Evidence map›Paper›PMID 41444993›Full record

ReviewInfectious agents and cancer2025

Systematic review and meta-analysis of chemotherapy-induced adverse drug reactions among children with cancer in Africa.

Birbirsa Sefera Senbeta, Tesfaye Negesa Liche, Gemechu Gelana Ararame, Lemi Ushu Sime, Alemayehu Abebe Guji

Abstract readReview
In one paragraph

Review in Infectious agents and cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. 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

5 authors.

Birbirsa Sefera SenbetaDepartment of Clinical Pharmacy, School of Pharmacy, Institute of Health Sciences, Salale University, Fiche, Oromia, Ethiopia. birbirsasafaraa2014@gmail.com.
Tesfaye Negesa LicheDepartment of Clinical Pharmacy, School of Pharmacy, Institute of Health Sciences, Salale University, Fiche, Oromia, Ethiopia.
Gemechu Gelana ArarameDepartment of Clinical Pharmacy, School of Pharmacy, Institute of Health Sciences, Mattu University, Mattu, Oromia, Ethiopia.
Lemi Ushu SimeDepartment of Hematology and Immunohematology, School of Medical Laboratory Science, Institute of Health Science, Mattu University, Mattu, Oromia, Ethiopia.
Alemayehu Abebe GujiDepartment of Internal Medicine, School of Medicine, Institute of Health Sciences, Jimma University, Jimma, Oromia, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSeveral systematic reviews have looked at chemotherapy-related toxicities in children with cancer worldwide. In African settings, the rates of ADRs may differ. There is no robust, quantitative estimate of the overall pooled prevalence of chemotherapy-related ADRs among African pediatric oncology patients. Both hematologic and solid tumor patients were included in the analysis. Hence, this study aimed to assess the pooled prevalence of chemotherapy-related adverse drug events among children with all cancer types in Africa.

methodsWe used a comprehensive search of articles using different databases (7 databases) such as Google Scholar, Cochrane Library, Science Direct, Web of Sciences, Scopus, EMBASE, and PubMed to explore relevant studies. Studies published until November 16, 2025 included in the study. The quality of the included studies was assessed using the Newcastle– Ottawa Quality Assessment Scale. Data was extracted with Microsoft Excel and analyzed using STATA version 17 software. Random effect meta-regression analysis at 95% CI was used to assess the pooled prevalence of chemotherapy-related adverse drug events among children with cancer in Africa. Heterogeneity was determined using the I2 statistic, and publication bias was evaluated with a funnel plot and Egger test.

resultThe pooled prevalence of chemotherapy-induced adverse drug events among pediatric cancer patients in Africa from 9 studies revealed that 62.03% (95%CI: 36.93–87.13) and with (I2 = 99.4, P = 0.000). A Subgroup meta-analysis showed comparatively less heterogeneity in other African countries (I2 = 88.2%, p = 0.000) as compared to studies conducted in Ethiopia (I2 = 99%, P-value = 0.000). Moreover, subgroup meta-analysis showed that there was a difference in the strength of heterogeneity between articles published before 2020(I2 = 99.8%, P-value = 0.000) and after 2020 (I2 = 97.4%, p = 0.000).

conclusionThe burden of chemotherapy-related adverse drug reactions was found to be high. Health care professionals involved in cancer treatment should be prepared to deal with chemotherapy-related adverse drug reactions. Routine ADR surveillance should be integrated into pediatric oncology wards in Africa. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Adverse drug eventChemotherapyMeta-analysisPediatrics

Identifiers

PMID41444993
PMCPMC12836989

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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.