A grade PMID 42321916
View analysis →Finding therapies hidden in 37,335 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 42372741
View analysis →A grade PMID 42216567
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All ranked pediatric cancer papers
This multicenter observational study found that an ePRO and serious-game platform was generally usable and feasible for children with cancer and their caregivers, but engagement declined over time and varied with age and health care professional involvement.
The study provides evidence that pediatric ePRO collection through a digital platform is feasible; it supports, but does not test, the hypothesis that age-tailored content, clinician acknowledgment, and workflow integration could improve sustained symptom reporting, communication, and ultimately supportive or palliative care.
Using SEER data from 1,362 pediatric osteosarcoma patients, the study developed and internally validated a nomogram associating T stage, N stage, surgery, and radiotherapy with pulmonary metastasis status at initial diagnosis, with C-index values of 0.699 and 0.736 in the training and validation cohorts.
The evidence supports moderate risk discrimination based on registry-derived clinical and treatment-pattern associations; it is only an inference that, after prospective external validation with appropriately timed imaging, pathological, and molecular variables, such a model could improve staging intensity or individualized management, and no treatment benefit is demonstrated.
This two-institution retrospective study of 5,393 outpatient notes from 1,661 pediatric patients with NF1 found substantial variation and longitudinal incompleteness in documentation of core NF1 features and developed a standardized clinical lexicon mapped to existing terminology standards.
The study provides evidence that inconsistent NF1 documentation can impede computational phenotyping; it is reasonable but unproven to infer that implementing and validating the proposed lexicon could improve surveillance, trial identification, and real-world evidence generation, with no direct evidence here of improved treatment or patient outcomes.
This systematic review of 61 published congenital short bowel syndrome cases describes genetic findings, neonatal presentation, bowel anatomy, parenteral-nutrition dependence, enteral autonomy, and early deaths, while reporting no intestinal malignancies.
The review provides evidence that genetic testing, radiological assessment, and management of parenteral-nutrition complications may improve diagnosis, prognostic counseling, and supportive care; any resulting reduction in sepsis or mortality is a plausible inference rather than an intervention effect demonstrated by this study, and no oncology-directed therapeutic hypothesis is supported.
This systematic review and random-effects meta-analysis of 16 studies comprising 1,369 pediatric posterior fossa tumor patients found no statistically significant difference in cerebellar mutism syndrome risk between transvermian and telovelar surgical approaches.
The evidence does not establish either surgical route as superior for preventing cerebellar mutism syndrome; as an inference, future approach selection or risk-reduction strategies may need to focus on factors beyond the transvermian-versus-telovelar distinction.
This retrospective five-patient series reports favorable long-term local outcomes after endoscopic resection of extranodal Rosai-Dorfman disease of the nasal skull base, while postoperative methylprednisolone had no clear benefit in the patient with residual disease.
The reported observations support maximal safe endoscopic resection as a potentially effective local treatment for anatomically localized nasal skull-base RDD; however, any added value of postoperative corticosteroids remains unproven and requires systematic study.
Across 78 lesions with confirmed DICER1 pathogenic variants, HMGA2 nuclear immunostaining was positive in nearly all non-thyroid lesions but only 50% of thyroid lesions, supporting its potential use as a sensitive exclusion marker for suspected DICER1-related tumours.
The evidence supports HMGA2 primarily as a diagnostic triage marker; it is only an inference, not tested here, that DICER1-associated disruption of microRNA/let-7 regulation produces early HMGA2 overexpression that might eventually represent a therapeutic pathway vulnerability.
In a retrospective single-center cohort of 210 patients with hepatocellular carcinoma, ALBI and especially modified ALBI provided better overall-survival prognostic discrimination than Child-Pugh classification, including additional stratification within Child-Pugh class A.
The reported evidence supports ALBI as an objective prognostic stratification tool; it may, by inference, improve treatment selection or trial stratification, but the record does not show that ALBI-guided care changes therapy, toxicity, or survival, and pediatric applicability is unestablished.
In a single-centre observational cohort of 104 children undergoing congenital heart surgery with cardiopulmonary bypass, an intraoperative cerebral oxygen-saturation decrease of at least 20% was independently associated with higher postoperative brain-injury biomarker responses, most clearly on postoperative Day 1.
The study provides evidence for an association between severe cerebral desaturation and postoperative biomarker elevation; it supports, but does not test, the hypothesis that rScO2-guided strategies that prevent or promptly correct desaturation could reduce perioperative neurological injury.
This preregistered protocol describes a scoping review that will map how family accommodation is conceptualized, measured, and associated with survivor and caregiver outcomes after childhood, adolescent, or young-adult cancer.
The record provides no therapeutic efficacy evidence; it proposes that identifying potentially maladaptive or beneficial patterns of family accommodation could, as a future inference, inform family-centered psychosocial interventions and survivorship care.
In a small retrospective pediatric ARDS cohort, bronchoalveolar lavage fluid caspase-4 did not differ by infectious etiology or versus controls but correlated with local inflammatory cytokines, D-dimer, and modestly with oxygenation-related measures.
The evidence supports BALF caspase-4 as a candidate correlate of pulmonary inflammatory activity; it is only an inference that caspase-4 could enable severity assessment or represent a treatment target, as no intervention, causal pathway experiment, outcome prediction, or pediatric-oncology population was evaluated.
In a retrospective cohort of 208 adult cancer patients with febrile neutropenia, a stepwise carbapenem-sparing protocol was frequently used and reportedly achieved high clinical response, although simulated pathogen coverage was lower for the institutional first-line regimen than for broader-spectrum regimens.
The record provides observational evidence that a stepwise carbapenem-sparing empiric antibiotic protocol can often be used without escalation in this adult center; it may therefore support antimicrobial stewardship, but any benefit, safety, or applicability in pediatric oncology remains an untested inference because pediatric patients were excluded and regimens were not independently compared.