Evidence map›Paper›PMID 41964753›Full record

ArticleJournal of neuro-oncology2026

Neurobehavioral outcomes and associated risk factors in pediatric brain tumor survivors.

Yuliang Wang, Wing Lam Chan, Fei Li, Jiaoyang Cai, Yin Ting Cheung, Eric Tsz Him Lai, Oscar Lok Kan Leung, Shiting Liang, Dennis Tak Loi Ku, Matthew Ming Kong Shing and 16 more

Abstract read
In one paragraph

Article in Journal of neuro-oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

26 authors.

Yuliang WangDepartment of Paediatrics & Adolescent Medicine, School of Clinical Medicine, LKS Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong, China.
Wing Lam ChanDepartment of Paediatrics & Adolescent Medicine, School of Clinical Medicine, LKS Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong, China.
Fei LiDepartment of Developmental and Behavioural Paediatric and Child Primary Care & Ministry of Education - Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Jiaoyang CaiDepartment of Hematology & Oncology, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Yin Ting CheungSchool of Pharmacy, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Eric Tsz Him LaiDepartment of Psychiatry, School of Clinical Medicine, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
Oscar Lok Kan LeungDepartment of Paediatrics & Adolescent Medicine, School of Clinical Medicine, LKS Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong, China.
Shiting LiangDepartment of Paediatrics & Adolescent Medicine, School of Clinical Medicine, LKS Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong, China.
Dennis Tak Loi KuHong Kong Children's Hospital, Kowloon, Hong Kong, China.
Matthew Ming Kong ShingHong Kong Children's Hospital, Kowloon, Hong Kong, China.
Eric Chun Ho FuHong Kong Children's Hospital, Kowloon, Hong Kong, China.
Jeffrey Ping Wa YauHong Kong Children's Hospital, Kowloon, Hong Kong, China.
Anselm Chi Wai LeeHong Kong Children's Hospital, Kowloon, Hong Kong, China.
Evelyn Ruoyun LuHong Kong Children's Hospital, Kowloon, Hong Kong, China.
Alex Wing Kwan LeungHong Kong Children's Hospital, Kowloon, Hong Kong, China.
Frankie Wai Tsoi ChengHong Kong Children's Hospital, Kowloon, Hong Kong, China.
Wilson Wai Shing HoHong Kong Children's Hospital, Kowloon, Hong Kong, China.
Zeng GaoXuanwu Hospital, Capital Medicine University, Beijing, China.
Ye SongGuangzhou Women and Children's Medical Center, Guangzhou, China.
Stephenie Ka Yee LiuChild Assessment Service, Department of Health, Government of the HKSAR, Hong Kong, China.
Lucia TsangChild Assessment Service, Department of Health, Government of the HKSAR, Hong Kong, China.
Ada Nga Yee YuenHong Kong Children's Hospital, Kowloon, Hong Kong, China.
Tatia Mei Chun LeeLaboratory of Neuropsychology and Human Neuroscience, Department of Psychology, University of Hong Kong, Hong Kong, China.
Godfrey Chi Fung ChanDepartment of Paediatrics & Adolescent Medicine, School of Clinical Medicine, LKS Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong, China.
Anthony Pak Yin LiuDepartment of Paediatrics & Adolescent Medicine, School of Clinical Medicine, LKS Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong, China. anthony.liu@sickkids.ca.
Winnie Wan Yee TsoDepartment of Paediatrics & Adolescent Medicine, School of Clinical Medicine, LKS Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong, China. wytso@hku.hk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSurvival rates for children with brain tumors improve, highlighting the importance of understanding the long-term neurobehavioral outcomes because of its impact on children's well-being and quality of life. This study investigated the prevalence of attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD) and emotional/behavioral difficulties in pediatric brain tumor survivors (PBTS), and identified the risks and protective factors on mental well-being.

methodsA territory-wide retrospective cohort included 274 PBTS registered in the Hong Kong Paediatric Haematology and Oncology Study Group Registry. In addition, a cross-sectional follow-up survey on mental well-being was completed by 107 PBTS during survivorship follow-up. Emotional/behavioral difficulties, health-related quality of life, parental stress, and sleep variables were assessed by the survey and benchmarked against previously published Hong Kong-based reference/community cohorts.

resultsAmong 274 PBTS, 10.6% had ADHD and 6.9% had ASD, which are significantly higher than the general pediatric population prevalence. They had more emotional/behavioral symptoms, higher parental stress, and poorer quality of life. Younger age at diagnosis, seizure history, and supratentorial tumors were linked to more difficulties. Radiotherapy was associated with reduced quality of life. Better sleep correlated with fewer ADHD and emotional symptoms.

conclusionPBTS had increased risk of ADHD and ASD, and are more vulnerable to peer-relationship difficulties, poorer mental health, and quality of life. Improving sleep could be key to reducing neurobehavioral challenges. Implementing routine neurobehavioral monitoring, including sleep assessments, is crucial for enhancing survivorship care and overall well-being.

Indexed as

Attention Deficit Disorder with HyperactivityAutism Spectrum DisorderBrain NeoplasmsCancer SurvivorsQuality of LifeAdolescentChildChild, PreschoolCross-Sectional StudiesFemaleFollow-Up StudiesHong KongHumansInfantMalePrevalenceCancer survivorshipEmotional/behavioral difficultiesNeurobehavioral outcomesPediatric brain tumor survivorsQuality of life

Identifiers

PMID41964753
PMCPMC13070074

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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.