Evidence map›Paper›PMID 41073929›Full record

Trial reportBMC cancer2025

Incidence and survival among children with neuroblastoma in Spain over 22 years.

Pau Alfonso-Comos, Adela Cañete, Álvaro Briz-Redón, Elena Pardo Romaguera, Vanessa Segura, Désirée Ramal, Blanca Martínez de Las Heras, Ana Fernández-Teijeiro, Spanish Neuroblastoma Working Group

Erratum issued Registry-linked trialAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT01728155 (European Low and Intermediate Risk Neuroblastoma Protocol), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT01728155 phase3completednot on this map

European Low and Intermediate Risk Neuroblastoma Protocol

TypeinterventionalSponsorInstituto de Investigacion Sanitaria La FeRan2011Enrolled685ConditionsLOW AND INTERMEDIATE PAEDIATRIC NEUROBLASTOMA AND NEONATAL SUPRARENAL MASSESArmschemotherapy
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Pau Alfonso-ComosFaculty of Medicine, Spanish Registry of Childhood Tumours (RETI-SEHOP), Av. Blasco Ibáñez 15, Valencia, 46010, Spain. pau.alfonso@uv.es.
Adela CañeteFaculty of Medicine, Spanish Registry of Childhood Tumours (RETI-SEHOP), Av. Blasco Ibáñez 15, Valencia, 46010, Spain. adela.canete@uv.es.
Álvaro Briz-RedónDepartment of Statistics and Operations Research, University of Valencia, Valencia, Spain.
Elena Pardo RomagueraFaculty of Medicine, Spanish Registry of Childhood Tumours (RETI-SEHOP), Av. Blasco Ibáñez 15, Valencia, 46010, Spain.
Vanessa SeguraClinical and Translational Research in Cancer Group, Paediatric Oncology, La Fe Health Research Institute, Valencia, Spain.
Désirée RamalClinical and Translational Research in Cancer Group, Paediatric Oncology, La Fe Health Research Institute, Valencia, Spain.
Blanca Martínez de Las HerasClinical and Translational Research in Cancer Group, Paediatric Oncology, La Fe Health Research Institute, Valencia, Spain.
Ana Fernández-TeijeiroPaediatric Haemato-oncology Unit, Virgen de la Macarena University Hospital, University of Seville, Seville, Spain.
Spanish Neuroblastoma Working Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeuroblastoma is the most common extracranial solid childhood tumour. Advances in risk stratification have improved survival by enabling better-tailored treatments. The Toronto Guidelines (TG) aim to standardise childhood cancer stage collection by cancer registries. However, population-based survival analyses by stage remain scarce. We aimed to study incidence and survival of neuroblastoma cases among Spanish children aged < 15 years, with special attention to the role of stage at diagnosis.

methodsThe Spanish Registry of Childhood Tumours (RETI-SEHOP) and the Spanish Neuroblastoma Clinical Database (NBL-CDB) were cross-linked to achieve nearly complete registration of neuroblastoma in Spain for the period of diagnosis 2000–2021. Kaplan-Meier estimates were obtained for overall survival (OS). Adjusted survival was estimated using a Cox proportional hazards model with stratification by age group.

resultsDuring 2000–2021, 1774 neuroblastoma cases aged 0–14 years were recorded, making a rough average of 81 cases diagnosed annually. Age-standardised incidence rate (World) 2000–2021: 14.0 cases per million children (0–14 years). Distribution of stage at diagnosis remained stable from 2000 to 2021. 5-year OS increased from 74% (2000–2005) to 81% (2012–2017). Statistically significant OS differences were identified between sexes, age groups, tumour morphologies, primary sites and stages. Over time, survival improvement was centred mostly on male and locoregional cases.

conclusionsNeuroblastoma incidence and survival results in Spain were consistent with those from other high-income countries. Survival improvements were related to changes in clinical management, such as administration of anti-GD2 immunotherapy or the start of the LINES clinical trial (EudraCT 2010-021396-81, registered on 15 June 2011; ClinicalTrials.gov identifier: NCT01728155). This study underscores the clinical interest in stage data being collected by cancer registries, as per the TG.

Indexed as

NeuroblastomaAdolescentChildChild, PreschoolFemaleHumansIncidenceInfantInfant, NewbornKaplan-Meier EstimateMaleNeoplasm StagingRegistriesSpainSurvival RateCancerChildhoodIncidenceNeuroblastomaSpainSurvival

Identifiers

PMID41073929
PMCPMC12512703

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Registered trials

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.