A grade PMID 42321916
View analysis →Finding therapies hidden in 38,964 pediatric cancer papers.
Neurocompute scores pediatric oncology literature, surfaces overlooked therapeutic signals, and turns fragmented childhood cancer research into a living discovery terminal.
Ranked Discovery Journal Articles
A grade PMID 42690647
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All ranked pediatric cancer papers
In an ACS NSQIP-P observational cohort of 310 pediatric oncology patients undergoing appendectomy, leukopenia was associated with longer time to surgery, and delays of at least 24 hours among leukopenic patients were associated with more complicated appendicitis and longer hospitalization.
The reported evidence supports an association between delayed appendectomy and worse outcomes in leukopenic pediatric oncology patients; it suggests—but does not establish causally—that avoiding delay based solely on leukopenia severity could reduce complicated appendicitis and hospitalization.
This three-case report describes ruptured hepatoblastoma in children aged 1–2 years managed with stabilization, multimodal therapy, and ultimately emergency hepatic resection because of worsening hemodynamic instability.
The reported cases provide preliminary evidence that timely, individualized hepatic resection can be feasible and potentially lifesaving when ruptured hepatoblastoma remains hemodynamically unstable; whether this strategy improves survival or limits dissemination compared with embolization or other approaches is an inference requiring larger comparative studies.
This case report describes an 11.5-year-old boy with nonmetastatic mandibular Ewing sarcoma who experienced multiple local recurrences and achieved complete metabolic remission after sequential multimodal salvage therapy, surgery, and reconstruction, with disease-free follow-up at 6 months.
The reported remission supports further investigation of aggressive multimodal salvage strategies for locally recurrent mandibular Ewing sarcoma; although nivolumab was included, its specific therapeutic contribution is only a hypothesis because it was given with temozolomide and irinotecan and followed by additional chemotherapy, radiotherapy, and definitive surgery.
An international modified Delphi study involving 32 experts developed 19 core and 12 extended consensus-based quality indicators spanning the pediatric neuro-oncology care continuum.
The study provides no evidence for a specific therapy; it supports the inference that implementing and monitoring these indicators could identify care gaps, guide quality-improvement interventions, and potentially improve outcomes, but prospective validation and outcome assessment are required.
In a prospective study of 50 caregiver-patient pairs at the Uganda Cancer Institute, caregiver-recorded FASTER assessments were highly feasible and sensitive for PEWS-defined deterioration but had modest specificity, poor categorical agreement, and unproven predictive or clinical-outcome benefit.
The study provides evidence that trained caregivers can reliably complete FASTER screening and that low scores may help exclude concurrent PEWS-defined deterioration; it remains an inference requiring prospective validation that integrating FASTER into escalation pathways will enable earlier treatment, reduce preventable mortality, or improve other clinical outcomes.
In a 64-patient retrospective Brazilian cohort treated from 1990 to 2022, head-and-neck location was not prognostic for pediatric rhabdomyosarcoma, whereas age, risk classification, relapse, lesion size, histological subtype, surgery, and radiotherapy showed associations with selected survival outcomes.
The evidence supports potential refinement of prognostic stratification using age, established risk classification, tumor size, and histological subtype; it only suggests—not proves—that treatment planning involving surgery or radiotherapy might affect outcomes, because the retrospective associations cannot establish treatment benefit or causality.
In a single-centre retrospective cohort of 151 patients with giant cell tumour of bone, local recurrence occurred in 11.3%, pulmonary metastasis in 3.3%, and intralesional curettage was associated with better functional scores than wide resection for selected lower-limb tumours.
The reported association suggests—but does not establish—that selecting intralesional curettage for suitable lower-limb giant cell tumours may preserve function while maintaining acceptable oncological outcomes; prospective, risk-adjusted evidence, particularly in pediatric and adolescent patients, is needed before inferring comparative benefit.
In an exploratory online survey of 300 middle-school girls from Egypt, Saudi Arabia, and the United Arab Emirates, HPV and cervical-cancer prevention awareness was limited, while 65.7% reported willingness to accept free HPV vaccination.
The evidence identifies a gap between low prevention literacy and relatively high stated vaccine willingness; as an inference requiring prospective testing, culturally adapted school-linked education—potentially involving school nurses—could improve informed HPV-vaccine uptake and thereby support long-term cervical-cancer prevention.
In an exploratory observational study of childhood cancer survivors and typically developing children, individual and contextual resources were associated with cognitive and motor outcomes and brain morphometry, with particularly strong associations in the small CNS cancer subgroup.
The study provides associative—not interventional or causal—evidence supporting the hypothesis that strengthening potentially modifiable resources such as self-efficacy, optimism, parental support, or socioeconomic supports could contribute to multimodal neurodevelopmental rehabilitation after childhood cancer; prospective intervention studies are required to test benefit.
In a retrospective cohort of 31 adults with unresectable gallbladder cancer, first-line gemcitabine plus nab-paclitaxel produced a 48.4% response rate, median progression-free survival of 8.4 months, median overall survival of 20.9 months, and conversion to surgery in 7 of 11 patients with locally advanced disease, with grade 3/4 toxicity in 35.5%.
The record provides preliminary observational evidence that gemcitabine plus nab-paclitaxel may control unresectable gallbladder cancer and enable resection in some locally advanced cases; whether it improves outcomes over standard regimens, and whether it has any role in pediatric or adolescent patients, remains untested.
This case report describes a 33-year-old woman with stage IVB mixed malignant ovarian germ cell tumor containing choriocarcinoma who achieved complete remission and 3-year progression-free survival after cytoreductive surgery and seven cycles of dose-dense, pediatric-inspired Cy-BEP-MTX chemotherapy.
The reported outcome provides preliminary evidence that intensive Cy-BEP-MTX can coincide with durable remission in an ultra-high-risk mixed ovarian germ cell tumor; it is an untested inference that dose density, methotrexate or cyclophosphamide addition, or the pediatric-inspired strategy itself improves outcomes over standard adult regimens.
This single-center retrospective study of 775 bacterial bloodstream-infection episodes in 456 pediatric hemato-oncology patients found increasing gram-negative predominance, substantial antimicrobial nonsusceptibility, and higher estimated pathogen coverage with piperacillin/tazobactam plus amikacin than with piperacillin/tazobactam alone.
The reported susceptibility data support the setting-specific inference that adding amikacin to piperacillin/tazobactam could reduce initially inappropriate empiric treatment in stable pediatric oncology patients with suspected bloodstream infection; however, the study does not establish improved survival, safety, or net clinical benefit from this combination.