Evidence map›Paper›PMID 19957013›Full record

GuidelineJournal of neuro-oncology2010

The role of emerging and investigational therapies for metastatic brain tumors: a systematic review and evidence-based clinical practice guideline of selected topics.

Jeffrey J Olson, Nina A Paleologos, Laurie E Gaspar, Paula D Robinson, Rachel E Morris, Mario Ammirati, David W Andrews, Anthony L Asher, Stuart H Burri, Charles S Cobbs and 9 more

Open access · hybridAbstract readPractice GuidelineSystematic Review
In one paragraph

Guideline in Journal of neuro-oncology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% of its field
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Brain metastases.BMJ clinical evidence · 2011
    Pooled it
  2. Trial
  3. Article
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  5. Article
  6. Article
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  10. Review
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

19 authors at 16 institutions in 2 countries.

Jeffrey J OlsonDepartment of Neurosurgery, Emory University School of Medicine, Atlanta, GA, USA.
Nina A Paleologos
Laurie E Gaspar
Paula D Robinson
Rachel E Morris
Mario Ammirati
David W Andrews
Anthony L Asher
Stuart H Burri
Charles S Cobbs
Douglas Kondziolka
Mark E Linskey
Jay S Loeffler
Michael McDermott
Minesh P Mehta
Tom Mikkelsen
Roy A Patchell
Timothy C Ryken
Steven N Kalkanis
Henry Ford Health System · USMcMaster University · CABarrow Neurological Institute · USCalifornia Pacific Medical Center · USCarolina Neurosurgery and Spine Associates · USCarolinas Medical Center · USEmory University · USMassachusetts General Hospital · USNeurological Surgery · USNorthShore University HealthSystem · USThe Ohio State University Wexner Medical Center · USThomas Jefferson University · USUniversity of California, Irvine Medical Center · USUniversity of California, San Francisco · USUniversity of Colorado Denver · USUniversity of Wisconsin–Madison · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

questionWhat evidence is available regarding the emerging and investigational therapies for the treatment of metastatic brain tumors? TARGET POPULATION: These recommendations apply to adults with brain metastases. RECOMMENDATIONS: New radiation sensitizers Level 2 A subgroup analysis of a large prospective randomized controlled trial (RCT) suggested a prolongation of time to neurological progression with the early use of motexafin-gadolinium (MGd). Nonetheless this was not borne out in the overall study population and therefore an unequivocal recommendation to use the currently available radiation sensitizers, motexafin-gadolinium and efaproxiral (RSR 13) cannot be provided. Interstitial modalities There is no evidence to support the routine use of new or existing interstitial radiation, interstitial chemotherapy and or other interstitial modalities outside of approved clinical trials. New chemotherapeutic agents Level 2 Treatment of melanoma brain metastases with whole brain radiation therapy and temozolomide is reasonable based on one class II study. Level 3 Depending on individual circumstances there may be patients who benefit from the use of temozolomide or fotemustine in the therapy of their brain metastases. Molecular targeted agents Level 3 The use of epidermal growth factor receptor inhibitors may be of use in the management of brain metastases from non-small cell lung carcinoma.

Indexed as

Brain NeoplasmsCombined Modality TherapyAntineoplastic Combined Chemotherapy ProtocolsCranial IrradiationDisease ProgressionEvidence-Based MedicineHumansMetalloporphyrinsRadiation-Sensitizing AgentsRandomized Controlled Trials as TopicTreatment OutcomeMetalloporphyrinsmotexafin gadoliniumRadiation-Sensitizing Agents

Identifiers

PMID19957013
PMCPMC2808529
OpenAlexW2170198208

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.