A grade PMID 42321916
View analysis →Finding therapies hidden in 39,000 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 a single-center retrospective cohort of 423 critically ill pediatric cancer patients, invasive mechanical ventilation was associated with substantially higher odds of new functional morbidity at PICU discharge, while new morbidity—but not ventilation itself—was associated with higher 12-month post-discharge mortality.
The evidence supports discharge functional decline as a prognostic marker after pediatric critical illness; it can be inferred, but is not tested here, that systematic functional assessment and targeted rehabilitation or post-PICU follow-up might identify modifiable impairment and potentially improve outcomes.
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 review synthesizes pediatric evidence on five image-guided ablation modalities and concludes that their use in malignant solid tumors is largely confined to selected relapsed, refractory, or surgically limited cases, with no current basis for determining a survival benefit.
The reviewed clinical experience suggests that image-guided ablation may provide local tumor control or a less invasive treatment option for carefully selected children who lack satisfactory surgical options; however, this is an inference from small, heterogeneous retrospective series, and comparative benefit, safety, and survival impact remain unestablished.
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.
This uncontrolled case series reports risankizumab use in 9 children with severe refractory inflammatory bowel disease after multiple biologic failures, with clinical remission in 5 patients, incomplete remission in 4, and no reported adverse events.
The reported responses support the preliminary observation that IL-23 inhibition with risankizumab may benefit some children with multiply refractory IBD; inferring efficacy, durable safety, or relevance to pediatric cancer requires controlled studies and is not established by this record.
This single-center retrospective cohort described 308 bacteremia episodes in 160 pediatric acute-leukemia patients, finding predominantly Gram-positive isolates and a relatively higher proportion of Gram-negative organisms among adolescents and high-risk patients, with ESBL and carbapenem-resistant phenotypes limited to Escherichia coli and Klebsiella species.
The study provides evidence of age-, treatment-phase-, and risk-associated descriptive differences in bloodstream isolates; it is reasonable but untested to hypothesize that validated local patterns could inform more targeted empiric antibiotic strategies and antimicrobial stewardship.
In a retrospective cohort of 167 hospitalized children with sterile-site enterococcal isolates, E. faecium infection was associated with healthcare exposures, greater ampicillin and penicillin resistance, multi-site infection, and longer hospitalization than E. faecalis infection.
The evidence supports species identification as a potentially useful input for antimicrobial stewardship; by inference, rapid differentiation of E. faecium from E. faecalis could improve empiric antibiotic selection in high-risk pediatric patients, including children with hematologic malignancies, but this study does not demonstrate that such a strategy improves outcomes.
In a 2021 survey of 1,283 Texas healthcare professionals, routine HPV vaccination-status assessment was reported by 37.6% and was positively associated with prior formal HPV-vaccination training but less likely among professionals practicing in higher-income ZIP codes.
The evidence shows associations—not causal effects—between formal HPV-vaccination training, practice-area income, and routine status assessment; it supports the testable inference that updated training, reminders, and system prompts targeted to settings with low assessment rates could improve vaccination assessment and potentially increase adolescent HPV vaccination and long-term cancer prevention.
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.