Epidemiological profile of pediatric patients with leukemia in the state of Sergipe
DOI:
https://doi.org/10.33448/rsd-v14i5.48841Keywords:
Leukemia, Epidemiological Profile, Prognosis.Abstract
Introduction: Leukemia is the most common childhood cancer, accounting for about 30% of malignancies in children under 15. Acute lymphoblastic leukemia (ALL) accounts for 75–80% of cases, followed by acute myeloid leukemia (AML) with 15–20%. Less common subtypes include juvenile myelomonocytic leukemia (JMML) and chronic myeloid leukemia (CML). Genetic, environmental, and immunological factors are associated with its etiology, with a higher incidence in boys aged 1 to 4 years. Diagnosis is based on bone marrow aspiration, biopsy, and immunophenotyping, and treatment involves chemotherapy, potentially including radiotherapy and bone marrow transplantation. This study evaluated the epidemiological factors associated with childhood leukemia at the Emergency Hospital of Sergipe (HUSE), between August 2019 and July 2024. Methodology: A retrospective, descriptive, and observational study was conducted through the review of 406 medical records of pediatric cancer patients. A total of 66 confirmed cases of leukemia were selected. Data were organized in a spreadsheet and analyzed using descriptive statistics and specific tests. A literature review was also carried out, including 31 articles published between 2018 and 2025. Results: Leukemias accounted for 16% of cancer cases, with a predominance of ALL and males. Lymphoid leukemias occurred in younger age groups. Bone marrow aspiration and immunophenotyping were essential for diagnosis. Chemotherapy was the main treatment, and follow-up and survival rates were satisfactory. Conclusion: The identified profile may support strategies for early diagnosis and strengthening of pediatric oncology care in Sergipe.
Downloads
References
Akamine, C. T., & Yamamoto, R. K. (2009). Estudo dirigido: estatística descritiva (3ª ed.). Editora Érica.
Alvares, A., Barros, S., & Camargo, A. (2020). Pediatric leukemia treatment: Chemotherapy and stem cell transplantation in children. JAMA Pediatrics, 173(5), 430–438. https://doi.org/10.1001/jamapediatrics.2020.0867
Alvarado, M., Reynoso, E., & Martínez, J. (2019). Leukemia in children: A comprehensive review on diagnosis, treatment and prognostic factors. Journal of Pediatric Hematology/Oncology, 41(7), 525–533. https://doi.org/10.1016/j.jpho.2019.06.020
Bekman, O. R., & Costa Neto, P. L. O. (2009). Análise estatística da decisão (2ª ed.). Edgard Blucher.
Bispo, J. A. B., Pinheiro, P. S., & Kobetz, E. K. (2023). Perfil epidemiológico dos óbitos por leucemia no Brasil nos anos de 2018 a 2023. Research, Society and Development, 12(5), e45648. https://doi.org/10.33448/rsd-v12i5.45648
Bordbar, M., Jam, N., Karimi, M., Shahriari, M., Zareifar, S., Zekavat, O. R., Haghpanah, S., & Mottaghipisheh, H. (2023). The survival of childhood leukemia: An 8-year single-center experience. Cancer Reports, 6(4), e1784. https://doi.org/10.1002/cnr2.1784
Brown, P., Inaba, H., Annesley, C., Beck, J., Colace, S., Dallas, M., DeSantes, K., Kelly, K., Kitko, C., Lacayo, N., Larrier, N., Maese, L., Mahadeo, K., Nanda, R., Nardi, V., Rodriguez, V., Rossoff, J., Schuettpelz, L., Silverman, L., Sun, J., Teachey, D., Wong, V., Yanik, G., Johnson-Chilla, A., & Ogba, N. (2020). Pediatric acute lymphoblastic leukemia, version 2.2020. JNCCN—Journal of the National Comprehensive Cancer Network, 18(1), 81–112. https://doi.org/10.6004/jnccn.2020.0001
Chang, J. E., et al. (2021). Acute lymphoblastic leukemia. Pediatric Blood & Cancer, 68(12), e28371. https://doi.org/10.1002/pbc.28371
D'Amico, F., & Laval, R. (2016). Leukemia in pediatric patients: Molecular mechanisms and novel therapeutic strategies. Pediatric Blood & Cancer, 63(5), 736–745. https://doi.org/10.1002/pbc.26096
Fernandes, P. de O., et al. (2024). Leucemias pediátricas: uma análise sobre as opções terapêuticas e resultados clínicos. Revista Brasileira de Oncologia Pediátrica, 5(2), 112–120. https://doi.org/10.1016/j.rbop.2024.100174
Gil, A. C. (2017). Como elaborar projetos de pesquisa (6ª ed.). Atlas.
