Evidence map›Paper›PMID 23395851›Full record

ArticleWorld neurosurgery2013

Adult cerebellar glioblastoma: understanding survival and prognostic factors using a population-based database from 1973 to 2009.

Hadie Adams, Kaisorn L Chaichana, Javier Avendaño, Brian Liu, Shaan M Raza, Alfredo Quiñones-Hinojosa

Abstract read
In one paragraph

Article in World neurosurgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  5. Article
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  7. Article
  8. A Synopsis of Biomarkers in Glioblastoma: Past and Present.Current issues in molecular biology · 2024
    Review
  9. Article
  10. Review
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  14. Article
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  17. Review
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  19. Article
  20. Treatment patterns and outcomes for cerebellar glioblastoma in the concomitant chemoradiation era: A National Cancer database study.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Hadie AdamsDepartment of Neurosurgery and Oncology, Neuro-Oncology Surgical Outcomes Research Laboratory, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Kaisorn L Chaichana
Javier Avendaño
Brian Liu
Shaan M Raza
Alfredo Quiñones-Hinojosa
Johns Hopkins University · USJohns Hopkins Medicine · USInstituto Nacional de Neurología y Neurocirugía · MX

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
Howard Hughes Medical InstituteNCI NIH HHS P30 CA006973
6 · The paper itself

Abstract

objectiveGlioblastoma (GB) is rarely found in the cerebellum. Because of its rarity, it is poorly understood if cerebellar GB (CGB) behaves similarly to supratentorial GB. Studies have been limited to case reports and small case series. A better understanding of CGB may help guide treatment strategies.

methodsSurveillance, Epidemiology and End Results database was analyzed from 1973 to 2009 for all adult patients with GB located in the cerebellum. Stepwise multivariate proportional hazards regression analyses were used to identify factors independently associated with survival.

resultsTwo hundred eight (0.9%) patients with CGB were identified from 23,329 GB patients with known locality. The mean age was 58 years. Median survival was 8 months, with 1-, 2- and 5-year survival rates of 21%, 13%, and 2%. When compared to supratentorial GB, CGB occurred in younger patients (58 ± 16 vs. 61 ± 13 years, P = 0.001), less commonly in Whites (85.6% vs. 91.3%, P = 0.005), and were smaller (3.7 ± 1.1 vs. 4.5 ± 1.7 cm, P = 0.001). A cerebellar location independently predicted poorer survival when compared to other GB locations (P = 0.048). In multivariate analysis for patients with CGB, younger age (P < 0.001), Asian or Pacific Islander race (P = 0.046), and radiation therapy (P < 0.001) were independently associated with prolonged survival.

conclusionCGBs are difficult to analyze using institutional series because of their rarity. This study shows they are clinically different from supratentorial GB. Among patients with CGB, radiation therapy may prolong survival. This may help guide treatment strategies aimed at prolonging survival for patients with these extremely rare lesions.

Indexed as

AdultAgedAged, 80 and overAge FactorsCerebellar NeoplasmsCombined Modality TherapyDatabases, FactualEthnicityFemaleGlioblastomaHumansKaplan-Meier EstimateMaleMiddle AgedNeurosurgical ProceduresPopulationCerebellarCerebellar glioblastomaCerebellumCGBGBGlioblastomaGliomaGross total resectionGTRICD-OInternational Classification of Disease for OncologySEERSTGBSupratentorial glioblastomaSurveillance, Epidemiology and End ResultsSurvival

Identifiers

PMID23395851
PMCPMC3994535
OpenAlexW2018977105

What OpenQuestion holds

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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.