Evidence map›Paper›PMID 40519295›Full record

SynthesisFrontiers in oncology2025

Non-cancer effects after proton beam therapy for pediatric tumors- a narrative review.

Anna Zając-Grabiec, Beata Biesaga, Monika Krzyżowska, Katarzyna Drosik-Rutowicz, Justyna Miszczyk

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in oncology, 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. [Mechanistic research progress on radiotherapy resistance of cancer stem cells].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    Review
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.

Anna Zając-GrabiecDepartment of Medical Physics, Cyclotron Centre Bronowice, Institute of Nuclear Physics Polish Academy of Sciences, Krakow, Poland.
Beata BiesagaDepartment of Medical Physics, Cyclotron Centre Bronowice, Institute of Nuclear Physics Polish Academy of Sciences, Krakow, Poland.
Monika KrzyżowskaDepartment of Medical Physics, Cyclotron Centre Bronowice, Institute of Nuclear Physics Polish Academy of Sciences, Krakow, Poland.
Katarzyna Drosik-RutowiczIst Department of Radiotherapy and Chemotherapy Oncology, Maria Sklodowska-Curie National Research Institute of Oncology, Gliwice, Poland.
Justyna MiszczykDepartment of Medical Physics, Cyclotron Centre Bronowice, Institute of Nuclear Physics Polish Academy of Sciences, Krakow, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Radiation therapy can cause serious complications and side effects, especially in children. Proton beam therapy is considered as safer and more effective than traditional photon therapy because this type of modality offers precise radiation dose delivery to cancer cells while minimizing irradiation dose to adjacent normal tissue. Moreover, pediatric patients undergoing PBT may also experience a range of non-cancer late effects, including brainstem injury, cognitive dysfunctions, and side effects from endocrine or cardiovascular systems. The present type and frequency of non-cancer effects in children after proton therapy. Methods: Therefore, this review aims to analyze publications addressing the occurrence of side effects from proton therapy in pediatric patients, excluding those related to the induction of secondary malignancies. We used data from two publicly available databases for this review: the U.S. National Library of Medicine's ClinicalTrials.gov (https://clinicaltrials.gov) for the analysis of clinical trials and PubMed, utilizing iCite (https://iCite.od.nih.gov)/Office of Portfolio Analysis, NIH, Bethesda, MD), a web-based application providing access to bibliometric information on publications. Results: The review of the literature shows that PBT reduces the risk of cognitive, neuroendocrine, and cardiovascular dysfunctions concerning those observed after PT. Contradictory results were observed for brain stem injury. The majority of studies found cumulative incidence (CI) of brainstem injury at a relatively low level (0.7% - 5.0%) after PBT, as compared to PT. Discussion: However, some authors underlie a higher rate of brainstem injury in children irradiated due to tumors localized in PF. Therefore, further studies, especially prospective ones, are needed to accurately describe the incidence and risk of late toxicity of proton beam therapy in children.

Indexed as

late toxicitynon-cancer effectspediatric tumorsphoton therapy (PT)proton beam therapy (PBT)

Identifiers

PMID40519295
PMCPMC12162316

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Registered trials

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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.