Evidence map›Paper›PMID 21666852›Full record

ReviewExpert review of clinical pharmacology2011

Corticosteroids in brain cancer patients: benefits and pitfalls.

Jörg Dietrich, Krithika Rao, Sandra Pastorino, Santosh Kesari

Registry-linked trialAbstract readReview
In one paragraph

Review in Expert review of clinical pharmacology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04624776 (Steroid Treatment as Anti-inflammatory and Neuroprotective Agent Following Out-of-Hospital Cardiac Arrest. A Randomized Trial), which is not on this map. Cited by 177 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
177citing papers in PubMed, 5 pooled it
3.4field-weighted citation impact, top 8% 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.

NCT04624776 phase2completednot on this mapstarted 2020, after this paper: background citation

Steroid Treatment as Anti-inflammatory and Neuroprotective Agent Following Out-of-Hospital Cardiac Arrest. A Randomized Trial

TypeinterventionalSponsorChristian HassagerRan2020 to 2023Enrolled158ConditionsOut-Of-Hospital Cardiac Arrest, Cardiac Arrest, Cardiac Arrest With Successful Resuscitation, Post Cardiac Arrest SyndromeArmsMethylprednisolone, Isotonic saline
3 · Its place in the literature

Who cites it

177 citing papers in PubMed, 5 syntheses or guidelines pooled it, 348 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review

117 more citing papers are in PubMed but not listed here.

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

4 authors at 3 institutions in 1 country.

Jörg DietrichMGH Cancer Center and Center for Regenerative Medicine, Harvard Medical School, Boston, MA, USA.
Krithika Rao
Sandra Pastorino
Santosh Kesari
Moores Cancer CenterHarvard University · USUniversity of California, San Diego · US

Funding

Role of Olig Genes in Human GliomagenesisK08CA124804 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KESARI, SANTOSH · 2007 to 2011
$704k
NCI NIH HHS K08 CA124804
6 · The paper itself

Abstract

Glucocorticoids have been used for decades in the treatment of brain tumor patients and belong to the most powerful class of agents in reducing tumor-associated edema and minimizing side effects and the risk of encephalopathy in patients undergoing radiation therapy. Unfortunately, corticosteroids are associated with numerous and well-characterized adverse effects, constituting a major challenge in patients requiring long-term application of corticosteroids. Novel antiangiogenic agents, such as bevacizumab (Avastin®), which have been increasingly used in cancer patients, are associated with significant steroid-sparing effects, allowing neuro-oncologists to reduce the overall use of corticosteroids in patients with progressive malignant brain tumors. Recent experimental studies have revealed novel insights into the mechanisms and effects of corticosteroids in cancer patients, including modulation of tumor biology, angiogenesis and steroid-associated neurotoxicity. This article summarizes current concepts of using corticosteroids in brain cancer patients and highlights potential pitfalls in their effects on both tumor and neural progenitor cells.

Indexed as

Adrenal Cortex HormonesAnimalsBrain EdemaBrain NeoplasmsHumansMuscular DiseasesSignal TransductionVision DisordersAdrenal Cortex Hormonesanti-angiogenesisbrain cancercancer stem cellscorticosteroidsdexamethasonegilomaneural stem cellsneurotoxicity

Identifiers

PMID21666852
PMCPMC3109638
OpenAlexW2141713308

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.