Ten-year survival of children with acute lymphoblastic leukemia: A report from the Children's Oncology Group Review uri icon


MeSH Major

  • Precursor Cell Lymphoblastic Leukemia-Lymphoma


  • The Children's Cancer Group initiated risk-based allocation for childhood acute lymphoblastic leukemia 3 decades ago. Long-term survival data (minimum follow-up >10 years) is now available. About 3711 eligible children were enrolled in risk-adjusted treatment protocols (1983-1989). Ten-year event-free survival (EFS) and overall survival were 62% (standard deviation [SD] = 1%) and 73% (SD = 1%). These data showed a significant improvement (P < 0.0001) compared with the predecessor studies. Since 11% of patients with initial relapses survived without second events, these data predicted a cure rate of 73%. Ten-year EFS and survival were improved significantly for patients with intermediate risk (P < 0.0001), high risk (P < 0.0001) and lymphomatous features (P < 0.0001). Key components of therapies included delayed intensification and substitution of intrathecal chemotherapy for prophylactic/preventive cranial radiation in low- and intermediate-risk patients. This is the largest series of children on concurrent studies who were observed more than 10 years.

publication date

  • June 2008



  • Review



  • eng

Digital Object Identifier (DOI)

  • 10.1080/10428190802074593

PubMed ID

  • 18569638

Additional Document Info

start page

  • 1142

end page

  • 54


  • 49


  • 6