Evidence map›Paper›PMID 38553617›Full record

ArticleNature cancer2024

Associations of seven measures of biological age acceleration with frailty and all-cause mortality among adult survivors of childhood cancer in the St. Jude Lifetime Cohort.

Jennifer L Guida, Geehong Hyun, Daniel W Belsky, Gregory T Armstrong, Matthew J Ehrhardt, Melissa M Hudson, Paige A Green, Leslie L Robison, Brennan P Streck, Emily S Tonorezos and 4 more

Open access · greenAbstract read
In one paragraph

Article in Nature cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
46.6field-weighted citation impact, top 1% 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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
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  6. p16GeroScience · 2026
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  7. Frailty and neurocognitive impairments in Chinese survivors of childhood cancer.Journal of cancer survivorship : research and practice · 2026
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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

14 authors at 4 institutions in 1 country.

Jennifer L GuidaDivision of Cancer Control and Populations Sciences, National Cancer Institute, Rockville, MD, USA.ORCID http://orcid.org/0000-0001-5590-5286
Geehong HyunDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA.
Daniel W BelskyDepartment of Epidemiology and Butler Columbia Aging Center, Columbia University Mailman School of Public Health, New York, NY, USA.ORCID http://orcid.org/0000-0001-5463-2212
Gregory T ArmstrongDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA.
Matthew J EhrhardtDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA.ORCID http://orcid.org/0000-0003-2781-9983
Melissa M HudsonDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA.
Paige A GreenDivision of Cancer Control and Populations Sciences, National Cancer Institute, Rockville, MD, USA.ORCID http://orcid.org/0000-0001-7886-8924
Leslie L RobisonDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA.
Brennan P StreckDivision of Cancer Control and Populations Sciences, National Cancer Institute, Rockville, MD, USA.ORCID http://orcid.org/0000-0001-7033-1372
Emily S TonorezosOffice of Cancer Survivorship, National Cancer Institute, Rockville, MD, USA.
Yutaka YasuiDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA.ORCID http://orcid.org/0000-0002-7717-8638
Carmen L WilsonDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA.
Zhaoming WangDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA. zhaoming.wang@stjude.org.ORCID http://orcid.org/0000-0001-7556-3869
Kirsten K NessDepartment of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA. kiri.ness@stjude.org.ORCID http://orcid.org/0000-0002-2084-1507
St. Jude Children's Research Hospital · USNational Cancer Institute · USColumbia University · USNational Coalition for Cancer Survivorship · US

Funding

Viral Vector Technology (VVTSR)P30CA021765 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI CHARLES ROBERTS · 1985 to 2026
$166.9M
The St. Jude Lifetime CohortU01CA195547 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI HUDSON, MELISSA M, NESS, KIRSTEN KIMBERLIE · 2015 to 2024
$14.9M
NCI NIH HHS P30 CA021765NCI NIH HHS U01 CA195547U.S. Department of Health & Human Services | National Institutes of Health (NIH) P30CA021765U.S. Department of Health & Human Services | National Institutes of Health (NIH) U01CA195547U.S. Department of Health & Human Services | NIH | Office of Extramural Research, National Institutes of Health (OER) P30CA021765U.S. Department of Health & Human Services | NIH | Office of Extramural Research, National Institutes of Health (OER) U01CA195547
6 · The paper itself

Abstract

Survivors of childhood cancer may experience accelerated biological aging, resulting in premature frailty and death. We used seven measures of biological age in the St. Jude Lifetime (SJLIFE) Cohort to compare biological age acceleration between the SJLIFE Cohort and the third United States National Health and Nutrition Examination Survey controls, explore trajectories of biological age according to cancer treatment and type, and test associations of biological age acceleration with frailty and death (mean follow-up of 26.5 years) among survivors. Survivors of cancer aged 5% faster per year and measured, on average, 0.6-6.44 years biologically older compared to controls and 5-16 years biologically older compared to age-matched individuals at the population level. Survivors treated with hematopoietic cell transplant and vinca alkaloid chemotherapy evidenced the fastest trajectories of biological aging. Biologically, older and faster-aging survivors consistently and robustly had a higher risk of frailty and died earlier than those with slower biological aging, suggesting a potential opportunity to intervene on excess aging.

Indexed as

Cancer SurvivorsFrailtyNeoplasmsAdolescentAdultAgingCause of DeathChildCohort StudiesFemaleHumansMaleMiddle AgedNutrition SurveysYoung Adult

Identifiers

PMID38553617
PMCPMC11139608
OpenAlexW4393317677

What OpenQuestion holds

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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.