Evidence map›Paper›PMID 40571762›Full record

SynthesisBritish journal of cancer2025

Nutritional status, body composition and chemotherapy dosing in children and young people with cancer: a systematic review by the SIOP nutrition network.

Amy L Lovell, Nthongase Makamo, Gareth J Veal, Melanie B Bernhardt, Ronald Barr, Rajul M Gala, Erin Gordon, Elena J Ladas, Maya Prasad, Paul C Rogers and 5 more

Abstract readSystematic Review
In one paragraph

Synthesis in British journal of cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. 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

15 authors.

Amy L Lovell *Department of Nutrition and Dietetics, The University of Auckland, Faculty of Medical and Health Sciences, Auckland, New Zealand. a.lovell@auckland.ac.nz.
Nthongase Makamo *Baylor College of Medicine Children's Foundation- Malawi/Texas Children's Hospital Global HOPE-Malawi, Lilongwe, Malawi.
Gareth J VealNewcastle University Centre for Cancer, Newcastle upon Tyne, United Kingdom.ORCID http://orcid.org/0000-0002-1897-8678
Melanie B BernhardtDepartment of Pharmacy and Pharmaceutical Sciences, St Jude Children's Research Hospital, Memphis, TN, USA.
Ronald BarrDepartment of Pediatrics, McMaster University, Health Sciences Centre, Hamilton, ON, Canada.ORCID http://orcid.org/0000-0002-5711-7440
Rajul M GalaDivision of Pediatric Oncology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai, India.
Erin GordonDepartment of Gastroenterology, Hepatology, and Nutrition, Boston Children's Hospital, Boston, MA, USA.
Elena J LadasDivision of Pediatric Hematology/Oncology/Stem Cell Transplant, Columbia University Irving Medical Center, New York, NY, USA.ORCID http://orcid.org/0000-0001-5077-5582
Maya PrasadDivision of Pediatric Oncology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai, India.
Paul C RogersDivision of Hematology and Oncology, Department of Pediatrics, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Judy SchoemanDivision of Paediatric Oncology and Haematology, Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, University of Pretoria, Pretoria, South Africa.
Jeremy S SloneDepartment of Global Pediatric Medicine, St Jude Children's Research Hospital, Memphis, MA, USA.
Karina VianiInstituto de Tratamento do Câncer Infantil (ITACI), Clinics Hospital, School of Medicine, University of São Paulo, São Paulo, Brazil.
Wim J E TissingPrincess Maxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Minke H W HuibersPrincess Maxima Center for Pediatric Oncology, Utrecht, the Netherlands. m.h.w.huibers-2@prinsesmaximacentrum.nl.ORCID http://orcid.org/0000-0003-0310-3067

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Malnutrition (undernutrition or overweight/obesity) might significantly impact the pharmacokinetics and pharmacodynamics of antineoplastic drugs in children and adolescents (<21 years). A comprehensive systematic literature search was performed on MEDLINE (PubMed), EMBASE, Web of Science, Scopus, ProQuest, Cochrane Trials, and Cochrane Reviews. Databases were searched up to 30 September 2024. Of 4186 articles identified, 150 full texts were evaluated and 12 selected for inclusion. Eight additional articles were identified following a panel review and 6 included, resulting in a total of 18 articles for data extraction. Relevant pharmacokinetic parameters were described for mercaptopurine, vincristine, anthracyclines, methotrexate, busulfan, bevacizumab, and crizotinib. Due to the heterogeneity and limited number of studies per antineoplastic drug, formal statistical analysis or meta-analysis was not appropriate. Variations in the definition of nutritional status, dosing strategies, and type of pharmacokinetic analyses were observed; therefore, no dosing recommendations could be made. With the increasing childhood cancer burden in LMIC, high prevalence of undernutrition, and the global burden of childhood obesity, there is an urgent need for more research in this area. Prospective studies should incorporate uniform definitions and standardised pharmacological approaches to optimise treatment options for children with cancer globally. SYSTEMATIC LITERATURE REVIEW REGISTRATION: PROSPERO: (reference: CRD42023435261).

Indexed as

Antineoplastic AgentsBody CompositionMalnutritionNeoplasmsNutritional StatusAdolescentChildChild, PreschoolHumansYoung AdultAntineoplastic Agents

Identifiers

PMID40571762
PMCPMC12322071

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.