Assessment of growth and pain trajectories for children and adolescents receiving chemotherapy for acute lymphoblastic leukemia in Northern Thailand using group-based trajectory modeling - Scorecard - MDSpire

Assessment of growth and pain trajectories for children and adolescents receiving chemotherapy for acute lymphoblastic leukemia in Northern Thailand using group-based trajectory modeling

  • By

  • Sunisa Phookiaw

  • Patrinee Traisathit

  • Sukon Prasitwattanaseree

  • Chane Choed-Amphai

  • Lalita Sathitsamitphong

  • July 6, 2026

  • 0 min

Share

Clinical Scorecard: Evaluation of Growth Patterns and Pain Experiences in Pediatric Chemotherapy Patients with Acute Lymphoblastic Leukemia in Northern Thailand Utilizing Group-Based Trajectory Analysis

At a Glance

CategoryDetail
ConditionAcute Lymphoblastic Leukemia (ALL)
Key MechanismsGrowth changes and pain trajectories during chemotherapy
Target PopulationChildren and adolescents aged 1-15 years receiving chemotherapy for ALL
Care SettingPediatric oncology treatment

Key Highlights

  • Two-thirds of patients classified into slightly low-normal bodyweight group.
  • Older age at diagnosis associated with higher bodyweight and higher BMI.
  • High pain prevalence in 6-15-year-old patients.
  • 94% of patients classified as healthy weight for BMI.
  • Thai ethnicity associated with mild pain trajectory.

Guideline-Based Recommendations

Diagnosis

  • Monitor growth changes and pain burden during ALL treatment.

Management

  • Implement proactive strategies to alleviate symptoms.

Monitoring & Follow-up

  • Assess bodyweight, BMI, and pain scores regularly during treatment.

Risks

  • Uncontrolled pain and inappropriate growth changes during chemotherapy.

Patient & Prescribing Data

Children and adolescents diagnosed with ALL aged 1-15 years.

Risk-adapted chemotherapy is the mainstay treatment for ALL.

Clinical Best Practices

  • Utilize Group-based Trajectory Modeling for assessing growth and pain trajectories.
  • Regularly evaluate pain using age-appropriate assessment tools.

Related Resources & Content

Original Source(s)

Related Content