Evidence map›Paper›PMID 40400822›Full record

ArticleCureus2025

Assessment of Bone Mineral Density in Pediatric Patients With Acute Leukemia.

Steve Thomas, Manoranjan Mahapatra, Tulika Seth, Jyothsna Viveka

Abstract read
In one paragraph

Article in Cureus, 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. 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

4 authors.

Steve ThomasHematology, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Manoranjan MahapatraHematology, All India Institute of Medical Sciences, New Delhi, New Delhi, IND.
Tulika SethHematology, All India Institute of Medical Sciences, New Delhi, New Delhi, IND.
Jyothsna VivekaEndocrinology and Diabetes, All India Institute of Medical Sciences, New Delhi, New Delhi, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Acute lymphoblastic leukemia (ALL) is the most prevalent highly curable childhood cancer, with long-term survival rates exceeding those of most other cancers. However, concerns persist regarding the adverse effects of treatment, particularly on bone health. Children with ALL often experience complications such as impaired growth, bone loss, and endocrine irregularities. This study aims to assess bone mineral density (BMD) in pediatric ALL patients undergoing chemotherapy, shedding light on the overlooked issue of osteoporosis. Methodology A prospective, observational study was conducted from February 2018 to August 2019. Children and adolescents (aged 2-20 years) with ALL or acute myelogenous leukemia undergoing induction chemotherapy were included. Baseline characteristics, nutritional parameters, and biochemical data were collected. BMD was assessed using dual-energy X-ray absorptiometry (DEXA). Results Among 64 patients, the majority were males (67.18%), and 39.06% were aged 16-20 years. Low serum albumin levels (20.31%) and deficiencies in folate (25.00%), vitamin B12 (28.13%), and vitamin D (95.31%) were observed. DEXA scans revealed that 46.43% had osteopenia, 28.57% had osteoporosis, and 25% had normal BMD. Serum calcium and vitamin D levels fluctuated but were not statistically significant. Duration from diagnosis to treatment did not differ significantly between patients with poor prognosis and those who achieved remission (p = 0.222). Conclusions This study underscores the need to monitor bone health in pediatric ALL patients, with a focus on early intervention and specialized care to manage osteopenia and osteoporosis. Comprehensive nutritional and metabolic assessments are essential for their well-being during leukemia treatment.

Indexed as

acute lymphoblastic leukemiabone mineral densitydual-energy x-ray absorptiometryosteopeniaosteoporosispediatric patients

Identifiers

PMID40400822
PMCPMC12093864

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