toluca, Mexico.
Julia Esther Colunga PedrazaDepartment of Pediatric Hematology, Hospital Universitario "José Eleuterio González", Monterrey, Mexico.
Flor de María Reyes GutierrezDepartment of Pediatric Hematology/Oncology, Hospital para el Niño del IMIEM, Toluca, Mexico.
Ana Berenice Aguilar RománDepartment of Pediatric Oncology, ONCOCREAN Tapachula, IMSS, Tapachula, Mexico.
Edna Liliana Tamez GómezDepartment of Pediatric Hematology/Oncology, Hospital Infantil de Tamaulipas, Ciudad Victoria, Mexico.
Claudia Selene Portillo ZavalaDepartment of Pediatric Oncology, Hospital Infantil de Especialidades de Chihuahua, Chihuahua, Mexico.
Natalia Del Carmen Negroe OcampoDepartment of Pediatric Oncology, Hospital General Agustín O´Horán, Mérida, Mexico.
Sandra Guadalupe Pulido SanchezDepartment of Pediatric Hematology, Hospital Infantil de Morelia "Eva Sámano de López Mateos", Morelia, Mexico.
Deyanira Cortés AlvaDepartment of Pediatric Oncology, Hospital del Niño DIF Hidalgo, Pachuca, Mexico.
Paola Casillas ToralDepartment of Pediatric Hematology/Oncology, Hospital Civil de Guadalajara Juan I. Menchaca, Guadalajara, Mexico.
Karime Salas VillaDepartment of Pediatric Oncology, Hospital Pediátrico de Sinaloa, Culiacán, Mexico.
Patricia Judith Mendoza SánchezDepartment of Pediatric Oncology, Hospital Infantil Teletón de Oncología, Querétaro, Mexico.
Carlos Pérez AlvaradoDepartment of Pediatric Oncology, Centro Estatal de Cancerologia Dr. Miguel Dorantes Mesa, Xalapa, Mexico.
Gabriela Tamayo PedrazaDepartment of Pediatric Oncology, Hospital General de Tijuana, Tijuana, Mexico.
Margarita González ZamoranoDepartment of Pediatric Hematology/Oncology, Hospital General con Especialidades "Juan María Salvatierra", La Paz, Mexico.
José Manuel Ricardo Ávila AlbaDepartment of Pediatric Oncology, Hospital General Leoón, León, Mexico.
Jocelyn Becerril BecerrilDepartment of Pediatric Oncology, Hospital Materno Infantil ISSEMYM Toluca, Toluca, Mexico.
Hernán Ramírez DuránDepartment of Pediatric Hematology, Hospital Universitario "José Eleuterio González", Monterrey, Mexico.
Antonio Sandoval CabreraDepartment of Pediatric Hematology/Oncology, Hospital para el Niño del IMIEM, Toluca, Mexico.
Adolfo Pineda GordilloDepartment of Pediatric Oncology, ONCOCREAN Tapachula, IMSS, Tapachula, Mexico.
Dora Iveth de la Rosa AlonsoDepartment of Pediatric Hematology/Oncology, Hospital Infantil de Tamaulipas, Ciudad Victoria, Mexico.
Leonardo Javier Mejía MarínDepartment of Pediatric Oncology, Hospital Infantil de Especialidades de Chihuahua, Chihuahua, Mexico.
Leslie de Los Ángeles Benítez CanDepartment of Pediatric Oncology, Hospital General Agustín O´Horán, Mérida, Mexico.
Itzel Gutiérrez MartinezDepartment of Pediatric Hematology, Hospital Infantil de Morelia "Eva Sámano de López Mateos", Morelia, Mexico.
Mariana Isabel Jiménez OsorioDepartment of Pediatric Oncology, Hospital del Niño DIF Hidalgo, Pachuca, Mexico.
Naomi EcheandiaDepartment of Global Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.
Erika CasillasCasa de la Amistad, Mexico City, Mexico.
Karla Guerrero-GomezCasa de la Amistad, Mexico City, Mexico.
Meenakshi DevidasDepartment of Global Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.
Paola FriedrichDepartment of Global Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aims: Pediatric acute lymphoblastic leukemia (ALL) survival rates in low- and middle-income countries are lower due to deficiencies in multilevel factors, including access to timely diagnosis, risk-stratified therapy, and comprehensive supportive care. This retrospective study aimed to analyze outcomes for pediatric ALL at 16 centers in Mexico. Methods: Patients <18 years of age with newly diagnosed B- and T-cell ALL treated between January 2011 and December 2019 were included. Clinical and biological characteristics and their association with outcomes were examined. Results: Overall, 2,116 patients with a median age of 6.3 years were included. B-cell immunophenotype was identified in 1,889 (89.3%) patients. The median white blood cells at diagnosis were 11.2.5 × 10 Conclusion: Outcomes in this multi-institutional cohort describe poor outcomes, influenced by incomplete and inconsistent risk stratification, early toxic death, high on-treatment mortality, and high CNS relapse rate. Adopting comprehensive risk-stratification strategies, evidence-informed de-intensification for favorable-risk patients and optimized supportive care could improve outcomes.

Indexed as

acute lymphoblastic leukemiadiagnostic capacitylow-and middle income countriesMexicopediatric oncology

Identifiers

PMID37790759
PMCPMC10544893

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