Evidence map›Paper›PMID 21221714›Full record

ArticleJournal of neuro-oncology2011

Age as an independent prognostic factor in patients with glioblastoma: a Radiation Therapy Oncology Group and American College of Surgeons National Cancer Data Base comparison.

Malika L Siker, Meihua Wang, Kimberly Porter, Diana F Nelson, Walter J Curran, Jeff M Michalski, Luis Souhami, Arnab Chakravarti, W K Alfred Yung, John Delrowe and 2 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of neuro-oncology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

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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

12 authors at 12 institutions in 2 countries.

Malika L SikerDepartment of Radiation Oncology, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA.
Meihua Wang
Kimberly Porter
Diana F Nelson
Walter J Curran
Jeff M Michalski
Luis Souhami
Arnab Chakravarti
W K Alfred Yung
John Delrowe
Christopher T Coughlin
Minesh P Mehta
American College of Surgeons · USDartmouth–Hitchcock Medical Center · USEmory University · USMayo Clinic in Arizona · USMcGill University · CAMedical College of Wisconsin · USMontefiore Medical Center · USNorthwestern University · USRTOG Foundation · USThe Ohio State University · USThe University of Texas MD Anderson Cancer Center · USWashington University in St. Louis · US

Funding

RTOG Foreign AccrualU10CA021661 · NCI · AMERICAN COLLEGE OF RADIOLOGY · PI CURRAN, WALTER J. · 1985 to 2013
$150.3M
RTOG Foreign AccrualsU10CA037422 · NCI · AMERICAN COLLEGE OF RADIOLOGY · PI BRUNER, DEBORAH WATKINS · 1985 to 2013
$30.4M
RADIATION THERAPY ONCOLOGY GROUP-STATISTICAL UNIT GRANTU10CA032115 · NCI · AMERICAN COLLEGE OF RADIOLOGY · PI SADEK, RAMSES · 1985 to 2008
$9.4M
NCI NIH HHS U10 CA21661NCI NIH HHS U10 CA32115NCI NIH HHS U10 CA37422
6 · The paper itself

Abstract

Glioblastoma (GBM) is rare in early adulthood and little information is available on this subgroup. We investigated whether young age (18-30 years) had an independent effect on survival. We retrospectively reviewed patients from two large databases: Radiation Therapy Oncology Group (RTOG) and American College of Surgeons National Cancer Data Base (NCDB). In the RTOG evaluation, we analyzed all eligible GBM cases from 17 RTOG studies from 1974 to 2002. All patients with GBM during 1985-1998 in the NCDB were examined for comparison. Patients were divided into three cohorts: ages 18-30, 31-49, and ≥50. Overall survival, as a function of age (discreet and continuous), was assessed. The RTOG review included 3,136 patients: 112 (3.6%) were 18-30, 780 (24.9%) were 31-49, and 2,244 (71.6%) were ≥50. The median survival times of the three groups were 21.0, 13.5, and 9.1 months (P < 0.0001). Significant improvement in survival for younger patients was demonstrated with adjustment for recursive partitioning analysis (RPA) class. Of the 37,260 patients analyzed in the NCDB, 796 (2.1%) were 18-30, 5,711 (15.3%) were 31-49, and 30,753 (82.5%) were ≥50. The median survival times of the three groups were 18.0, 12.8, and 6.3 months (P < 0.0001). Data were not available for RPA class from this series. GBM is rare in young adulthood, comprising 2.1-3.6% of our patients. They have superior survival, even when adjusted for RPA class. More investigations on the unique biologic and clinical characteristics of tumors in this population are needed.

Indexed as

AgingAdolescentAdultAge FactorsBrain NeoplasmsFemaleGlioblastomaHumansKarnofsky Performance StatusMaleMiddle AgedPrognosisRadiation OncologyRetrospective StudiesSocieties, MedicalTime Factors

Identifiers

PMID21221714
OpenAlexW2017495547

What OpenQuestion holds

Textmetadata
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.