Evidence map›Paper›PMID 40606948›Full record

ReviewEcancermedicalscience2025

Changing paradigms in pediatric cancer care - the contemporary landscape and perspectives for India.

Badira Cheriyalinkal Parambil, Nirmalya Roy Moulik, Venkata Rama Mohan Gollamudi, Shyam Srinivasan, Chetan Dhamne, Akanksha Chichra, Gaurav Narula, Mukta Ramadwar, Sumeet Gujral, Tanuja Shet and 19 more

Abstract readReview
In one paragraph

Review in Ecancermedicalscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

29 authors.

Badira Cheriyalinkal ParambilDivision of Pediatric Oncology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Nirmalya Roy MoulikDivision of Pediatric Oncology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Venkata Rama Mohan GollamudiDivision of Pediatric Oncology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Shyam SrinivasanDivision of Pediatric Oncology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Chetan DhamneDivision of Pediatric Oncology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Akanksha ChichraDivision of Pediatric Oncology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Gaurav NarulaDivision of Pediatric Oncology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Mukta RamadwarDepartment of Pathology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Sumeet GujralDepartment of Hematopathology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Tanuja ShetDepartment of Pathology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Epari SridharDepartment of Pathology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Poonam PanjwaniDepartment of Pathology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Uma SakhadeoDepartment of Pathology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Siddhartha LaskarDepartment of Radiation Oncology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Nehal KhannaDepartment of Radiation Oncology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Jifmi Jose ManjaliDepartment of Radiation Oncology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Sajid QureshiDepartment of Surgical Oncology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Vasundhara PatilDepartment of Radiodiagnosis, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Akshay BahetiDepartment of Radiodiagnosis, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Sneha ShahDepartment of Nuclear Medicine, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Kunal GalaDepartment of Radiodiagnosis, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Pappagudi SubramanianDepartment of Hematopathology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Prashant TembhareDepartment of Hematopathology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Nikhil PatkarDepartment of Hematopathology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Gaurav ChatterjeeDepartment of Hematopathology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Sweta RajpalDepartment of Hematopathology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Dhanlaxmi ShettyDepartment of Cytogenetics, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Maya PrasadDivision of Pediatric Oncology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.
Girish ChinnaswamyDivision of Pediatric Oncology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai 400012, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Advances in the diagnosis and management of childhood cancers have significantly improved survival, and 80% of those who have access to contemporary treatment are expected to survive into adulthood. Multimodality protocols incorporating high-intensity cytotoxic chemotherapy and radiotherapy may be associated with increased acute and delayed adverse effects, thereby compromising the quality of life. Furthermore, curative therapeutic options remain limited in the context of metastatic, relapsed or refractory disease as well as rare tumour entities. This has prompted a paradigm shift in pediatric oncology care in the contemporary era, encompassing multiple domains including cancer predisposition, immunotherapy, precision medicine and survivorship, aimed at optimising survival while minimising treatment-related toxicity and improving quality of life. While these advances are increasingly evident in high-income countries, several hurdles and challenges exist in the implementation of these strategies in low-income and middle-income countries (LMICs). Key barriers include restricted accessibility and affordability of newer and advanced diagnostic modalities and therapeutic agents, deficient infrastructure, non-availability of targeted agents and newer immunotherapy drugs, logistical and regulatory hurdles, limited access to clinical trials and inadequate long-term follow-up. Substantial changes are requisite to facilitate the translation of these changing paradigms into reality in India and LMICs.

Indexed as

cancer predispositionimmunotherapypediatric cancerperspectivesprecision medicinesurvivorship

Identifiers

PMID40606948
PMCPMC12221250

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.