Clinical research tools in pediatric oncology: challenges and opportunities

Survival for childhood cancers has improved significantly over the last decades. However, patient outcomes have plateaued over the last decade for difficult-to-treat diseases. With high cure rates, decreasing long-term toxicities and sequelae remains crucial. Since many advances in childhood cancer...

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Veröffentlicht in:Cancer and metastasis reviews 2020-03, Vol.39 (1), p.149-160
Hauptverfasser: de Rojas, Teresa, Neven, Anouk, Towbin, Alexander J., Carceller, Fernando, Bautista, Francisco, Riedl, David, Sodergren, Samantha, Darlington, Anne-Sophie, Fernandez-Teijeiro, Ana, Moreno, Lucas
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container_title Cancer and metastasis reviews
container_volume 39
creator de Rojas, Teresa
Neven, Anouk
Towbin, Alexander J.
Carceller, Fernando
Bautista, Francisco
Riedl, David
Sodergren, Samantha
Darlington, Anne-Sophie
Fernandez-Teijeiro, Ana
Moreno, Lucas
description Survival for childhood cancers has improved significantly over the last decades. However, patient outcomes have plateaued over the last decade for difficult-to-treat diseases. With high cure rates, decreasing long-term toxicities and sequelae remains crucial. Since many advances in childhood cancer research come from the adult oncology world, one of the key areas is improving the adaptation of tools that are essential for clinical trial conduct that were developed for adults into pediatrics. These include tools to evaluate toxicity, quality of life, radiological response, statistical methodology, or indicators of cancer care quality. In this review, we present ongoing international efforts to validate and adapt these tools for children and adolescents and discuss remaining challenges. These efforts will hopefully accelerate and improve the quality of pediatric oncology research in the upcoming years.
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subjects Biomedical and Life Sciences
Biomedicine
Cancer
Cancer Research
Children
Clinical trials
Complications
Health risk assessment
Medical colleges
Medical research
Oncology
Oncology, Experimental
Pediatrics
Quality control
Quality of life
Toxicity
title Clinical research tools in pediatric oncology: challenges and opportunities
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