https://m2.mtmt.hu/ hun 2026-09-22 10:13 JournalArticle 33207379 VALIDATED true Funding Agency and Grant Number: Queen Elizabeth Diamond Jubilee Trust Funding text: Queen Elizabeth Diamond Jubilee Trust. 0 false 2026-07-29T10:22:44.032+0000 2022-11-04T10:53:19.299+0000 2022-11-04T10:49:20.523+0000 true 10080205 Szalóky-Siki Ágnes /api/admin/10080205 Admin Szalóky-Siki Ágnes (SE_KK_Admin5_SZSA, admin) true 2026-07-29T10:15:46.895+0000 2022-11-04T10:53:19.314+0000 true 10080205 Szalóky-Siki Ágnes /api/admin/10080205 Admin Szalóky-Siki Ágnes (SE_KK_Admin5_SZSA, admin) true true false true 24 24 /api/publicationtype/24 PublicationType Folyóiratcikk 1 true 24 JournalArticle true 10000359 Study Group true 24 24 /api/publicationtype/24 PublicationType Folyóiratcikk 1 true 24 JournalArticle /api/subtype/10000359 Sokszerzős vagy csoportos szerzőségű szakcikk SubType Sokszerzős vagy csoportos szerzőségű szakcikk (Folyóiratcikk) 104 true 10000359 true 1 /api/category/1 Category Tudományos true 1 Alia, Donjeta B. true true /api/journal/10051693 REVIEWED LANCET GLOBAL HEALTH 2572-116X 2214-109X true false 10051693 false 10051693 true 2572-116X 2214-109X Journal FOREIGN 10 8 E1128 E1140 E1128 13 2022 Background Retinoblastoma is the most common intraocular cancer worldwide. There is some evidence to suggest that major differences exist in treatment outcomes for children with retinoblastoma from different regions, but these differences have not been assessed on a global scale. We aimed to report 3-year outcomes for children with retinoblastoma globally and to investigate factors associated with survival. Methods We did a prospective cluster-based analysis of treatment-naive patients with retinoblastoma who were diagnosed between Jan 1,2017, and Dec 31,2017, then treated and followed up for 3 years. Patients were recruited from 260 specialised treatment centres worldwide. Data were obtained from participating centres on primary and additional treatments, duration of follow-up, metastasis, eye globe salvage, and survival outcome. We analysed time to death and time to enucleation with Cox regression models. Findings The cohort included 4064 children from 149 countries. The median age at diagnosis was 23.2 months (IQR 11.0-36.5). Extraocular tumour spread (cT4 of the cTNMH classification) at diagnosis was reported in five (0.8%) of 636 children from high-income countries, 55 (5.4%) of 1027 children from upper-middle-income countries, 342 (19. 7%) of 1738 children from lower-middle-income countries, and 196 (42.9%) of 457 children from low-income countries. Enudeation surgery was available for all children and intravenous chemotherapy was available for 4014 (98.8%) of 4064 children. The 3-year survival rate was 99.5% (95% CI 98.8-100.0) for children from high-income countries, 91.2% (89.5-93.0) for children from upper-middle-income countries, 80.3% (78.3-82.3) for children from lower-middle-income countries, and 57.3% (524-63-0) for children from low-income countries. On analysis, independent factors for worse survival were residence in low-income countries compared to high-income countries (hazard ratio 16.67; 95% CI 4.76-50.00), cT4 advanced tumour compared to cT1 (8.98; 4.44-18.18), and older age at diagnosis in children up to 3 years (1.38 per year; 1.23-1.56). For children aged 3-7 years, the mortality risk decreased slightly (p=0.0104 for the change in slope). Interpretation This study, estimated to include approximately half of all new retinoblastoma cases worldwide in 2017, shows profound inequity in survival of children depending on the national income level of their country of residence. In high-income countries, death from retinoblastoma is rare, whereas in low-income countries estimated 3-year survival is just over 50%. Although essential treatments are available in nearly all countries, early diagnosis and treatment in low-income countries are key to improving survival outcomes. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd. 2022 true true true false false GOLD 2026-07-29 true https://doi.org/10.1016/S2214-109X%2822%2900250-9 119 0 119 63 1 118 119 111 99 119 119 63 63 63 56 0 119 63 119 63 0 2 2 Folyóiratcikk Journal Article 24 115 Könyvrészlet Chapter in Book 25 4 Könyv Book 23 0 Egyéb konferenciaközlemény Conference paper 31 0 Egyéb konferenciakötet Conference proceedings 32 0 Oltalmi formák Protection forms 26 0 Disszertáció Thesis 28 0 Egyéb Miscellaneous 29 0 Alkotás Achievement 22 0 Kutatási adat Research data 33 0 Folyóiratcikk Journal Article 24 0 0 0 Könyvrészlet Chapter in Book 25 0 0 0 Könyv Book 23 0 0 0 Egyéb konferenciaközlemény Conference paper 31 0 0 0 Egyéb konferenciakötet Conference proceedings 32 0 0 0 Oltalmi formák Protection forms 26 0 0 0 Disszertáció Thesis 28 0 0 0 Egyéb Miscellaneous 29 0 0 0 Alkotás Achievement 22 0 0 0 Kutatási adat Research data 33 0 0 0 2022 0 4 3 4 3 2023 0 18 11 18 11 2024 0 42 22 42 22 2025 0 43 22 43 22 2026 0 12 5 12 5 D1 false false false false 2022-11-03T10:53:19.107+0000 II. Sz. 