Evidence map›Paper›PMID 26070556›Full record

ArticleJournal of neuro-oncology2015

Re-irradiation or re-operation followed by dendritic cell vaccination? Comparison of two different salvage strategies for relapsed high-grade gliomas by means of a new prognostic model.

Klaus Müller, Guido Henke, Sophie Pietschmann, Stefaan van Gool, Steven De Vleeschouwer, André O von Bueren, Inge Compter, Carsten Friedrich, Christiane Matuschek, Gunther Klautke and 3 more

Open access · greenAbstract readClinical StudyComparative StudyMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of neuro-oncology, 2015. 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
0.3field-weighted citation impact, top 39% 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, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. 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

13 authors at 10 institutions in 4 countries.

Klaus MüllerDepartment of Radiation Oncology, University of Leipzig Medical Center, Leipzig, Germany. klausmueller1978@googlemail.com.
Guido HenkeDepartment of Radiation Oncology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
Sophie PietschmannDepartment of Radiation Oncology, University of Leipzig Medical Center, Leipzig, Germany.
Stefaan van GoolLaboratory of Experimental Immunology, Catholic University Leuven, Leuven, Belgium.
Steven De VleeschouwerLaboratory of Experimental Immunology, Catholic University Leuven, Leuven, Belgium.
André O von BuerenDivision of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, University Medical Center Göttingen, Göttingen, Germany.
Inge CompterDepartment of Radiation Oncology (MAASTRO), GROW (School for Oncology & Developmental Biology), University of Maastricht Medical Center, Maastricht, The Netherlands.
Carsten FriedrichDivision of Pediatric Oncology, Hematology and Hemostaseology, Department of Woman's and Children's Health, University Hospital Leipzig, Leipzig, Germany.
Christiane MatuschekDepartment of Radiation Oncology, Medical Faculty, Heinrich Heine University of Düsseldorf, Düsseldorf, Germany.
Gunther KlautkeDepartment of Radiation Oncology, Hospital Chemnitz, Bürgerstraße 2, 09113, Chemnitz, Germany.
Rolf-Dieter KortmannDepartment of Radiation Oncology, University of Leipzig Medical Center, Leipzig, Germany.
Thomas HundsbergerDepartments of Neurology and Haematology/Oncology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
Brigitta G BaumertDepartment of Radiation Oncology (MAASTRO), GROW (School for Oncology & Developmental Biology), University of Maastricht Medical Center, Maastricht, The Netherlands.
Leipzig University · DEKU Leuven · BEHeinrich Heine University Düsseldorf · DEKantonsspital St. Gallen · CHKlinikum Chemnitz · DEMaastro Clinic · NLUniversitätsmedizin Göttingen · DEUniversity Hospital Leipzig · DEUniversity of Bonn · DEUniversity of St.Gallen · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to compare two different salvage treatment strategies for relapsed high-grade glioma (HGG) patients by means of a new prognostic model. A simplified version of the so-called HGG-Immuno RPA model estimates the prognosis of relapsed HGG patients and distinguishes three different prognostic classes (I = good, II = intermediate, III = poor). The model has been constructed with a cohort of 117 patients whose salvage treatment consisted of re-operation followed by dendritic cell vaccination (ReOP + DCV). However, using only the predictors histology, age and performance status, the simplified HGG-Immuno RPA model is basically independent from treatment. In the present study we applied the simplified model to the cohort used to construct the original HGG-Immuno RPA model and another cohort of 165 patients who underwent re-irradiation (ReRT) at relapse. Then, we compared the outcomes achieved by the two different salvage treatments in each prognostic class. The model predicted good, intermediate and poor prognosis for 11, 31 and 75 patients of the ReOP + DCV cohort and for 20, 39 and 106 patients of the ReRT cohort, respectively. Neither of the two strategies was superior to the other. In the groups with good, intermediate and poor prognosis 12-months survival rates were 73, 59 and 25 % after ReOP + DCV and 72, 36 and 23 % after ReRT, respectively. Being easy to handle and independent from treatment, the aforementioned model is useful for therapeutic decisions. ReRT and ReOP + DVC seem to be equally effective. The choice of salvage treatment should be based on the expected side effects.

Indexed as

AdolescentAdultAgedAged, 80 and overCancer VaccinesCohort StudiesDendritic CellsGliomaHumansKaplan-Meier EstimateMiddle AgedModels, BiologicalNeoplasm GradingPrognosisProportional Hazards ModelsRecurrenceCancer VaccinesDendritic cell vaccinationPrognosisPrognostic modelRecurrent glioblastomaRe-irradiationRelapsed high-grade gliomasSalvage treatment

Identifiers

PMID26070556
OpenAlexW571972598

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.