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  1. Article ; Online: "Coming Full Circle": Reintroduction of Radiotherapy Delaying Chemotherapy Followed by Craniospinal Radiotherapy for Infants With Medulloblastoma.

    Gottardo, Nicholas G

    Journal of the National Comprehensive Cancer Network : JNCCN

    2023  Volume 21, Issue 10, Page(s) 988–990

    MeSH term(s) Humans ; Infant ; Medulloblastoma/drug therapy ; Medulloblastoma/radiotherapy ; Combined Modality Therapy ; Cerebellar Neoplasms/drug therapy ; Cerebellar Neoplasms/radiotherapy ; Radiotherapy Dosage
    Language English
    Publishing date 2023-10-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2250759-0
    ISSN 1540-1413 ; 1540-1405
    ISSN (online) 1540-1413
    ISSN 1540-1405
    DOI 10.6004/jnccn.2023.7090
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Genetic alterations of TP53 and OTX2 indicate increased risk of relapse in WNT medulloblastomas: "it's a numbers game"-implications for WNT medulloblastoma dose-reduction clinical trials.

    Gottardo, Nicholas G

    Acta neuropathologica

    2022  Volume 145, Issue 1, Page(s) 145–147

    MeSH term(s) Humans ; Medulloblastoma/genetics ; Neoplasm Recurrence, Local ; Mutation ; Cerebellar Neoplasms/genetics ; Tumor Suppressor Protein p53/genetics ; Otx Transcription Factors/genetics
    Chemical Substances TP53 protein, human ; Tumor Suppressor Protein p53 ; OTX2 protein, human ; Otx Transcription Factors
    Language English
    Publishing date 2022-11-20
    Publishing country Germany
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1079-0
    ISSN 1432-0533 ; 0001-6322
    ISSN (online) 1432-0533
    ISSN 0001-6322
    DOI 10.1007/s00401-022-02518-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Verschlimmbesserung: Craniospinal Radiotherapy Is Essential in WNT Medulloblastoma Patients.

    Gottardo, Nicholas G / Gajjar, Amar

    Clinical cancer research : an official journal of the American Association for Cancer Research

    2023  Volume 29, Issue 24, Page(s) 4996–4998

    Abstract: Standard-risk WNT medulloblastoma patients have an excellent prognosis (>90% progression-free survival) using the combination of standard dose craniospinal radiotherapy (CSI) (23.4 Gy) followed by platinum and alkylator based chemotherapy. A recent pilot ...

    Abstract Standard-risk WNT medulloblastoma patients have an excellent prognosis (>90% progression-free survival) using the combination of standard dose craniospinal radiotherapy (CSI) (23.4 Gy) followed by platinum and alkylator based chemotherapy. A recent pilot study that attempted to completely omit radiotherapy was terminated early as all patients (n = 3) relapsed rapidly (on treatment or within 6 months of completing treatment). The study highlights that therapy is the most important prognostic factor, with CSI still required to cure even the most favorable subgroup of medulloblastoma patients. See related article by Cohen et al., p. 5031.
    MeSH term(s) Humans ; Medulloblastoma/drug therapy ; Pilot Projects ; Cerebellar Neoplasms/drug therapy ; Prognosis ; Craniospinal Irradiation ; Radiotherapy Dosage
    Language English
    Publishing date 2023-10-12
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 1225457-5
    ISSN 1557-3265 ; 1078-0432
    ISSN (online) 1557-3265
    ISSN 1078-0432
    DOI 10.1158/1078-0432.CCR-23-2331
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Editorial: Bench to bedside: translating pre-clinical research into clinical trials for childhood brain tumors.

    Endersby, Raelene / Wainwright, Brandon J / Gottardo, Nicholas G

    Frontiers in oncology

    2023  Volume 13, Page(s) 1274465

    Language English
    Publishing date 2023-08-17
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2649216-7
    ISSN 2234-943X
    ISSN 2234-943X
    DOI 10.3389/fonc.2023.1274465
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: 'Walking their walk': reducing conflict between families of ill children and the medical profession.

    Gottardo, Nicholas G

    Archives of disease in childhood

    2019  Volume 105, Issue 1, Page(s) 87–89

    Abstract: In recent years, several high-profile court cases generated headlines across the globe. Notably, they brought conflict between families of seriously ill children and the medical profession to the forefront. These conflicts, especially when the courts ... ...

