Prevalence of symptoms in children with acute lymphoblastic leukaemia: a systematic review and meta-analysis

Abstract Background Children with acute lymphoblastic leukaemia (ALL) experience multiple symptoms that occur in complicated patterns and negatively affect patient outcomes. To date, no systematic review has been performed on the prevalence of symptoms in children with ALL. Objective The study aimed...

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Main Authors: Xiaoyan Lan, Junjun Wu, Zhenling Liao, Yong Wu, Rong Hu
Format: Article
Language:English
Published: BMC 2023-11-01
Series:BMC Cancer
Subjects:
Online Access:https://doi.org/10.1186/s12885-023-11581-z
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author Xiaoyan Lan
Junjun Wu
Zhenling Liao
Yong Wu
Rong Hu
author_facet Xiaoyan Lan
Junjun Wu
Zhenling Liao
Yong Wu
Rong Hu
author_sort Xiaoyan Lan
collection DOAJ
description Abstract Background Children with acute lymphoblastic leukaemia (ALL) experience multiple symptoms that occur in complicated patterns and negatively affect patient outcomes. To date, no systematic review has been performed on the prevalence of symptoms in children with ALL. Objective The study aimed to report and analyse the prevalence of symptoms in children with ALL during treatment. Methods A systematic search was conducted in eight databases (PubMed, Ovid Embase, Web of Science, CINAHL, PsycINFO, China WanFang Database, China Science and Technology Journal Database, and China National Knowledge Infrastructure) for studies published between January 1, 2000, and August 12, 2023. The methodological quality of the included studies was evaluated and a meta-analysis was performed to pool the prevalence of symptoms. Results In total, 17 studies were included, from which 34 symptoms were identified. The symptom prevalence ranged between 1.5 and 91.0% and the most frequent symptoms observed were fatigue, lack of energy, dry mouth, lack of appetite, sweating, and feeling irritable, which occurred in at least 60% of the patients. Conclusions Symptoms remain highly prevalent in paediatric patients with ALL, which provides support for the need for symptom assessment in the clinical setting. Specific intervention is urgently needed to mitigate the symptoms in children with ALL and help them cope with the symptom burden.
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spelling doaj.art-7ae0c3749e8848d4b500417cc7e902392023-11-20T09:43:37ZengBMCBMC Cancer1471-24072023-11-0123111510.1186/s12885-023-11581-zPrevalence of symptoms in children with acute lymphoblastic leukaemia: a systematic review and meta-analysisXiaoyan Lan0Junjun Wu1Zhenling Liao2Yong Wu3Rong Hu4School of Nursing, Fujian Medical UniversitySchool of Nursing, Fujian Medical UniversitySchool of Nursing, Fujian Medical UniversityDepartment of Haematology, Fujian Medical University Union HospitalSchool of Nursing, Fujian Medical UniversityAbstract Background Children with acute lymphoblastic leukaemia (ALL) experience multiple symptoms that occur in complicated patterns and negatively affect patient outcomes. To date, no systematic review has been performed on the prevalence of symptoms in children with ALL. Objective The study aimed to report and analyse the prevalence of symptoms in children with ALL during treatment. Methods A systematic search was conducted in eight databases (PubMed, Ovid Embase, Web of Science, CINAHL, PsycINFO, China WanFang Database, China Science and Technology Journal Database, and China National Knowledge Infrastructure) for studies published between January 1, 2000, and August 12, 2023. The methodological quality of the included studies was evaluated and a meta-analysis was performed to pool the prevalence of symptoms. Results In total, 17 studies were included, from which 34 symptoms were identified. The symptom prevalence ranged between 1.5 and 91.0% and the most frequent symptoms observed were fatigue, lack of energy, dry mouth, lack of appetite, sweating, and feeling irritable, which occurred in at least 60% of the patients. Conclusions Symptoms remain highly prevalent in paediatric patients with ALL, which provides support for the need for symptom assessment in the clinical setting. Specific intervention is urgently needed to mitigate the symptoms in children with ALL and help them cope with the symptom burden.https://doi.org/10.1186/s12885-023-11581-zAcute lymphoblastic leukaemiaSigns and symptomsPrevalenceSystematic review
spellingShingle Xiaoyan Lan
Junjun Wu
Zhenling Liao
Yong Wu
Rong Hu
Prevalence of symptoms in children with acute lymphoblastic leukaemia: a systematic review and meta-analysis
BMC Cancer
Acute lymphoblastic leukaemia
Signs and symptoms
Prevalence
Systematic review
title Prevalence of symptoms in children with acute lymphoblastic leukaemia: a systematic review and meta-analysis
title_full Prevalence of symptoms in children with acute lymphoblastic leukaemia: a systematic review and meta-analysis
title_fullStr Prevalence of symptoms in children with acute lymphoblastic leukaemia: a systematic review and meta-analysis
title_full_unstemmed Prevalence of symptoms in children with acute lymphoblastic leukaemia: a systematic review and meta-analysis
title_short Prevalence of symptoms in children with acute lymphoblastic leukaemia: a systematic review and meta-analysis
title_sort prevalence of symptoms in children with acute lymphoblastic leukaemia a systematic review and meta analysis
topic Acute lymphoblastic leukaemia
Signs and symptoms
Prevalence
Systematic review
url https://doi.org/10.1186/s12885-023-11581-z
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