“…There are a variety of factors that were not evaluated in this review, such as the influence of health status and lifestyle (metabolic syndromes, chronic conditions, nutritional status, symptoms management, physical activity and psychological well-being)(Badr et al,2013; Brinkman et al,2013; Hartman et al,2013; Huang et al,2013; Tonorezos et al,2013), environmental factors (coping strategies, education and psychological status of family members)(Norberg and Boman,2008; Trask et al,2009; Tremolada et al,2013; Long et al,2014; Williams et al,2014; Williams and McCarthy,2014 ) and the interaction between chemotherapy and other supportive care drugs that may exert additive neurotoxic effects (antibiotics, antifungals and neuropsychiatric drugs)(Haidar and Jeha,2011; van Schie et al,2011; Barrett et al,2013; Ruggiero et al,2013). A multidisciplinary approach is needed to ascertain the impact of contemporary ALL treatments on these adverse outcomes.…”