    Abstract In recent years, several high-profile court cases generated headlines across the globe. Notably, they brought conflict between families of seriously ill children and the medical profession to the forefront. These conflicts, especially when the courts become involved, are highly destructive to all parties concerned, as the focus inevitably shifts from the child to the conflict itself. Often, at the heart of conflict, is a lack of effective communication between a patient's family and their health providers. In order to assist health workers in the prevention, recognition and management of conflict in paediatrics, a Conflict Management Framework (CMF) and a set of guidelines endorsed by the Royal College of Paediatrics and Child Health (RCPCH) have been developed. Here, I review recent high-profile court cases to underscore the changing landscape of conflict and the central role that the media (and social media in particular) can play in fuelling and intensifying conflicts. The CMF and RCPCH-endorsed guidelines are discussed in the context of my own experience utilising some of these, as well as implementing other strategies aimed at reducing conflict in a paediatric oncology and haematology unit.
    MeSH term(s) Child ; Communication ; Dissent and Disputes ; Humans ; Pediatrics/standards ; Practice Guidelines as Topic ; United Kingdom
    Language English
    Publishing date 2019-08-20
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 524-1
    ISSN 1468-2044 ; 0003-9888 ; 1359-2998
    ISSN (online) 1468-2044
    ISSN 0003-9888 ; 1359-2998
    DOI 10.1136/archdischild-2019-317387
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: "Not all that glitters is gold": insights from the Far East and how to solve a conundrum.

    Gottardo, Nicholas G / Bartels, Ute

    Neuro-oncology

    2019  Volume 21, Issue 12, Page(s) 1490–1492

    MeSH term(s) Glioblastoma ; Humans ; Stem Cell Transplantation
    Language English
    Publishing date 2019-10-08
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 2028601-6
    ISSN 1523-5866 ; 1522-8517
    ISSN (online) 1523-5866
    ISSN 1522-8517
    DOI 10.1093/neuonc/noz188
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Fathers' Experiences of Childhood Cancer: A Phenomenological Qualitative Study.

    Davies, Jenny / O'Connor, Moira / Halkett, Georgia K B / Kelada, Lauren / Gottardo, Nicholas G

    Journal of family nursing

    2023  Volume 29, Issue 2, Page(s) 155–165

    Abstract: Research has shown differences in how fathers and mothers respond to a child's cancer diagnosis. Previous studies have highlighted that sociocultural norm shape fathers' experiences of their child's cancer diagnosis. Our phenomenological qualitative ... ...

    Abstract Research has shown differences in how fathers and mothers respond to a child's cancer diagnosis. Previous studies have highlighted that sociocultural norm shape fathers' experiences of their child's cancer diagnosis. Our phenomenological qualitative study aimed to examine the lived experiences of fathers whose children have been diagnosed with cancer and explore the impact of sociocultural gender roles. Fathers whose children were currently receiving treatment or had completed treatment in the previous 15 months were recruited from across Australia. Twenty-one fathers were interviewed. Five themes were identified: (a) Your world falls apart: Diagnosis and treatment; (b) Care for the child: Just the way it is; (c) Keeping strong: Finding ways to cope; (d) Employment: Practical and emotional support at work; and (e) Guilt, relief, and grief: Facing death. This study demonstrates the profound impact of a child's diagnosis on fathers and demonstrates that societal-cultural norms influence fathers' experience of childhood cancer.
    MeSH term(s) Male ; Female ; Child ; Humans ; Fathers/psychology ; Neoplasms ; Mothers/psychology ; Grief ; Qualitative Research
    Language English
    Publishing date 2023-01-30
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2070209-7
    ISSN 1552-549X ; 1074-8407
    ISSN (online) 1552-549X
    ISSN 1074-8407
    DOI 10.1177/10748407221145062
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Grandparents' Experiences of Childhood Cancer: A Qualitative Study.

    Davies, Jenny / O'Connor, Moira / Halkett, Georgia K B / Kelada, Lauren / Gottardo, Nicholas G

    Journal of family nursing

    2023  Volume 30, Issue 1, Page(s) 30–40

    Abstract: A child's cancer diagnosis has a significant impact on the lives of grandparents. Grandparents experience the stress of worrying about both their adult children and their grandchildren. Our study aimed to explore the lived experience of grandparents of ... ...

    Abstract A child's cancer diagnosis has a significant impact on the lives of grandparents. Grandparents experience the stress of worrying about both their adult children and their grandchildren. Our study aimed to explore the lived experience of grandparents of children diagnosed with cancer. A qualitative design involving semi-structured interviews was used and data were analyzed using reflexive thematic analysis. Twenty grandparents aged 41 to 77 years were interviewed. Six themes were identified: (a) Diagnosis: changing everything; (b) Aspects of treatment: A different world; (c) Sandwich generation; (d) Family: Worrying about everyone; (e) Balancing work; and (f) It's like suddenly a door opens. Our study demonstrates the life-changing impact of having a grandchild diagnosed with cancer. It expands on existing knowledge and shows that, due to an aging population and demographic changes, some grandparents must juggle the demands of caring for aging family members and working while supporting adult children and grandchildren.
    MeSH term(s) Child ; Adult ; Humans ; Aged ; Grandparents ; Neoplasms ; Qualitative Research ; Adult Children ; Intergenerational Relations
    Language English
    Publishing date 2023-11-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2070209-7
    ISSN 1552-549X ; 1074-8407
    ISSN (online) 1552-549X
    ISSN 1074-8407
    DOI 10.1177/10748407231213862
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Incidence and survival for childhood cancer by endorsed non-stage prognostic indicators in Australia.

