Evidence map›Paper›PMID 38924306›Full record

SynthesisClinical and translational science2024

Pharmacogenomic studies of fertility outcomes in pediatric cancer survivors - A systematic review.

Tayla Stenta, Michael Assis, Katie Ayers, Elena J Tucker, Andreas Halman, Debra Gook, Andrew H Sinclair, David A Elliott, Yasmin Jayasinghe, Rachel Conyers

Abstract readSystematic Review
In one paragraph

Synthesis in Clinical and translational science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Diversity in Translation: Equal Is Greater Than.Clinical and translational science · 2026
    Article
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.

Tayla StentaCancer Therapies, Stem Cell Medicine, Murdoch Children's Research Institute, Parkville, Victoria, Australia.ORCID 0000-0003-4794-030X
Michael AssisCancer Therapies, Stem Cell Medicine, Murdoch Children's Research Institute, Parkville, Victoria, Australia.ORCID 0000-0001-5283-6764
Katie AyersDepartment of Paediatrics, University of Melbourne, Parkville, Victoria, Australia.ORCID 0000-0002-6840-3186
Elena J TuckerDepartment of Paediatrics, University of Melbourne, Parkville, Victoria, Australia.ORCID 0000-0002-6380-5100
Andreas HalmanCancer Therapies, Stem Cell Medicine, Murdoch Children's Research Institute, Parkville, Victoria, Australia.ORCID 0000-0001-5248-4121
Debra GookDepartment of Obstetrics, Gynaecology and Newborn Health, Royal Women's Hospital, University of Melbourne, Parkville, Victoria, Australia.ORCID 0000-0002-2564-8386
Andrew H SinclairDepartment of Paediatrics, University of Melbourne, Parkville, Victoria, Australia.ORCID 0000-0003-2741-7992
David A ElliottCancer Therapies, Stem Cell Medicine, Murdoch Children's Research Institute, Parkville, Victoria, Australia.ORCID 0000-0003-1052-7407
Yasmin JayasingheDepartment of Obstetrics, Gynaecology and Newborn Health, Royal Women's Hospital, University of Melbourne, Parkville, Victoria, Australia.ORCID 0000-0001-5975-9378
Rachel ConyersCancer Therapies, Stem Cell Medicine, Murdoch Children's Research Institute, Parkville, Victoria, Australia.ORCID 0000-0002-2344-1365

Funding

Cancer Council VictoriaKids Cancer Project: GENIE GrantMedical Research Future Fund MRFAR000308Novo Nordisk Foundation NNF21CC0073729Royal Children's Hospital Foundation
6 · The paper itself

Abstract

For the same age, sex, and dosage, there can be significant variation in fertility outcomes in childhood cancer survivors. Genetics may explain this variation. This study aims to: (i) review the genetic contributions to infertility, (ii) search for pharmacogenomic studies looking at interactions of cancer treatment, genetic predisposition and fertility-related outcomes. Systematic searches in MEDLINE Ovid, Embase Classic+Embase, and PubMed were conducted using the following selection criteria: (i) pediatric, adolescent, and young adult cancer survivors, below 25 years old at the time of diagnosis, (ii) fertility outcome measures after cancer therapy, (iii) genetic considerations. Studies were excluded if they were (i) conducted in animal models, (ii) were not published in English, (iii) editorial letters, (iv) theses. Articles were screened in Covidence by at least two independent reviewers, followed by data extraction and a risk of bias assessment using the Quality in Prognostic Studies tool. Eight articles were reviewed with a total of 29 genes. Outcome measures included sperm concentration, azoospermia, AMH levels, assessment of premature menopause, ever being pregnant or siring a pregnancy. Three studies included replication cohorts, which attempted replication of SNP findings for NPY2R, BRSK1, FANCI, CYP2C19, CYP3A4, and CYP2B6. Six studies were rated with a high risk of bias. Differing methods may explain a lack of replication, and small cohorts may have contributed to few significant findings. Larger, prospective longitudinal studies with an unbiased genome-wide focus will be important to replicate significant results, which can be applied clinically.

Indexed as

Cancer SurvivorsFertilityNeoplasmsAdolescentAntineoplastic AgentsChildFemaleHumansInfertilityMalePharmacogeneticsPharmacogenomic TestingYoung AdultAntineoplastic Agents

Identifiers

PMID38924306
PMCPMC11199333

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.