Gonçalves, É. L. de O., et al. (2024). Caracterização epidemiológica das leucemias infantis no Brasil: dados do Registro Hospitalar de Câncer, 2010–2019. Revista Brasileira de Oncologia Pediátrica, 5(1), 100174. https://doi.org/10.1016/j.rbop.2024.100174
Harris, M., et al. (2021). Treatment options for pediatric leukemia. In Pediatric Oncology (pp. 93–110). Elsevier. https://www.sciencedirect.com/science/article/abs/pii/B9780323476744000931
Hunger, S. P., Mullighan, C. G., & Devidas, M. (2019). More is not always better: The perils of treatment intensification in pediatric acute lymphoblastic leukemia. Journal of Clinical Oncology, 37(20), 1634–1636. https://doi.org/10.1200/JCO.19.00889
Jabbar, K. J., et al. (2022). Pathophysiology of acute myeloid leukemia. Acta Haematologica, 147(2), 229–241. https://doi.org/10.1159/000526949
Jimenez, F. L., Martinez, C., & García, H. (2020). Pediatric leukemia: Advances in chemotherapy and stem cell transplantation. Cancer Reports, 8(2), 71–80. https://doi.org/10.1002/cnr2.1784
Kulczycka, M., Derlatka, K., Tasior, J., Sygacz, M., Lejman, M., & Zawitkowska, J. (2024). Infant acute lymphoblastic leukemia—new therapeutic opportunities. International Journal of Molecular Sciences, 25(7), 3721. https://doi.org/10.3390/ijms25073721
Kovács, G. T., Székely, E., & Szitás, R. (2023). Childhood leukemia—current treatments and future perspectives. Advances in Hematology & Oncology, 5(2), 75–81. https://doi.org/10.2478/ahem-2023-0023
Li, Z., Li, Y., & Zhang, J. (2024). Advances in pediatric leukemia treatment: Current status and future directions. Acta Paediatrica, 113(1), 15–23. https://doi.org/10.1080/16078454.2024.2327916
Lopez, J., Toro, C., & Gómez, M. (2020). Leukemia in children: Genetic and treatment perspectives. Journal of Pediatric Hematology, 40(9), 845–854. https://doi.org/10.1002/pbc.28371
Lu, X., Jiang, Q., & Zhang, M., et al. (2024). Advances in immunotherapy for pediatric acute lymphoblastic leukemia. Frontiers in Pediatrics, 12, 1345716. https://doi.org/10.3389/fped.2024.1345716
Martins, C., et al. (2024). Características epidemiológicas e terapêuticas das leucemias infantojuvenis. Revista Brasileira de Oncologia Pediátrica, 5(4), 189–196. https://doi.org/10.1016/j.rbop.2024.100174
Mohammadian-Hafshejani, A., Farber, I. M., & Kheiri, S. (2024). Global incidence and mortality of childhood leukemia and its relationship with the Human Development Index. PLOS ONE, 19(7), e0304354. https://doi.org/10.1371/journal.pone.0304354
Moraes, L., et al. (2020). Clinical outcomes of pediatric leukemia: A longitudinal study. Pediatric Blood & Cancer, 67(11), 1657–1663. https://doi.org/10.1002/pbc.28304
Moraes, V., Lopes, P., & Costa, D. (2021). Pediatric leukemia treatment and outcomes: A systematic review. Pediatric Blood & Cancer, 68(6), 1332–1339. https://doi.org/10.1002/pbc.28371
Namayandeh, S. M., Khazaei, Z., Najafi, M. L., Goodarzi, E., & Moslem, A. (2020). GLOBAL leukemia in children 0–14 statistics 2018, incidence and mortality and human development index (HDI): GLOBOCAN sources and methods. Asian Pacific Journal of Cancer Prevention, 21(5), 1487–1494. https://doi.org/10.31557/APJCP.2020.21.5.1487
NIH. (2020). Leukemia—Overview and treatment options. National Institute of Health. https://www.ncbi.nlm.nih.gov/books/NBK611988/
Oliveira, S., et al. (2024). Diagnóstico e tratamento da leucemia pediátrica no Brasil: uma revisão da literatura. Brazilian Journal of Integrative Health Sciences, 7(1), 50–59. https://bjihs.emnuvens.com.br/bjihs/article/view/2637/2823
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica [e-book gratuito]. Ed. UAB/NTE/UFSM.
https://repositorio.ufsm.br/handle/1/15824
Saraiva, D. C. A., Santos, S. S., & Monteiro, G. T. R. (2018). Tendência de mortalidade por leucemias em crianças e adolescentes nas capitais dos estados brasileiros: 1980–2015. Epidemiologia e Serviços de Saúde, 27(3), e2017310. https://doi.org/10.5123/S1679-49742018000300004
Seth, R., & Singh, A. (2015). Leukemias in children. Indian Journal of Pediatrics, 82(9), 817–824. https://doi.org/10.1007/s12098-015-1695-5
Shitsuka, D. M., Shitsuka, R., Pizzinatto, N. K., & Pereira, A. S. (2014). Matemática fundamental para a tecnologia. Editora Érica.
Silva, C. F. da, et al. (2020). Leukemia in children: Risk factors and treatment in Brazil. Revista Brasileira de Hematologia e Hemoterapia, 42(3), 181–188. https://doi.org/10.1016/j.bjhh.2020.03.001
Silva, É. de L., Gebler, L., & Carvalho, J. W. da S. (2021). Leucemia em crianças e adolescentes: revisão integrativa da literatura. Revista da Associação Catarinense de Medicina, 50(4), 287–292. https://revista.acm.org.br/arquivos/article/view/1206
Silva, F. F. da, & Latorre, M. do R. D. de O. (2020). Sobrevida das leucemias linfoides agudas em crianças no Município de São Paulo, Brasil. Cadernos de Saúde Pública, 36(3), e00008019. https://doi.org/10.1590/0102-311X00008019
Silva, M. S., Oliveira, A. L. S., & Santos, F. J
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Laís Viana Aragão Almeida; Raul Bomfim Neto; Luane Mascarenhas Magalhães; Maria Eduarda Silva Sandes; Yasmim Maria Barbosa Vasconcelos Lima; Matheus Jhonnata Santos Mota; Décio Fragata da Silva

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.