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/api/authorship/104118067 Zhilyaeva, Katsiaryna 30 0.0 false false false Zhilyaeva Katsiaryna true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118068 /api/authorship/104118068 Bartoszek, Paulina 31 0.0 false false false Bartoszek Paulina true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118069 /api/authorship/104118069 Brichard, Benedicte G. 32 0.0 false false false Brichard Benedicte G. true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118070 /api/authorship/104118070 De, Potter Patrick 33 0.0 false false false De Potter Patrick true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118071 /api/authorship/104118071 Bio, Amadou I. 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C. true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118076 /api/authorship/104118076 Donato, Macedo Carla R. 39 0.0 false false false Donato Macedo Carla R. true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118077 /api/authorship/104118077 Grigorovski, Nathalia D. A. K. 40 0.0 false false false Grigorovski Nathalia D. A. K. true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118078 /api/authorship/104118078 Mattosinho, Clarissa C. D. S. 41 0.0 false false false Mattosinho Clarissa C. D. S. true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118079 /api/authorship/104118079 Teixeira, Luiz F. 42 0.0 false false false Teixeira Luiz F. true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118080 /api/authorship/104118080 Oscar, Alexander H. 43 0.0 false false false Oscar Alexander H. true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118081 /api/authorship/104118081 Veleva-Krasteva, Nevyana V. 44 0.0 false false false Veleva-Krasteva Nevyana V. true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118082 /api/authorship/104118082 Bouda, Gabrielle C. 45 0.0 false false false Bouda Gabrielle C. true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118083 /api/authorship/104118083 Kabore, Rolande L. 46 0.0 false false false Kabore Rolande L. true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118084 /api/authorship/104118084 Philbert, Remezo 47 0.0 false false false Philbert Remezo true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118085 /api/authorship/104118085 Evina, Ted Grimbert A. 48 0.0 false false false Evina Ted Grimbert A. true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118086 /api/authorship/104118086 Nkumbe, Henry E. 49 0.0 false false false Nkumbe Henry E. true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118087 /api/authorship/104118087 Kamsang, Pius 50 0.0 false false false Kamsang Pius true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118088 /api/authorship/104118088 Muyen, Okwen M. 51 0.0 false false false Muyen Okwen M. true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118089 /api/authorship/104118089 Dimaras, Helen 52 0.0 false false false Dimaras Helen true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118090 /api/authorship/104118090 Mallipatna, Ashwin 53 0.0 false false false Mallipatna Ashwin true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118091 /api/authorship/104118091 Hamel, Patrick 54 0.0 false false false Hamel Patrick true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118092 /api/authorship/104118092 Superstein, Rosanne 55 0.0 false false false Superstein Rosanne true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118093 /api/authorship/104118093 Paton, Katherine E. 56 0.0 false false false Paton Katherine E. true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118094 /api/authorship/104118094 Strahlendorf, Caron 57 0.0 false false false Strahlendorf Caron true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118095 /api/authorship/104118095 Palet, Jess Elio Kosh Komba 58 0.0 false false false Palet Jess Elio Kosh Komba true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118096 /api/authorship/104118096 Tyau-Tyau, Harba 59 0.0 false false false