Pain as an Adverse Event During Chemotherapy in Children with Acute Lymphoblastic Leukemia: A Cross-Sectional Nationwide Study

Introduction Pain is a common adverse event of chemotherapy in pediatric oncology patients. Understanding pain’s impact on these patients is essential for improving their quality of life and treatment outcomes. This short communication aims to describe the characteristics of pain in children with Ac...

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Main Authors: Fernanda Machado Silva-Rodrigues PhD, Pamela S. Hinds PhD, Carlos Alberto Scrideli PhD, Silvia Regina Brandalise PhD, Maria Alessandra Silva Salgado BSc, Lucila Castanheira Nascimento PhD
Format: Article
Language:English
Published: SAGE Publishing 2025-05-01
Series:Cancer Control
Online Access:https://doi.org/10.1177/10732748251341522
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author Fernanda Machado Silva-Rodrigues PhD
Pamela S. Hinds PhD
Carlos Alberto Scrideli PhD
Silvia Regina Brandalise PhD
Maria Alessandra Silva Salgado BSc
Lucila Castanheira Nascimento PhD
author_facet Fernanda Machado Silva-Rodrigues PhD
Pamela S. Hinds PhD
Carlos Alberto Scrideli PhD
Silvia Regina Brandalise PhD
Maria Alessandra Silva Salgado BSc
Lucila Castanheira Nascimento PhD
author_sort Fernanda Machado Silva-Rodrigues PhD
collection DOAJ
description Introduction Pain is a common adverse event of chemotherapy in pediatric oncology patients. Understanding pain’s impact on these patients is essential for improving their quality of life and treatment outcomes. This short communication aims to describe the characteristics of pain in children with Acute Lymphoblastic Leukemia (ALL) and to explore its interactions with hospitalization duration and relapse, considering variables such as age, gender, and risk level. Methods This retrospective study analyzed data from 610 observations of pediatric patients with ALL treated under the Brazilian GBTLI-99 protocol. Pain was recorded according to CTCAE criteria. Statistical analyses, including Chi-square, Mann-Whitney, Poisson, and logistic regression models, were applied to explore associations between pain, hospitalization length, relapse, and other variables. Results Our results indicated that patients who presented with pain experienced longer hospitalization lengths. No significant difference in the presence of pain in female or male pediatric patients was observed. Conclusion This study is a first step towards treating pain as a limiting event that compromises the quality of life and response to treatment in Brazilian pediatric cancer patients.
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issn 1526-2359
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publisher SAGE Publishing
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series Cancer Control
spelling doaj-art-03724a810cd44cc18db573949facf3d32025-08-20T02:25:44ZengSAGE PublishingCancer Control1526-23592025-05-013210.1177/10732748251341522Pain as an Adverse Event During Chemotherapy in Children with Acute Lymphoblastic Leukemia: A Cross-Sectional Nationwide StudyFernanda Machado Silva-Rodrigues PhDPamela S. Hinds PhDCarlos Alberto Scrideli PhDSilvia Regina Brandalise PhDMaria Alessandra Silva Salgado BScLucila Castanheira Nascimento PhDIntroduction Pain is a common adverse event of chemotherapy in pediatric oncology patients. Understanding pain’s impact on these patients is essential for improving their quality of life and treatment outcomes. This short communication aims to describe the characteristics of pain in children with Acute Lymphoblastic Leukemia (ALL) and to explore its interactions with hospitalization duration and relapse, considering variables such as age, gender, and risk level. Methods This retrospective study analyzed data from 610 observations of pediatric patients with ALL treated under the Brazilian GBTLI-99 protocol. Pain was recorded according to CTCAE criteria. Statistical analyses, including Chi-square, Mann-Whitney, Poisson, and logistic regression models, were applied to explore associations between pain, hospitalization length, relapse, and other variables. Results Our results indicated that patients who presented with pain experienced longer hospitalization lengths. No significant difference in the presence of pain in female or male pediatric patients was observed. Conclusion This study is a first step towards treating pain as a limiting event that compromises the quality of life and response to treatment in Brazilian pediatric cancer patients.https://doi.org/10.1177/10732748251341522
spellingShingle Fernanda Machado Silva-Rodrigues PhD
Pamela S. Hinds PhD
Carlos Alberto Scrideli PhD
Silvia Regina Brandalise PhD
Maria Alessandra Silva Salgado BSc
Lucila Castanheira Nascimento PhD
Pain as an Adverse Event During Chemotherapy in Children with Acute Lymphoblastic Leukemia: A Cross-Sectional Nationwide Study
Cancer Control
title Pain as an Adverse Event During Chemotherapy in Children with Acute Lymphoblastic Leukemia: A Cross-Sectional Nationwide Study
title_full Pain as an Adverse Event During Chemotherapy in Children with Acute Lymphoblastic Leukemia: A Cross-Sectional Nationwide Study
title_fullStr Pain as an Adverse Event During Chemotherapy in Children with Acute Lymphoblastic Leukemia: A Cross-Sectional Nationwide Study
title_full_unstemmed Pain as an Adverse Event During Chemotherapy in Children with Acute Lymphoblastic Leukemia: A Cross-Sectional Nationwide Study
title_short Pain as an Adverse Event During Chemotherapy in Children with Acute Lymphoblastic Leukemia: A Cross-Sectional Nationwide Study
title_sort pain as an adverse event during chemotherapy in children with acute lymphoblastic leukemia a cross sectional nationwide study
url https://doi.org/10.1177/10732748251341522
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