Evidence map›Paper›PMID 25585890›Full record

Trial reportCancer2015

Proton therapy for low-grade gliomas: Results from a prospective trial.

Helen A Shih, Janet C Sherman, Lisa B Nachtigall, Mary K Colvin, Barbara C Fullerton, Juliane Daartz, Barbara K Winrich, Tracy T Batchelor, Lauren T Thornton, Sarah M Mancuso and 5 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 6 pooled it
6.9field-weighted citation impact, top 2% 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

66 citing papers in PubMed, 6 syntheses or guidelines pooled it, 149 citations in OpenAlex.

  1. Pooled it
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  19. Treatment Options for IDH-Mutant Malignant Gliomas.Current treatment options in oncology · 2024
    Review
  20. Article

6 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

15 authors at 2 institutions in 1 country.

Helen A ShihDepartment of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts.
Janet C Sherman
Lisa B Nachtigall
Mary K Colvin
Barbara C Fullerton
Juliane Daartz
Barbara K Winrich
Tracy T Batchelor
Lauren T Thornton
Sarah M Mancuso
Michele K Saums
Kevin S Oh
William T Curry
Jay S Loeffler
Beow Y Yeap
Massachusetts General Hospital · USMassachusetts Eye and Ear Infirmary · US

Funding

PROTON THERAPY RESEARCH AND TREATMENT CENTERC06CA059267 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI GOITEIN, MICHAEL · 1992 to 1995
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NCI NIH HHS C06 CA059267
6 · The paper itself

Abstract

backgroundIn this prospective study, the authors evaluated potential treatment toxicity and progression-free survival in patients with low-grade glioma who received treatment with proton radiation therapy.

methodsTwenty patients with World Health Organization grade 2 glioma who were eligible for radiation therapy were enrolled in a prospective, single-arm trial of proton therapy. The patients received proton therapy at a dose of 54 Gy (relative biological effectiveness) in 30 fractions. Comprehensive baseline and regular post-treatment evaluations of neurocognitive function, neuroendocrine function, and quality of life (QOL) were performed.

resultsAll 20 patients (median age, 37.5 years) tolerated treatment without difficulty. The median follow-up after proton therapy was 5.1 years. At baseline, intellectual functioning was within the normal range for the group and remained stable over time. Visuospatial ability, attention/working memory, and executive functioning also were within normal limits; however, baseline neurocognitive impairments were observed in language, memory, and processing speed in 8 patients. There was no overall decline in cognitive functioning over time. New endocrine dysfunction was detected in 6 patients, and all but 1 had received direct irradiation of the hypothalamic-pituitary axis. QOL assessment revealed no changes over time. The progression-free survival rate at 3 years was 85%, but it dropped to 40% at 5 years.

conclusionsPatients with low-grade glioma tolerate proton therapy well, and a subset develops neuroendocrine deficiencies. There is no evidence for overall decline in cognitive function or QOL.

Indexed as

CognitionProton TherapyAdultBrain NeoplasmsDisease-Free SurvivalFemaleGliomaHumansMaleMiddle AgedNeoplasm GradingProspective StudiesProtonsQuality of LifeProtonslate effectslow-grade gliomaneurocognitive functionneuroendocrine functionpituitary functionproton radiationproton therapyquality of life

Identifiers

PMID25585890
PMCPMC12895348
OpenAlexW1695525132

What OpenQuestion holds

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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.