Evidence map›Paper›PMID 40303553›Full record

ArticleFrontiers in pediatrics2025

A multidisciplinary and structured approach for comprehensive evaluation of functional outcomes, adverse events, psychosocial outcomes and health-related quality of life after local therapy for bone sarcoma in children: protocol for a cross-sectional study.

Leonie G Tigelaar, Lianne M Haveman, Willem P Bekkering, Irene L B Oude Lansink, Christel D Rohrich, Hinke Van der Hoek, Laura R Beek, Jennifer Van Dijk, Marjolein E M Langemeijer, Relinde W Slooff-Lentink and 13 more

Abstract read
In one paragraph

Article in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Article
  2. 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

23 authors.

Leonie G TigelaarPrincess Máxima Center for Pediatric Oncology, Utrecht, Netherlands.
Lianne M HavemanPrincess Máxima Center for Pediatric Oncology, Utrecht, Netherlands.
Willem P BekkeringPrincess Máxima Center for Pediatric Oncology, Utrecht, Netherlands.
Irene L B Oude LansinkDepartment of Pediatric Rehabilitation, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, Netherlands.
Christel D RohrichDepartment of Pediatric Rehabilitation, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, Netherlands.
Hinke Van der HoekPrincess Máxima Center for Pediatric Oncology, Utrecht, Netherlands.
Laura R BeekPrincess Máxima Center for Pediatric Oncology, Utrecht, Netherlands.
Jennifer Van DijkPrincess Máxima Center for Pediatric Oncology, Utrecht, Netherlands.
Marjolein E M LangemeijerPrincess Máxima Center for Pediatric Oncology, Utrecht, Netherlands.
Relinde W Slooff-LentinkPrincess Máxima Center for Pediatric Oncology, Utrecht, Netherlands.
Alied M Van der Aa-Van DeldenPrincess Máxima Center for Pediatric Oncology, Utrecht, Netherlands.
Heleen Maurice-StamPrincess Máxima Center for Pediatric Oncology, Utrecht, Netherlands.
Annemarie M L PeekPrincess Máxima Center for Pediatric Oncology, Utrecht, Netherlands.
Helena J H Van der PalPrincess Máxima Center for Pediatric Oncology, Utrecht, Netherlands.
Maria M W KoopmanPrincess Máxima Center for Pediatric Oncology, Utrecht, Netherlands.
Leontien C M KremerPrincess Máxima Center for Pediatric Oncology, Utrecht, Netherlands.
Stijn J WesterbosPrincess Máxima Center for Pediatric Oncology, Utrecht, Netherlands.
Harm Van TinterenPrincess Máxima Center for Pediatric Oncology, Utrecht, Netherlands.
Jos A M BramerPrincess Máxima Center for Pediatric Oncology, Utrecht, Netherlands.
Michiel A J Van de SandePrincess Máxima Center for Pediatric Oncology, Utrecht, Netherlands.
Martha A GrootenhuisPrincess Máxima Center for Pediatric Oncology, Utrecht, Netherlands.
Hendrik W B SchreuderPrincess Máxima Center for Pediatric Oncology, Utrecht, Netherlands.
Johannes H M MerksPrincess Máxima Center for Pediatric Oncology, Utrecht, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Bone sarcoma patients face intensive treatment, including life-changing local therapy, which impacts both short- and long-term functioning. Moreover, bone sarcoma survivors experience the highest burden of adverse events of all childhood cancer survivors. To address these issues, we set up a structured multidisciplinary outpatient follow-up clinic for patients who completed treatment and integrated this clinic into the standard of care. This study protocol describes the methodology of a cross-sectional study that aims to systematically report the functional outcomes, adverse events, psychosocial outcomes and health-related quality of life of the cohort seen at this clinic. Methods and analysis: Participants are recruited at the multidisciplinary follow-up clinic and their consent is obtained. Standard of care clinical assessments serve as the primary data source for this study. Furthermore, additional research assessments are performed to further expand our knowledge. Assessments are structured by standardized assessment sets that we developed based on literature review and joint national expertise in bone sarcoma care. The sets comply with international guidelines such as the World Health Organization's International Classification of Functioning, disability and health, and include a combination of patient-reported, clinician-reported and performance-based outcome measures for comprehensive representation of outcomes. Discussion: This study will generate valuable knowledge on the functional outcomes, adverse events, psychosocial outcomes and quality of life of a national cohort of pediatric bone sarcoma patients in follow-up care. By aligning additional research assessments with standardized patient care, a comprehensive range of outcomes will be obtained while minimizing the patient's burden. Moreover, this protocol may serve as a template for clinics and research internationally, allowing for the merging of standardized outcome data in such rare disease. This will facilitate the optimization of current patient care and inform the important shared decision-making process for local treatment in future patients.

Indexed as

adverse eventsbone sarcomafunctional outcomeorthopedic surgerypediatric oncologyquality of lifestudy protocol

Identifiers

PMID40303553
PMCPMC12037555

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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.