Evidence map›Paper›PMID 21809989›Full record

Trial reportArchives of pathology & laboratory medicine2011

Embryonal central nervous system neoplasms arising in infants and young children: a pediatric brain tumor consortium study.

Roger E McLendon, Adesina Adekunle, Veena Rajaram, Mehmet Koçak, Susan M Blaney

Open access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Archives of pathology & laboratory medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Childhood central nervous system tumors at MAHAK's Pediatric Cancer Treatment and Research Center (MPCTRC), Tehran, Iran.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2014
    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

5 authors at 4 institutions in 1 country.

Roger E McLendonDepartment of Pathology, Duke University Medical Center, Durham, North Carolina 27710, USA. roger.mclendon@duke.edu
Adesina Adekunle
Veena Rajaram
Mehmet Koçak
Susan M Blaney
Baylor College of Medicine · USDuke University · USSt. Jude Children's Research Hospital · USUniversity of Chicago · US

Funding

The Pediatric Brain Tumor Consortium (PBTC)U01CA081457 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI BOYETT, JAMES MILFORD · 1999 to 2013
$29.2M
TUMOR SUPPRESSOR GENES IN HUMAN MEDULLOBLASTOMAP50NS020023 · NINDS · DUKE UNIVERSITY · PI BIGNER, DARELL D · 1985 to 2013
$17.3M
The Role of OTX2 in Molecular Pathogenesis of MedulloblastomaR01CA118822 · NCI · DUKE UNIVERSITY · PI YAN, HAI · 2006 to 2010
$1.2M
NCI NIH HHS 5 R01 CA118822-05NCI NIH HHS R01 CA118822NCI NIH HHS U01 CA081457NINDS NIH HHS 5P50-NS-20023-26NINDS NIH HHS P50 NS020023
6 · The paper itself

Abstract

contextMedulloblastomas (MBs) and atypical teratoid/rhabdoid tumors (AT/RTs) arising in infants and children can be difficult to distinguish; however, histologic characterization is prognostically important.

objectiveTo determine histologic and phenotypic markers associated with utility with progression-free survival (PFS) and overall survival (OS) in children younger than 3 years with MBs and AT/RTs.

designWe undertook a histologic and immunophenotypic study of MBs and AT/RTs arising in infants and children younger than 3 years treated in a Pediatric Brain Tumor Consortium study. The 41 girls and 55 boys ranged in age from 2 to 36 months at enrollment. These infants and children exhibited 51 MBs, 26 AT/RTs, and 24 other tumors (not further studied). Median follow-up of the patients was 17.2 months from diagnosis (range: 1.4-93 months).

resultsInfants and children with AT/RT exhibited a statistically significant shorter PFS and OS when compared to infants and children with MBs (both P < .001). A lack of nuclear BAF47 immunohistochemical reactivity proved reliable in identifying AT/RTs. Among MBs, our data suggest an association of nodularity and prolonged PFS and OS, which must be independently confirmed. Anaplasia correlated with OTX2 reactivity and both OTX2 and moderate to severe anaplasia correlated with PFS but not with OS.

conclusionDistinguishing AT/RT from MBs is clinically important. For expert neuropathologists, the diagnoses of AT/RT and MB can be reliably made from hematoxylin-eosin stains in the vast majority of cases. However certain rare small cell variants of AT/RT can be confused with MB. We also found that immunohistochemical reactivity for BAF47 is clinically useful in distinguishing MBs from AT/RTs and for identifying certain small cell AT/RTs. Among MBs, nodularity may be an important prognostic factor for improved PFS and OS in infants and children.

Indexed as

Biomarkers, TumorCentral Nervous System NeoplasmsChild, PreschoolChromosomal Proteins, Non-HistoneDNA-Binding ProteinsFemaleHumansInfantMaleMedulloblastomaPrognosisRhabdoid TumorSMARCB1 ProteinSurvival RateTeratomaTranscription FactorsBiomarkers, TumorChromosomal Proteins, Non-HistoneDNA-Binding ProteinsSMARCB1 ProteinSMARCB1 protein, humanTranscription Factors

Identifiers

PMID21809989
PMCPMC3752842
OpenAlexW2099786427

What OpenQuestion holds

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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.