Evidence map›Paper›PMID 26519080›Full record

ArticleStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2016

Radiotherapy of spinal cord gliomas : A retrospective mono-institutional analysis.

Stefanie Corradini, Indrawati Hadi, Vinzent Hankel, Lorenz Ertl, Ute Ganswindt, Claus Belka, Maximilian Niyazi

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In one paragraph

Article in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
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

10 citing papers in PubMed, 18 citations in OpenAlex.

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  9. Treatment outcomes of radiotherapy for primary spinal cord glioma.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2019
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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

7 authors at 2 institutions in 1 country.

Stefanie CorradiniDepartment of Radiation Oncology, University of Munich, Marchioninistr. 15, 81377, Munich, Germany. stefanie.corradini@med.uni-muenchen.de.
Indrawati HadiDepartment of Radiation Oncology, University of Munich, Marchioninistr. 15, 81377, Munich, Germany.
Vinzent HankelDepartment of Radiation Oncology, Marienhospital Stuttgart, Böheimstraße 37, 70199, Stuttgart, Germany.
Lorenz ErtlDepartment of Radiology, Neuroradiology, and Nuclear Medicine, Städtisches Klinikum München Harlaching, Sanatoriumsplatz 2, 81545, Munich, Germany.
Ute GanswindtDepartment of Radiation Oncology, University of Munich, Marchioninistr. 15, 81377, Munich, Germany.
Claus BelkaDepartment of Radiation Oncology, University of Munich, Marchioninistr. 15, 81377, Munich, Germany.
Maximilian NiyaziDepartment of Radiation Oncology, University of Munich, Marchioninistr. 15, 81377, Munich, Germany.
Ludwig-Maximilians-Universität München · DEMarienhospital Stuttgart · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to the rarity of spinal cord gliomas, no consensus has been reached regarding the optimal treatment strategy. The aim of the present retrospective study was to identify patient and tumor characteristics and to evaluate the effectiveness of radiotherapy within this setting. PATIENTS AND

methodsPatients diagnosed with spinal cord gliomas between 2003 and 2013 and treated at the Department of Radiation Oncology, University of Munich, were retrospectively analyzed. Overall survival was estimated with the Kaplan-Meier method and univariate analysis was performed by log-rank testing.

resultsA total of 16 patients were identified. The cohort consisted of seven primary spinal cord gliomas and eight cases of metastases of cerebral gliomas. Median follow-up was 42 months and median total radiation dose was 45.0 Gy. In all, 62.5 % of patients received a simultaneous chemotherapy with temozolomide. The median overall survival was 6 months (95% CI: 0-27.5 months). Surgical resection of the tumor was a significant predictor of improved survival, compared with radiotherapy alone (p = 0.001). Patients with the diagnosis of a primary spinal cord glioma survived significantly longer than those presenting with a metastatic deposit from a cerebral glioma (p < 0.001). A statistically significant dose-response relationship at dose levels of ≥ 45 Gy vs. < 45 Gy could be derived (p < 0.001). Simultaneous chemotherapy did not influence survival outcome.

conclusionDespite the aggressive treatment in the present study, the prognosis for spinal cord gliomas was still poor, with a median overall survival of 6 months. To the best of our knowledge, this is the largest study reporting the results of simultaneous chemoradiation in spinal cord gliomas. A combined chemoradiation treatment seems feasible and can be considered as a new treatment option in the management of spinal cord gliomas.

Indexed as

AdolescentAdultAgedChildFemaleGermanyGliomaHumansMaleMiddle AgedPrevalenceRadiotherapy, ConformalRetrospective StudiesRisk FactorsSpinal Cord NeoplasmsSurvival RateChemoradiationOutcomeRadiotherapySpinal cord gliomaTemozolomide

Identifiers

PMID26519080
OpenAlexW1831301443

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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.