Evidence map›Paper›PMID 40542813›Full record

ReviewJACC. CardioOncology2025

IGHG Recommendations for Anthracycline and Anthraquinone Cardiac Dysfunction Equivalence Ratios After Childhood Cancer: JACC: CardioOncology Expert Panel.

Theodorus W Kouwenberg, Elvira C van Dalen, Renée L Mulder, Saro Armenian, Elizabeth A M Feijen, Eric J Chow, Helen Kosmidis, Britta J Vormoor-Bürger, Chikako Kiyotani, Paul C Nathan and 14 more

Abstract readReview
In one paragraph

Review in JACC. CardioOncology, 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. Review
  2. Article
  3. 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

24 authors.

Theodorus W KouwenbergPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Elvira C van DalenPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Renée L MulderPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Saro ArmenianDepartment of Pediatrics, City of Hope National Medical Center, Duarte, California, USA.
Elizabeth A M FeijenPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Eric J ChowClinical Research and Public Health Sciences Divisions, Fred Hutchinson Cancer Center, Seattle, Washington, USA.
Helen KosmidisPaediatric and Adolescent Oncology Clinic, MITERA Children's Hospital, Athens, Greece.
Britta J Vormoor-BürgerPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Chikako KiyotaniChildren's Cancer Center, National Center for Child Health and Development, Tokyo, Japan.
Paul C NathanThe Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Livia KapustaAmalia Children's Hospital, Radboud University Medical Center, Nijmegen, the Netherlands; Pediatric Cardiology Institute, Dana-Dwek Children's Hospital, Tel Aviv University, Tel Aviv, Israel.
Heynric B GrotenhuisPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands; Department of Pediatric Cardiology, Wilhelmina Children's Hospital, Utrecht, the Netherlands.
Frederike K EngelsPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Arco J TeskeDepartment of Cardiology, University Medical Center Utrecht, Utrecht, the Netherlands.
Athanasios Tragiannidis2nd Department of Paediatrics, Aristotle University of Thessaloniki, AHEPA Hospital, Thessaloniki, Greece.
Martijn G SliekerPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands; Department of Pediatric Cardiology, Wilhelmina Children's Hospital, Utrecht, the Netherlands.
Shuichi OzonoDepartment of Pediatrics and Child Health, Kurume University School of Medicine, Fukuoka, Japan.
Anju NohriaDepartment of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Tomáš SlámaChildhood Cancer Research Group, Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Roderick SkinnerDepartment of Paediatric and Adolescent Haematology and Oncology, Great North Children's Hospital, and Translational and Clinical Research Institute, and Centre for Cancer, Newcastle University, Newcastle upon Tyne, United Kingdom.
Melissa M HudsonDepartment of Oncology, St Jude Children's Research Hospital, Memphis, Tennessee, USA.
Leontien C M KremerPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Matthew J EhrhardtDepartment of Oncology, St Jude Children's Research Hospital, Memphis, Tennessee, USA.
Annelies M C Mavinkurve-GroothuisPrincess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands. Electronic address: a.m.c.mavinkurve-groothuis@prinsesmaximacentrum.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anthracycline and anthraquinone agents are major contributors to cancer therapy-related cardiac dysfunction in childhood cancer. However, evidence-based equivalence ratios for estimating individual risk have not been incorporated into international surveillance guidelines. The International Late Effects of Childhood Cancer Guideline Harmonization Group systematically reviewed the literature on equivalence ratios for doxorubicin, daunorubicin, epirubicin, idarubicin, and mitoxantrone. Based on available evidence, benefit-harm considerations, and expert consensus, the panel concluded that the risk of cardiac dysfunction is lower with daunorubicin and higher with mitoxantrone compared with doxorubicin (moderate-quality evidence; strong recommendation). The panel recommends using an approximate ratio of 0.6 to convert daunorubicin to a doxorubicin-equivalent dose and a ratio of 10.5 for mitoxantrone (low-quality evidence; moderate recommendation). No recommendation was made for epirubicin or idarubicin due to inconclusive evidence.

Indexed as

anthracyclinecancer survivorshipdosedoxorubicinepirubicinguidelinesheart failuremitoxantronerisk factorscreening

Identifiers

PMID40542813
PMCPMC12790036

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.