Evidence map›Paper›PMID 39946670›Full record

ArticleJCO global oncology2025

Evacuating Patients With Pediatric Cancer From Ukraine: Impact on Medical Care Capacity in Poland.

Aleksandra Oszer, Khrystyna Kliuchkivska, Julia Kołodrubiec, Andriy Sopilnyak, Marta Salek, Marcin W Włodarski, Małgorzata Dutkiewicz, Zuzanna Nowicka, Maryna Krawczuk-Rybak, Jan Styczyński and 21 more

Erratum issuedAbstract readMulticenter Study
In one paragraph

Article in JCO global oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Observational
  3. Enhancement of antitumor activity through structural optimization of 2-(Benzylamino)-thieno[2,3-d]pyrimidin-4(3H)-ones.Medicinal chemistry research : an international journal for rapid communications on design and mechanisms of action of biologically active agents · 2026
    Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors.

Aleksandra OszerDepartment of Pediatrics, Oncology and Hematology, Medical University of Lodz, Lodz, Poland.ORCID 0000-0003-0317-1879
Khrystyna KliuchkivskaDepartment of Pediatric Oncology, Western Ukrainian Specialized Children's Medical Center, Lviv, Ukraine.
Julia KołodrubiecDepartment of Pediatrics, Oncology and Hematology, Medical University of Lodz, Lodz, Poland.ORCID 0000-0002-8169-1709
Andriy SopilnyakDepartment of Pediatrics, Oncology and Hematology, Medical University of Lodz, Lodz, Poland.
Marta SalekDepartment of Global Pediatric Medicine, St Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0002-3421-5945
Marcin W WłodarskiDepartment of Hematology, St Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0001-6638-9643
Małgorzata DutkiewiczFundacja Herosi, Warsaw, Poland.
Zuzanna NowickaDepartment of Biostatistics and Translational Medicine, Medical University of Lodz, Lodz, Poland.ORCID 0000-0001-7814-5830
Maryna Krawczuk-RybakDepartment of Pediatric Oncology and Hematology, Medical University of Bialystok, Bialystok, Poland.
Jan StyczyńskiDepartment of Pediatric Hematology and Oncology, Collegium Medicum, Nicolaus Copernicus University Torun, Bydgoszcz, Poland.
Katarzyna MachnikUnit of Pediatric Hematology and Oncology, City Hospital of Chorzow, Chorzow, Poland.
Ninela Irga-JaworskaDepartment of Pediatrics, Hematology and Oncology, Medical University of Gdansk, Gdansk, Poland.
Agnieszka Mizia-MalarzDepartment of Pediatric Oncology, Hematology and Chemotherapy, Upper Silesia Children's Care Health Centre, Medical University of Silesia, Katowice, Poland.ORCID 0000-0002-1984-5527
Grażyna KarolczykDepartment of Pediatric Oncology and Hematology, Children's Hospital in Kielce, Kielce, Poland.
Szymon SkoczeńDepartment of Pediatric Oncology and Hematology, Jagiellonian University Medical College, Cracow, Poland.
Walentyna BalwierzDepartment of Pediatric Oncology and Hematology, Jagiellonian University Medical College, Cracow, Poland.
Katarzyna DrabkoDepartment of Pediatric Hematology, Oncology and Transplantology, Medical University of Lublin, Lublin, Poland.ORCID 0000-0002-7094-9129
Katarzyna MyckoDepartment of Pediatrics and Hematology and Oncology, Province Children's Hospital in Olsztyn, Olsztyn, Poland.
Katarzyna DerwichDepartment of Pediatric Oncology, Hematology and Transplantology, Poznan University of Medical Sciences, Poznan, Poland.ORCID 0000-0001-7239-4035
Radosław ChaberDepartment of Pediatrics, Institute of Medical Sciences, Medical College, University of Rzeszow, Rzeszow, Poland.ORCID 0000-0002-6862-9142
Tomasz OciepaDepartment of Pediatrics, Hemato-Oncology and Gastroenterology, Pomeranian Medical University, Szczecin, Poland.
Jarosław Peregud-PogorzelskiDepartment of Pediatrics, Pediatric Oncology and Immunology, Pomeranian Medical University, Szczecin, Poland.ORCID 0000-0003-2634-6002
Bożenna Dembowska-BagińskaDepartment of Oncology, Children's Memorial Health Institute, Warszawa, Poland.
Paweł ŁagunaDepartment of Pediatrics Oncology, Hematology and Transplantology, Medical University of Warsaw, Warsaw, Poland.ORCID 0000-0002-3656-5236
Krzysztof KałwakDepartment of Pediatric Bone Marrow Transplantation, Oncology, and Hematology, Wroclaw Medical University, Wroclaw, Poland.ORCID 0000-0003-1174-5799
Tomasz SzczepańskiDepartment of Pediatric Hematology and Oncology, Zabrze, Medical University of Silesia (SUM), Katowice, Poland.ORCID 0000-0001-5336-261X
Anna RaciborskaDepartment of Oncology and Surgical Oncology for Children and Youth, Mother and Child Institute, Warsaw, Poland.ORCID 0000-0003-2612-7934
Piotr CzaudernaDepartment of Surgery and Urology for Children and Adolescents, Medical University of Gdansk, Gdansk, Poland.ORCID 0000-0002-5266-8665
Asya AgulnikDepartment of Global Pediatric Medicine, St Jude Children's Research Hospital, Memphis, TN.ORCID 0000-0001-8932-8181
Wojciech MłynarskiDepartment of Pediatrics, Oncology and Hematology, Medical University of Lodz, Lodz, Poland.ORCID 0000-0003-2714-5851
Polish Society of Pediatric Oncology and Hematology and the SAFER Ukraine Collaborative

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSoon after the Russian invasion of Ukraine in February 2022, an initiative was organized to evacuate Ukrainian children with cancer, most initially to Poland. This study assessed the impact of this rapid increase in clinical need on the Polish system of pediatric cancer care.

methodsThis multicenter longitudinal approach was performed among all 19 Polish Pediatric Oncology Centers (PPOCs). We compared PPOC capacity before the invasion with that during the first 11 weeks after the invasion, using three ratios: patients to physicians (PtP), patients to nurses (PtN), and patients to beds (PtB). In addition, we used national data from an ongoing leukemia clinical trial to assess differences between the two study periods in the time required to comply with protocol-indicated medical procedures requiring general anesthesia.

resultsDuring the study period, 237 Ukrainian refugee children with cancer were treated in PPOCs; 60% of them arrived during the first 21 days of the war. The relative increase in patients varied significantly among the PPOCs, ranging from 42% to 460%. The average PtP, PtN, and PtB ratios increased significantly by 85%, 131%, and 105%, respectively. The portion of patients experiencing a delay in obtaining medical procedures requiring general anesthesia increased from 15% before the war to 18.2% (

conclusionBecause of the large number of Ukrainian children with cancer were evacuated to Poland, capacity of PPOCs was reduced, affecting cancer care for all patients. Maintaining standards of pediatric oncology care in Poland would not be possible without further patient referral to medical facilities around the world by international humanitarian collaborative action.

Indexed as

NeoplasmsAdolescentChildChild, PreschoolFemaleHumansLongitudinal StudiesMalePolandUkraine

Identifiers

PMID39946670
PMCPMC11892610

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.