Evidence map›Paper›PMID 40259339›Full record

ArticleBMC pediatrics2025

Prognosis of nasopharyngeal carcinoma in children and adolescents: a population-based analysis.

Yi Shi, Yang Wu, Jiezhi He, Yinjie Ling, Wenyuan Liu

Abstract read
In one paragraph

Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Pediatric Nasopharyngeal Carcinoma (NPC).Current oncology reports · 2026
    Review
  5. Article
  6. Article
  7. 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

5 authors.

Yi Shi *School of Medicine, Huzhou university, Huzhou, 313000, Zhejiang, China.
Yang Wu *Department of Pediatrics, First Affiliated Hospital of Huzhou University, the First People's Hospital of Huzhou, Huzhou, 313000, China.
Jiezhi HeDepartment of nursing, Wenzhou Central Hospital, Wenzhou, 325000, Zhejiang, China.
Yinjie LingDepartment of Pediatrics, First Affiliated Hospital of Huzhou University, the First People's Hospital of Huzhou, Huzhou, 313000, China. 50411@zjhu.edu.cn.
Wenyuan LiuDepartment of Pediatrics, First Affiliated Hospital of Huzhou University, the First People's Hospital of Huzhou, Huzhou, 313000, China. liuwenyuanhuzhou@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe purpose of this study is to use a population-based cohort to examine the clinicopathological features and survival outcomes of nasopharyngeal cancer (NPC) in children and adolescents.

methodsDemographic and clinicopathological variables of pediatric patients diagnosed with NPC were extracted from the Surveillance, Epidemiology, and End Results database (2000-2018). The survival rates were calculated using Kaplan-Meier analysis. Univariate survival analysis used the log-rank test, whereas multivariate analysis used Cox proportional-hazards regression to find factors impacting overall survival (OS).

resultsA total of 233 pediatric patients were analyzed, with a median age at diagnosis of 16 years (range: 7-19 years). The cancers primarily affected males (70.0%). In terms of grade, 8 (3.5%) patients were well and moderately differentiated, 31 (13.3%) patients were poorly differentiated, and 134 (57.5%) patients were undifferentiated. TNM stage and radiotherapy were significant independent predictors of overall survival. The risk of death was higher for M1 stage (hazard ratio (HR) 20.1, 95% confidence interval (CI), 8.0-50.5; P < 0.001) as compared to M0 stage. Furthermore, multivariate analysis revealed a significant survival advantage for radiotherapy treatment (HR 0.24, 95% CI, 0.09-0.68; P = 0.007).

conclusionNPC in children is rare and should be studied independently. This study found that TNM stage and radiotherapy were the most significant survival predictors, emphasizing the importance of these parameters in the prediction and treatment of pediatric NPC. LEVEL OF EVIDENCE: 3:

Indexed as

Nasopharyngeal CarcinomaNasopharyngeal NeoplasmsAdolescentChildFemaleHumansKaplan-Meier EstimateMaleNeoplasm StagingPrognosisProportional Hazards ModelsRetrospective StudiesSEER ProgramSurvival RateYoung AdultNasopharyngeal carcinomaOverall survivalPediatricRadiotherapySEER

Identifiers

PMID40259339
PMCPMC12010594

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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.