0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Acute Lymphoid Leukemia Outcomes in Black and White Children-Reply

Ching-Hon Pui, MD; Michael L. Hancock, MS; Karen R. Smith, RD, CNSD; William M. Crist, MD; James M. Boyett, PhD
JAMA. 1995;274(5):380. doi:10.1001/jama.1995.03530050027015.
Text Size: A A A
Published online

In Reply.  —Dr Pinkel raises the interesting question of whether improved survival rates for black children treated at St Jude since 1984 might reflect improvements in nutritional status. To address this question, we determined the proportions of black children who had subnormal nutritional status (ie, body weight less than 90% of ideal, defined as the 50th percentile of weight for height in a standard growth chart1,2). These proportions did not differ from the early treatment era to the recent treatment era (26% vs 24%; P=.99). Thus, nutritional status is unlikely to have contributed to the change in treatment outcome. Unfortunately, parental occupation and education are not routinely addressed in our admissions questionnaires, so specific comparison of socioeconomic status based on these factors is not possible.Pinkel suggests that longer follow-up is needed for outcome analysis in ALL. However, definitions of cure change with improved treatment. We have shown

Topics

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();