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.

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