Evidence map›Paper›PMID 39893331›Full record

ArticleEuropean journal of pediatrics2025

Incidence of and factors associated with hypophosphatemia in children and adolescents receiving cancer treatment: a single-center, retrospective study.

Aoi Ogawa, Kenji Kishimoto, Shogo Horikawa, Suguru Uemura, Sayaka Hyodo, Aiko Kozaki, Atsuro Saito, Toshiaki Ishida, Takeshi Mori, Daiichiro Hasegawa and 1 more

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Article in European journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Aoi OgawaDepartment of Hematology & Oncology, Children's Cancer Center, Kobe Children's Hospital, Minatojima-Minamimachi 1-6-7, Chuo-Ku, Kobe, 650-0047, Japan.
Kenji KishimotoDepartment of Hematology & Oncology, Children's Cancer Center, Kobe Children's Hospital, Minatojima-Minamimachi 1-6-7, Chuo-Ku, Kobe, 650-0047, Japan. ken@yacht.ocn.ne.jp.
Shogo HorikawaDepartment of Hematology & Oncology, Children's Cancer Center, Kobe Children's Hospital, Minatojima-Minamimachi 1-6-7, Chuo-Ku, Kobe, 650-0047, Japan.
Suguru UemuraDepartment of Hematology & Oncology, Children's Cancer Center, Kobe Children's Hospital, Minatojima-Minamimachi 1-6-7, Chuo-Ku, Kobe, 650-0047, Japan.
Sayaka HyodoDepartment of Hematology & Oncology, Children's Cancer Center, Kobe Children's Hospital, Minatojima-Minamimachi 1-6-7, Chuo-Ku, Kobe, 650-0047, Japan.
Aiko KozakiDepartment of Hematology & Oncology, Children's Cancer Center, Kobe Children's Hospital, Minatojima-Minamimachi 1-6-7, Chuo-Ku, Kobe, 650-0047, Japan.
Atsuro SaitoDepartment of Hematology & Oncology, Children's Cancer Center, Kobe Children's Hospital, Minatojima-Minamimachi 1-6-7, Chuo-Ku, Kobe, 650-0047, Japan.
Toshiaki IshidaDepartment of Hematology & Oncology, Children's Cancer Center, Kobe Children's Hospital, Minatojima-Minamimachi 1-6-7, Chuo-Ku, Kobe, 650-0047, Japan.
Takeshi MoriDepartment of Hematology & Oncology, Children's Cancer Center, Kobe Children's Hospital, Minatojima-Minamimachi 1-6-7, Chuo-Ku, Kobe, 650-0047, Japan.
Daiichiro HasegawaDepartment of Hematology & Oncology, Children's Cancer Center, Kobe Children's Hospital, Minatojima-Minamimachi 1-6-7, Chuo-Ku, Kobe, 650-0047, Japan.
Yoshiyuki KosakaDepartment of Hematology & Oncology, Children's Cancer Center, Kobe Children's Hospital, Minatojima-Minamimachi 1-6-7, Chuo-Ku, Kobe, 650-0047, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to determine the incidence of hypophosphatemia and identify factors associated with high-risk hypophosphatemia in children and adolescents with cancer. Patients aged 0-18 years who developed hypophosphatemia during treatment for cancer in our hospital between January 2021 and March 2023 were enrolled. Hypophosphatemia was defined as a serum phosphorus level < 2.5 mg/dL. The high-risk group for symptomatic hypophosphatemia was defined as patients with a serum phosphorus level of 1.5-1.9 mg/dL lasting for 2 weeks or more and patients with a serum phosphorus level < 1.5 mg/dL. During the study period, 48 of 253 (19%) patients developed a total of 108 episodes of hypophosphatemia. Symptomatic episodes were more frequent in the high-risk group (n = 31; 84% vs. 39%). Elevated total bilirubin level (> 0.50 mg/dL) (adjusted odds ratio (OR), 3.60; 95% confidence interval (CI), 1.37-9.48) and stem cell transplantation (adjusted OR, 4.83; 95% CI, 1.69-13.81) were found to be potential baseline predictors of high-risk hypophosphatemia in the logistic regression model. Fasting, diarrhea, and vomiting after initiation of treatment were also associated with the development of high-risk hypophosphatemia.

conclusionsThe incidence of hypophosphatemia was relatively high in children and adolescents receiving treatment for cancer. The results suggest that baseline characteristics and therapy-related toxicities may be associated with the development of high-risk hypophosphatemia. WHAT IS KNOWN: • Patients with cancer are at increased risk of hypophosphatemia in adults. • Hypophosphatemia may be a factor associated with a poor prognosis in hospitalized patients. WHAT IS NEW: • The incidence of hypophosphatemia was relatively high in children and adolescents receiving treatment for cancer. • Both baseline characteristics and therapy-related factors may be associated with the development of high-risk hypophosphatemia.

Indexed as

Antineoplastic AgentsHypophosphatemiaNeoplasmsAdolescentChildChild, PreschoolFemaleHumansIncidenceInfantInfant, NewbornMalePhosphorusRetrospective StudiesRisk FactorsAntineoplastic AgentsPhosphorusAdolescentsCancerChildrenHypophosphatemiaIncidenceRisk factor

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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 Socratic graph.