Tyau-Tyau Harba true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118097 /api/authorship/104118097 Cavieres, Isabel 60 0.0 false false false Cavieres Isabel true false false AuthorshipType 1 /api/authorshiptype/1 Szerző 0 true 0 true false true PersonAuthorship 104118098 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The Global Retinoblastoma Outcome Study: a prospective, cluster-based analysis of 4064 patients from 149 countries. (2022) LANCET GLOBAL HEALTH 2572-116X 2214-109X 10 8 E1128-E1140<div class="JournalArticle Publication long-list"> <div class="authors"> <img title="Forrásközlemény" style="float: left" src="/frontend/resources/grid/publication-core-icon.png"> <img title="Idézőközlemény" style="float: left" src="/frontend/resources/grid/publication-citation-icon.png"> <div class="autype autype0"> <span class="author-name" >Alia Donjeta B. </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10022998"><a href="/gui2/?type=authors&mode=browse&sel=10022998" target="_blank">Csoka Monika (<span class="authorship-author-name">Csóka Monika</span> <span class="authorAux-mtmt"> Gyermekgyógyászat hematológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/II. Sz. Gyermekgyógyászati Klinika</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10026936"><a href="/gui2/?type=authors&mode=browse&sel=10026936" target="_blank">Maka Erika (<span class="authorship-author-name">Maka Erika</span> <span class="authorAux-mtmt"> Szemészet</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Szemészeti Klinika</span> ;&nbsp;&nbsp;&nbsp; et al. (479) </div> <div class="autype autype-29"> Kollaborációs szervezet: <span class="author-affil">Global Retinoblastoma Study Grp</span> </div> <div><a target="_blank" href="/api/publication/33207379?labelLang=hun">Összes szerző</a></div> </div> <div class="title"><a href="/gui2/?mode=browse&params=publication;33207379" target="_blank">The Global Retinoblastoma Outcome Study: a prospective, cluster-based analysis of 4064 patients from 149 countries</a></div> <div> <span class="journal-title">LANCET GLOBAL HEALTH</span> <span class="journal-issn">(<a target="_blank" href="https://portal.issn.org/resource/ISSN/2572-116X">2572-116X</a> <a target="_blank" href="https://portal.issn.org/resource/ISSN/2214-109X">2214-109X</a>)</span>: <span class="journal-volume">10</span> <span class="journal-issue">8</span> <span class="page"> pp E1128-E1140 </span> <span class="year">(2022)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Nyelv: Angol | </span> <span class="identifiers"> <span class="id identifier oa_GOLD" title=" Gold "> <a style="color:blue" title="10.1016/S2214-109X(22)00250-9" target="_blank" href="https://doi.org/10.1016/S2214-109X%2822%2900250-9"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="000863614200019" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/000863614200019"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="85133828984" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-85133828984"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="35839812" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=35839812&dopt=Abstract"> PubMed </a> </span> </span> <OnlyViewableByAuthor><div class="ratings"> <div class="journal-subject">Folyóirat szakterülete: Scopus - Medicine (miscellaneous)&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;D1</div> </div></OnlyViewableByAuthor> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 119</span> | Független: 63 | Függő: 56 | Nem jelölt: 0 | WoS jelölt: 111 | Scopus jelölt:&nbsp;99 | WoS/Scopus jelölt:&nbsp;119 | DOI jelölt:&nbsp;119 </div> <div class="publication-citation"> <a target="_blank" href="/api/publication?cond=citations.related;eq;33207379&sort=publishedYear,desc&sort=title"> Idézett közlemények száma: 2 </a> </div> <div class="mtid"><span class="long-pub-mtid">Közlemény: 33207379</span> | <span class="status-data status-VALIDATED"> Egyeztetett </span> Forrás Idéző | <span class="type-subtype">Folyóiratcikk ( Sokszerzős vagy csoportos szerzőségű szakcikk ) </span> | <span class="pub-category">Tudományos</span> | <span class="publication-sourceOfData">WOS TAGGED</span> </div> <div class="lastModified">Utolsó módosítás: 2022.11.04. 11:53 Szalóky-Siki Ágnes (SE_KK_Admin5_SZSA, admin) </div> <pre class="comment" style="margin-top: 0; margin-bottom: 0;"><u>Megjegyzés</u>: Funding Agency and Grant Number: Queen Elizabeth Diamond Jubilee Trust Funding text: Queen Elizabeth Diamond Jubilee Trust.</pre> </div></div>