Evidence map›Paper›PMID 23897633›Full record

Trial reportNeuro-oncology2013

Seizure control following radiotherapy in patients with diffuse gliomas: a retrospective study.

Roberta Rudà, Umberto Magliola, Luca Bertero, Elisa Trevisan, Chiara Bosa, Cristina Mantovani, Umberto Ricardi, Anna Castiglione, Chiara Monagheddu, Riccardo Soffietti

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Neuro-oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 5 pooled it
3.8field-weighted citation impact, top 6% 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

49 citing papers in PubMed, 5 syntheses or guidelines pooled it, 91 citations in OpenAlex.

  1. Pooled it
  2. Guideline
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  6. Trial
  7. Observational
  8. Article
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  12. Review
  13. Epilepsy in Patients with Gliomas.Neurologia medico-chirurgica · 2024
    Review
  14. Review
  15. Article
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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

10 authors at 2 institutions in 1 country.

Roberta RudàCorresponding Author: Roberta Rudà, MD, Department of Neuro-Oncology, Via Cherasco 15, 10126 Torino, Italy. rudarob@hotmail.com.
Umberto Magliola
Luca Bertero
Elisa Trevisan
Chiara Bosa
Cristina Mantovani
Umberto Ricardi
Anna Castiglione
Chiara Monagheddu
Riccardo Soffietti
Azienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle information is available regarding the effect of conventional radiotherapy on glioma-related seizures.

methodsIn this retrospective study, we analyzed the seizure response and outcome following conventional radiotherapy in a cohort of 43 patients with glioma (33 grade II, 10 grade III) and medically intractable epilepsy.

resultsAt 3 months after radiotherapy, seizure reduction was significant (≥ 50% reduction of frequency compared with baseline) in 31/43 patients (72%) of the whole series and in 25/33 patients (76%) with grade II gliomas, whereas at 12 months seizure reduction was significant in 26/34 (76%) and in 19/25 (76%) patients, respectively. Seizure reduction was observed more often among patients displaying an objective tumor response on MRI, but patients with no change on MRI also had a significant seizure reduction. Seizure freedom (Engel class I) was achieved at 12 months in 32% of all patients and in 38% of patients with grade II tumors. Timing of radiotherapy and duration of seizures prior to radiotherapy were significantly associated with seizure reduction.

conclusionsThis study showed that a high proportion of patients with medically intractable epilepsy from diffuse gliomas derive a significant and durable benefit from radiotherapy in terms of epilepsy control and that this positive effect is not strictly associated with tumor shrinkage as shown on MRI. Radiotherapy at tumor progression seems as effective as early radiotherapy after surgery. Prospective studies must confirm and better characterize the response to radiotherapy.

Indexed as

RadiotherapyAdultBrain NeoplasmsFemaleFollow-Up StudiesGliomaHumansMagnetic Resonance ImagingMaleMiddle AgedNeoplasm GradingPrognosisRetrospective StudiesSeizuresYoung Adultdiffuse gliomasradiotherapyseizure control

Identifiers

PMID23897633
PMCPMC3829585
OpenAlexW2142707663

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.