Evidence map›Paper›PMID 39832489›Full record

ArticleEuropean journal of haematology2025

Adherence to 6-Mercaptopurine (6-MP) and Habit Strength in Pediatric Acute Lymphoblastic Leukemia (ALL).

Mira Muxi Yang, Revika Singh, Maureen Haugen, Ashley Duff, Jenny Shoop, Elaine R Morgan, Jenna E Rossoff, Joanna L Weinstein, Mallorie B Heneghan, Sherif M Badawy

Abstract read
In one paragraph

Article in European journal of haematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Psychometric evaluation of the PROMISJournal of patient-reported outcomes · 2026
    Observational
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.

Mira Muxi YangDepartment of Medical Education, Northwestern University Feinberg School of Medicine, Chicago, USA.ORCID https://orcid.org/0009-0007-5038-4769
Revika SinghDepartment of Medical Education, Northwestern University Feinberg School of Medicine, Chicago, USA.
Maureen HaugenDivision of Hematology, Oncology, and Stem Cell Transplant, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, USA.
Ashley DuffDivision of Hematology, Oncology, and Stem Cell Transplant, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, USA.
Jenny ShoopDivision of Hematology, Oncology, and Stem Cell Transplant, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, USA.
Elaine R MorganDivision of Hematology, Oncology, and Stem Cell Transplant, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, USA.
Jenna E RossoffDivision of Hematology, Oncology, and Stem Cell Transplant, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, USA.
Joanna L WeinsteinDivision of Hematology, Oncology, and Stem Cell Transplant, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, USA.
Mallorie B HeneghanDepartment of Pediatrics, Division of Pediatric Hematology/Oncology, University of Utah, Salt Lake City, USA.ORCID https://orcid.org/0000-0001-9454-0857
Sherif M BadawyDivision of Hematology, Oncology, and Stem Cell Transplant, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, USA.ORCID https://orcid.org/0000-0002-4739-265X

Funding

An mHealth Strategy to Improve Medication Adherence in Adolescents with Sickle Cell DiseaseK23HL150232 · NHLBI · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI BADAWY, SHERIF MOHAMED · 2020 to 2024
$842k
NHLBI NIH HHS K23 HL150232
6 · The paper itself

Abstract

backgroundLow 6-mercaptopurine (6-MP) adherence (< 95%) is associated with increased relapse in pediatric acute lymphoblastic leukemia (ALL). Stronger habit has been associated with higher adherence. We examined the relationship of 6-MP adherence to habit strength and health-related quality of life in pediatric ALL.

methodsA single-center, cross-sectional study of 52 participants: 11 patients (mean age 16 ± 4) and 41 parents/caregivers (age 37 ± 5). Participants completed Visual Analogue Scale (VAS

results81% (42/52) of participants reported high 6-MP adherence (VAS

conclusionsOne-fifth of participants reported low 6-MP adherence, with habit strength not associated with adherence. Variability of 6-MP routines may prohibit automaticity. While 6-MP adherence may not correlate with habit strength, interventions promoting and strengthening habit formation may overcome barriers to 6-MP adherence and improve outcomes.

Indexed as

Antimetabolites, AntineoplasticHabitsMedication AdherenceMercaptopurinePrecursor Cell Lymphoblastic Leukemia-LymphomaAdolescentAdultChildChild, PreschoolCross-Sectional StudiesFemaleHumansMaleQuality of LifeYoung AdultAntimetabolites, AntineoplasticMercaptopurine6‐MPacute lymphoblastic leukemiaadherenceALLhabit strength

Identifiers

PMID39832489
PMCPMC11976682

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.