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Table 3 Summary of eligible studies on bone health, n = 3 studies

From: Late effects of high-dose methotrexate treatment in childhood cancer survivors—a systematic review

First author

Year

Country

Final cohort (male:female); diagnosis

Cohort description

Age at diagnosis [years]

Follow-up [years]

Method

Effect of HD-MTX

Lequin et al. 2002

The Nether-lands

21 (12:9); ALL

Males: mean 6.3 ± 3.5

Mean 9.6 (range 7.9–11.4)

DXA lumbar spine and total body (z-Score): BMD, BMDvol continuous variables

Group I vs. control group:

▪BMD, BMDvol: no sign. difference

Study group:

▪Group I: HD-MTX (n = 21)

Females: mean 4.6 ± 2.7

Follow-up: since end of treatment

Control group:

▪nrv

Tillmann et al. 2002

UK

28 (17:11); ALL

Study group: N/A

Mean 4.5 (range 1.5–7.1)

DXA lumbar spine and total body (z-Score): BMDvol continuous variables

Group I vs. II:

▪Lumbar BMDvol: no sign. Difference (trend: lower BMDvol in group I)

Study group:

▪Group I: HD-MTX (n = 18)

▪Group II: No HD-MTX (n = 10)

age at testing: mean 10.7 ± 2.1 (range 5.7–14.7)

Follow-up: since end of treatment

van der Sluis et al. 2000

The Netherlands

23 (13:10); ALL

Mean 5.4 (range 1.9–12.4)

Mean 9.6 (range 7.9–11.4)

DXA lumbar spine and total body (z-Score): BMD, BMDvol continuous variables

Group I vs. control group:

▪BMD, BMDvol: no sign. difference

Study group:

▪Group I: HD-MTX (n = 23)

Control group:

▪nrv

Follow-up: since end of treatment

  1. ALL acute lymphoblastic leukemia, BMD bone mineral density, BMDvol volumetric bone mineral density, DXA dual-energy x-ray absorptiometry, HD-MTX high-dose methotrexate, n number, N/A missing information, nrv normal reference values, sign. significant(ly)