Evidence map›Paper›PMID 40520501›Full record

SynthesisFrontiers in neuroscience2025

Long-term neurocognitive and behavioral outcomes in survivors of pediatric brain tumors: a systematic review.

Tirath Patel, Pulkit Johar, Vaishnavi Kanisetti, Sahithi Talacheru, Vadali Avinash, Arghadip Das, Sweta Sahu, Abhishek Goyal, Megan W Szobody, Tori Sayers and 6 more

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in neuroscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

16 authors.

Tirath PatelDepartment of Neurosurgery, Trinity Medical Sciences University School of Medicine, Kingstown, Saint Vincent and the Grenadines.
Pulkit JoharDepartment of Internal Medicine, AIIMS Rishikesh, Rishikesh, India.
Vaishnavi KanisettiDepartment of Internal Medicine, Bhaskar Medical College, Hyderabad, India.
Sahithi TalacheruDepartment of Internal Medicine, Mediciti Institute of Medical Sciences, Hyderabad, India.
Vadali AvinashDepartment of Internal Medicine, Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Vijayawada, India.
Arghadip DasDepartment of Internal Medicine, Nilratan Sircar Medical College and Hospital, Kolkata, India.
Sweta SahuDepartment of Internal Medicine, J.J.M. Medical College, Davanagere, Karnataka, India.
Abhishek GoyalDepartment of Neurology, JFK University Medical Center, Edison, NJ, United States.
Megan W SzobodyUniversity of Texas Rio Grande Valley, School of Medicine, Edinburg, TX, United States.
Tori SayersUniversity of Texas Rio Grande Valley, School of Medicine, Edinburg, TX, United States.
Sriya GullapalliUniversity of Texas Rio Grande Valley, School of Medicine, Edinburg, TX, United States.
Murali M YallapuUniversity of Texas Rio Grande Valley, School of Medicine, Edinburg, TX, United States.
Mushfiq H ShaikhUniversity of Texas Rio Grande Valley, School of Medicine, Edinburg, TX, United States.
Nikhilesh AnandUniversity of Texas Rio Grande Valley, School of Medicine, Edinburg, TX, United States.
Kelsey Potter-BakerUniversity of Texas Rio Grande Valley, School of Medicine, Edinburg, TX, United States.
Bharathi S GadadUniversity of Texas Rio Grande Valley, School of Medicine, Edinburg, TX, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Brain tumors are among the most common neoplasms in children. These patients suffer from neurocognitive impairment, treatment-related side effects, and experience a subpar quality of life (QoL), affecting academic endeavors, social interaction, and mental wellbeing. Methods: This review investigated different long-term neurocognitive and behavioral outcomes in pediatric brain tumor survivors and evaluated various effective treatment methods. We identified 75 relevant articles published between 2019 and 2024 using PubMed, PMC, Embase, and Google Scholar databases. Duplicates were removed, and 14 studies were finally selected following the PRISMA guidelines. Initial observations noted significant variations in the study methodologies and inclusion criteria. Results: Our study showed that children treated with proton radiotherapy experienced better neurocognitive and academic results than those treated with photon radiotherapy. Cognitive abilities were affected irrespective of the treatment, especially in early stage radiotherapy. Psychosocial impacts such as low self-esteem, depressive symptoms, and increased suicidal ideation were also demonstrated. Improvement in long-term outcomes was noted within therapeutic plans devoid of delayed high-dose radiotherapy and marrow ablation chemotherapy. Discussion: Increasing our understanding of the long-term effects associated with brain tumors using our current treatment methodology will help us formulate better treatment protocols and improve survivors' quality of life.

Indexed as

behaviormalignancyneurocognitionpediatric tumorsystematic review

Identifiers

PMID40520501
PMCPMC12163034

What OpenQuestion holds

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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.