Evidence map›Paper›PMID 25886486›Full record

ArticleBMC cancer2015

Local control in metastatic neuroblastoma in children over 1 year of age.

Maria Antonietta De Ioris, Alessandro Crocoli, Benedetta Contoli, Maria Carmen Garganese, Gianluigi Natali, Paolo Tomà, Alessandro Jenkner, Renata Boldrini, Maria Debora De Pasquale, Giuseppe Maria Milano and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Impact of Extent of Resection on Local Control and Survival in Patients From the COG A3973 Study With High-Risk Neuroblastoma.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2017
    Article
  12. Local Control With 21-Gy Radiation Therapy for High-Risk Neuroblastoma.International journal of radiation oncology, biology, physics · 2016
    Article
  13. 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

14 authors at 3 institutions in 1 country.

Maria Antonietta De IorisHematology/Oncology Department, Ospedale Pediatrico Bambino Gesù-IRCCS, Rome, Italy. deioris@opbg.net.
Alessandro CrocoliSurgery Department, Rome, Italy. alessandro.crocoli@opbg.net.
Benedetta ContoliHematology/Oncology Department, Ospedale Pediatrico Bambino Gesù-IRCCS, Rome, Italy. benedetta.contoli@opbg.net.
Maria Carmen GarganeseImaging Department, Rome, Italy. garganese@opbg.net.
Gianluigi NataliImaging Department, Rome, Italy. natali@opbg.net.
Paolo TomàImaging Department, Rome, Italy. paolo.toma@opbg.net.
Alessandro JenknerHematology/Oncology Department, Ospedale Pediatrico Bambino Gesù-IRCCS, Rome, Italy. alessandro.jenkner@opbg.net.
Renata BoldriniPathology Department, Bambino Gesù Children's Hospital, Rome, Italy. renata.boldrini@opbg.net.
Maria Debora De PasqualeHematology/Oncology Department, Ospedale Pediatrico Bambino Gesù-IRCCS, Rome, Italy. mdebora.depasquale@opbg.net.
Giuseppe Maria MilanoHematology/Oncology Department, Ospedale Pediatrico Bambino Gesù-IRCCS, Rome, Italy. giuseppemaria.milano@opbg.net.
Silvia MadafferiSurgery Department, Rome, Italy. silvia.madafferi@opbg.net.
Aurora CastellanoHematology/Oncology Department, Ospedale Pediatrico Bambino Gesù-IRCCS, Rome, Italy. aurora.castellano@opbg.net.
Franco LocatelliHematology/Oncology Department, Ospedale Pediatrico Bambino Gesù-IRCCS, Rome, Italy. franco.locatelli@opbg.net.
Alessandro InserraSurgery Department, Rome, Italy. alessandro.inserra@opbg.net.
Bambino Gesù Children's Hospital · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLocal control is always considered in metastatic neuroblastoma (NBL). The aim of this study is to evaluate the impact of radical surgery on survival in children over 1 year of age.

methodsFifty-eight patients older than 1 year of age with metastatic NBL were treated with conventional plus high-dose chemotherapy with or without addition of local radiotherapy (RT, 21Gy). Surgery was classified as radical surgery (complete resection and gross total resection) or non-radical surgery. The Kaplan-Meier method and the Cox proportional hazard model were used to calculate the probability of progression free and overall survival (PFS and OS) and for multivariate analysis.

resultsThe 5-year PFS and OS for patients with radical surgery were 26% (95% CI 14-40%) and 38% (95% CI 23-53%) respectively, while the PFS and OS for patients without radical surgery were 33% (95% CI 10-59%) and 31% (95% CI 10-55%) (respectively, P 0.85 and P 0.42). The 5-year PFS and OS for patients who received RT were 36% (95% CI 19-53%) and 46% (95% CI 26-64%) respectively, while the 5-year PFS and OS for patients who did not receive RT were 22% (95% CI 9-38%) and 27% (95% CI 13-42%) respectively (P 0.02 for PFS). Multivariate analysis confirmed the role of well-known prognostic factors, such as the presence of MYCN amplification, age and response before high-dose chemotherapy.

conclusionsOur data suggest that the degree of resection does not influence survival in metastatic NBL patients treated with high-dose chemotherapy; local RT contributes to local disease control.

Indexed as

AdolescentChildChild, PreschoolHumansInfantNeoplasm MetastasisNeuroblastomaRetrospective StudiesRisk FactorsSurvival AnalysisTreatment Outcome

Identifiers

PMID25886486
PMCPMC4349468
OpenAlexW2155306216

What OpenQuestion holds

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LicenceCC BY
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.