Evidence map›Paper›PMID 16314936›Full record

ArticleJournal of neuro-oncology2006

Improvement of functional outcome after radical surgery in glioblastoma patients: the efficacy of a navigation-guided fence-post procedure and neurophysiological monitoring.

Koichi Yoshikawa, Koji Kajiwara, Jun Morioka, Masami Fujii, Nobuhiro Tanaka, Hirosuke Fujisawa, Shoichi Kato, Sadahiro Nomura And, Michiyasu Suzuki

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In one paragraph

Article in Journal of neuro-oncology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. The Insula and Its Epilepsies.Epilepsy currents · 2019
    Article
  9. Article
  10. Article
  11. Hypoxic glucose metabolism in glioblastoma as a potential prognostic factor.European journal of nuclear medicine and molecular imaging · 2017
    Article
  12. Prognostic value of volume-based measurements on (11)C-methionine PET in glioma patients.European journal of nuclear medicine and molecular imaging · 2015
    Article
  13. Article
  14. Article
  15. An overview of neuro-oncology research and practice in Iran, three years with the NOSC initiative.International journal of clinical and experimental medicine · 2015
    Article
  16. Article
  17. Article
  18. Article
  19. [Surgical intervention in patients with malignant glioma].Wiener medizinische Wochenschrift (1946) · 2006
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  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Koichi YoshikawaDepartment of Neurosurgery, Yamaguchi University School of Medicine, Ube, Yamaguchi, Japan.
Koji Kajiwara
Jun Morioka
Masami Fujii
Nobuhiro Tanaka
Hirosuke Fujisawa
Shoichi Kato
Sadahiro Nomura And
Michiyasu Suzuki

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This retrospective study investigated the functional outcomes of patient with glioblastoma receiving radical surgery before and after the adoption of the navigation-guided fence-post (NGFP) procedure and neurophysiological monitoring. We investigated 42 glioblastoma patients receiving radical surgery in our institute between 1980 and 2005. Of the 42 patients, 18 patients from 1980 to 1996 (1st term) underwent radical surgery without navigation system guidance, NGFP, or neurophysiological monitoring; 11 patients from 1997 to 2002 (2nd term) underwent surgery with simple navigation system guidance but without NGFP procedure or neurophysiological monitoring, and 13 patients from 2003 to 2005 (3rd term) underwent surgery with the NGFP procedure and neurophysiological monitoring as appropriate. There were no significance differences between any of the three term groups in age, gender, preoperative KPS score, or 'surgical staging for glioma' according to the difficulty of surgery. The rates of 95% or greater volume reduction in each term were 38.9%, 54.5% and 76.9%. The rates of morbidity were 38.9%, 18.1% and 0%. The change in KPS scores (delta KPS) before and after the perioperative period in each term were -16.1 +/- 6.6 SEM, -9.0 +/- 5.8 SEM and +8.5 +/- 3.7 SEM, respectively. The delta KPS in the 3rd term was significantly better than those of 1st and 2nd terms (P < 0.01, Kruskal-Wallis rank test). The rate of patients who were discharged to home and who resumed daily useful life without assistance was 38.9%, 63.6% and 84.6% in each term, respectively. The mean survival times in each term were 9.9, 14.0 and 16.8 months. The introduction of the NGFP procedure and neurophysiological monitoring in glioblastoma radical surgery improved the functional outcome of patients.

Indexed as

NeuronavigationRecovery of FunctionBrain NeoplasmsEvoked Potentials, MotorFemaleGlioblastomaHumansKarnofsky Performance StatusMaleMiddle AgedMonitoring, IntraoperativeRetrospective StudiesSurvival Analysis

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.