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Updated: Oct 2, 2026

A Point-of-Care Method with Integrated Decision Support Tool to Estimate Anemia at Population Level
Published on: January 19, 2024
Incidence of anemia in children with solid tumors or Hodgkin disease
Marilyn J Hockenberry1, Pamela S Hinds, Patrick Barrera
1Texas Children's Cancer Center, Texas Children's Hospital, Houston 77030, USA. marilynhe@txccc.org
Insights
Most children newly diagnosed with cancer, including neuroblastoma and osteosarcoma, have anemia. This study found 51% to 74% of pediatric cancer patients were anemic at diagnosis, highlighting a common but underreported hematologic abnormality.
Area of Science:
- Pediatric Oncology
- Hematology
- Cancer Epidemiology
Background:
- Anemia is a common hematologic abnormality in children undergoing cancer treatment.
- The incidence of anemia at diagnosis for various pediatric cancers has not been previously reported.
- Understanding anemia incidence is crucial for managing pediatric cancer patients.
Purpose of the Study:
- To determine the incidence of anemia in children newly diagnosed with specific cancers.
- To establish a baseline for anemia prevalence in pediatric oncology.
- To prompt further investigation into the clinical significance of anemia in this population.
Main Methods:
- Retrospective review of medical records from two pediatric oncology centers.
- Inclusion of patients aged 1-18 years with newly diagnosed neuroblastoma, rhabdomyosarcoma, Hodgkin disease, Ewing sarcoma, or osteosarcoma.
- Analysis of hemoglobin levels at diagnosis using Centers for Disease Control and Prevention (CDC) age- and sex-specific anemia criteria.
Main Results:
- Data from 405 pediatric cancer patients were analyzed.
- Anemia incidence ranged from 51% to 74% across different cancer diagnoses at the time of diagnosis.
- A high prevalence of anemia was observed in newly diagnosed pediatric cancer patients.
Conclusions:
- Anemia is highly prevalent in children at the time of diagnosis for common pediatric cancers.
- The incidence of anemia in this population is significant and warrants attention.
- Further research is needed to understand the long-term complications and clinical significance of anemia in pediatric cancer patients, including its impact on quality of life.
Abstract:
Anemia is a hematologic abnormality commonly discussed during the treatment of childhood cancer, but its incidence has not been previously reported. As the basis for determining the incidence of anemia, this retrospective review of medical records combined databases containing the records of all patients 1 to 18 years of age with newly diagnosed neuroblastoma, rhabdomyosarcoma, Hodgkin disease, Ewing sarcoma, or osteosarcoma from two pediatric oncology centers. Data from 405 patients were included in the analysis of hemoglobin at the time of diagnosis. Across diagnoses, 51% to 74% of patients were anemic using the Centers for Disease Control and Prevention age- and sex-specific values to define anemia. The long-term complications of anemia in children with cancer are unknown. Further investigation of the clinical significance of anemia, including its impact on quality of life, is warranted.
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