Evidence map›Paper›PMID 40488780›Full record

Trial reportEuropean journal of pediatrics2025

What about the heart - pediatric ALL survivors show cardiopulmonary limitations in the MinimALL Study.

Felix Huber, Isabelle Schoeffl, Nicolas Mueller, Alexander Dierl, Eva-Maria Wild, Nora Naumann-Bartsch, Axel Karow, Ferdinand Knieling, Joachim Woelfle, Sven Dittrich and 1 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in European journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06093334 (iMagINg of Chemotherapy-Induced Morphological and Functional Lung Changes in Childhood Acute Lymphoblastic Leukemia and Hodgkin's Disease), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT06093334 nacompletednot on this map

iMagINg of Chemotherapy-Induced Morphological and Functional Lung Changes in Childhood Acute Lymphoblastic Leukemia and Hodgkin's Disease

TypeinterventionalSponsorUniversity of Erlangen-Nürnberg Medical SchoolRan2023 to 2024Enrolled27ConditionsAcute Lymphoblastic Leukemia, Hodgkin Disease, Allogeneic Stem Cell TransplantationArmsLow-field magnetic resonance imaging, Cardiopulmonary testing, Pulmonary testing, Blood sample
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Felix HuberDepartment of Pediatric Cardiology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Universitätsklinikum Erlangen, Loschgestrasse 15, 91054, Erlangen, Germany. felixhuber98@gmx.de.
Isabelle SchoefflDepartment of Pediatric Cardiology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Universitätsklinikum Erlangen, Loschgestrasse 15, 91054, Erlangen, Germany.
Nicolas MuellerDepartment of Pediatric Cardiology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Universitätsklinikum Erlangen, Loschgestrasse 15, 91054, Erlangen, Germany.
Alexander DierlDepartment of Pediatrics and Adolescent Medicine, Friedrich-Alexander-Universität Erlangen-Nürnberg, Loschgestrasse 15, 91054, Erlangen, Germany.
Eva-Maria WildDepartment of Pediatrics and Adolescent Medicine, Friedrich-Alexander-Universität Erlangen-Nürnberg, Loschgestrasse 15, 91054, Erlangen, Germany.
Nora Naumann-BartschDepartment of Pediatrics and Adolescent Medicine, Friedrich-Alexander-Universität Erlangen-Nürnberg, Loschgestrasse 15, 91054, Erlangen, Germany.
Axel KarowDepartment of Pediatrics and Adolescent Medicine, Friedrich-Alexander-Universität Erlangen-Nürnberg, Loschgestrasse 15, 91054, Erlangen, Germany.
Ferdinand KnielingDepartment of Pediatrics and Adolescent Medicine, Friedrich-Alexander-Universität Erlangen-Nürnberg, Loschgestrasse 15, 91054, Erlangen, Germany.
Joachim WoelfleDepartment of Pediatrics and Adolescent Medicine, Friedrich-Alexander-Universität Erlangen-Nürnberg, Loschgestrasse 15, 91054, Erlangen, Germany.
Sven DittrichDepartment of Pediatric Cardiology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Universitätsklinikum Erlangen, Loschgestrasse 15, 91054, Erlangen, Germany.
Felix AnderheidenDepartment of Pediatric Cardiology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Universitätsklinikum Erlangen, Loschgestrasse 15, 91054, Erlangen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Childhood survivors of acute lymphoblastic leukemia (ALL) and Hodgkin disease (HD) are at risk of long-term cardiopulmonary impairments due to cardiotoxic chemotherapy and inactivity. This study aims to assess the cardiopulmonary fitness and cardiac function of pediatric cancer survivors (PCS) using cardiopulmonary exercise testing (CPET) and echocardiography, including strain imaging, to determine the extent of functional limitations and their underlying causes. This prospective, single-center study included 27 PCS (21 with ALL, 6 with HD) and 27 age-matched healthy controls. Participants underwent echocardiography with strain analysis and CPET on a treadmill to evaluate cardiac function and exercise capacity. Key parameters such as ejection fraction (EF), global longitudinal strain (GLS), E/E' ratio, peak oxygen uptake (

conclusionOur study underscores the importance of diastolic assessments and advanced echocardiographic techniques in monitoring PCS, with E/E' septal emerging as a key marker. CPET provides valuable insights into the functional impact of early cardiac changes. Despite signs of diastolic dysfunction at rest, stroke volume and pulmonary function were preserved during exercise, suggesting that detraining may partly contribute to reduced TRAIL REGISTRATION: NCT06093334. WHAT IS KNOWN: • Childhood survivors of ALL and HD are at risk of long-term cardiopulmonary impairments due to chemotherapy-related cardiotoxicity and reduced physical activity. • CPET and echocardiography, including strain imaging, are valuable tools for assessing cardiac function and exercise capacity in this population. WHAT IS NEW: • Early diastolic dysfunction detected: despite normal EF and GLS, PCS exhibit an elevated E/E' septal ratio, reinforcing its role as a key marker for early cardiac changes.• Reduced exercise capacity linked to detraining: PCS show significantly lower

Indexed as

Cancer SurvivorsCardiorespiratory FitnessPrecursor Cell Lymphoblastic Leukemia-LymphomaAdolescentCase-Control StudiesChildEchocardiographyExercise TestExercise ToleranceFemaleHodgkin DiseaseHumansMaleOxygen ConsumptionProspective StudiesCardiopulmonary exercise testingCardiotoxicityLeukemiaPediatric cancer survivorsStrain imaging

Identifiers

PMID40488780
PMCPMC12149253

What Socratic holds

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Registered trials

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.