    Youlden, Danny R / Gupta, Sumit / Frazier, A Lindsay / Moore, Andrew S / Gottardo, Nicholas G / Aitken, Joanne F

    Pediatric blood & cancer

    2024  Volume 71, Issue 4, Page(s) e30889

    Abstract: Background: An international expert panel recently recommended 15 'non-stage prognostic indicators' (NSPIs) across eight childhood cancers, classified as essential or additional, for collection in population-based cancer registries. We aimed to describe ...

    Abstract Background: An international expert panel recently recommended 15 'non-stage prognostic indicators' (NSPIs) across eight childhood cancers, classified as essential or additional, for collection in population-based cancer registries. We aimed to describe the incidence distribution and survival of each of these NSPIs.
    Procedures: Cases were extracted from the Australian Childhood Cancer Registry. The study cohort (n = 4187) comprised all children aged under 15 years diagnosed with an eligible cancer between 2010 and 2018, with follow-up until 31 December 2020. NSPI data were collected directly from each patient's medical records. Differences in 5-year relative survival were assessed using multivariable flexible parametric models, adjusted for sex and age group at diagnosis.
    Results: The availability of data varied, exceeding 85% for all essential NSPIs apart from histologic subtype for Wilms tumours (69%) and lineage for acute lymphoblastic leukaemia (78%). Information on additional NSPIs tended to be recorded less often, particularly cytogenetic subtype for non-alveolar rhabdomyosarcoma (28%) and astrocytoma (4%). Eight NSPIs exhibited a significant difference in survival, with the largest disparity occurring among children with astrocytoma according to tumour grade (5-year relative survival of 18% for grade IV disease compared with 99% for grade I disease; p < .001).
    Conclusions: Our findings demonstrate that most of the recommended NSPIs can be retrieved from medical records in Australia in recent years, allowing the capability of assessing survival within patient subgroups of clinical interest. Reporting of NSPI data has the capability to inform local and global understanding of population-level disparities in childhood cancer survival.
    MeSH term(s) Child ; Humans ; Infant ; Neoplasms/epidemiology ; Neoplasms/therapy ; Incidence ; Prognosis ; Australia/epidemiology ; Astrocytoma ; Registries ; Kidney Neoplasms
    Language English
    Publishing date 2024-01-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2131448-2
    ISSN 1545-5017 ; 1545-5009
    ISSN (online) 1545-5017
    ISSN 1545-5009
    DOI 10.1002/pbc.30889
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Intravascular Tumor Extension and Pulmonary Tumor Embolism in Children With Solid Malignancies: Is There a Role for Inferior Vena Cava Filters?

    Trinder, Sarah M / Ruhayel, Sandra D / Gottardo, Nicholas G / McLaren, Clare A / Ryan, Anne L / Roebuck, Derek J

    Journal of pediatric hematology/oncology

    2023  Volume 45, Issue 8, Page(s) 467–471

    Abstract: Intravascular tumor extension is an uncommon complication of solid malignancies that, when present in the inferior vena cava (IVC), can result in fatal pulmonary tumor embolism. Currently, neoadjuvant chemotherapy and surgery are the mainstays of ... ...

    Abstract Intravascular tumor extension is an uncommon complication of solid malignancies that, when present in the inferior vena cava (IVC), can result in fatal pulmonary tumor embolism. Currently, neoadjuvant chemotherapy and surgery are the mainstays of treatment; however, there are no consensus guidelines for management. We describe three cases of pediatric solid malignancies with associated IVC extension and pulmonary tumor embolism. We hypothesize that there is scope for IVC filter placement in such cases to mitigate the risk of fatal pulmonary tumor embolism.
    MeSH term(s) Humans ; Child ; Vena Cava Filters/adverse effects ; Pulmonary Embolism/etiology ; Pulmonary Embolism/prevention & control ; Lung Neoplasms/complications ; Lung Neoplasms/therapy ; Vena Cava, Inferior ; Treatment Outcome
    Language English
    Publishing date 2023-07-27
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1231152-2
    ISSN 1536-3678 ; 1077-4114 ; 0192-8562
    ISSN (online) 1536-3678
    ISSN 1077-4114 ; 0192-8562
    DOI 10.1097/MPH.0000000000002731
    Database MEDical Literature Analysis and Retrieval System OnLINE

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