Evidence map›Paper›PMID 27456950›Full record

ArticleJournal of neuro-oncology2016

A cure is possible: a study of 10-year survivors of brain metastases.

Rupesh Kotecha, Sally Vogel, John H Suh, Gene H Barnett, Erin S Murphy, Chandana A Reddy, Michael Parsons, Michael A Vogelbaum, Lilyana Angelov, Alireza M Mohammadi and 4 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of neuro-oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

15 citing papers in PubMed, 27 citations in OpenAlex.

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  15. Long-term survival results after treatment for oligometastatic brain disease.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology
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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

14 authors at 1 institution in 1 country.

Rupesh KotechaDepartment of Radiation Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH, USA.
Sally VogelDepartment of Psychiatry and Psychology, Cleveland Clinic, Cleveland, OH, USA.
John H SuhDepartment of Radiation Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH, USA.
Gene H BarnettRose Ella Burkhardt Brain Tumor and Neuro-Oncology Center, Cleveland, OH, 44195, USA.
Erin S MurphyDepartment of Radiation Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH, USA.
Chandana A ReddyDepartment of Radiation Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH, USA.
Michael ParsonsRose Ella Burkhardt Brain Tumor and Neuro-Oncology Center, Cleveland, OH, 44195, USA.
Michael A VogelbaumRose Ella Burkhardt Brain Tumor and Neuro-Oncology Center, Cleveland, OH, 44195, USA.
Lilyana AngelovRose Ella Burkhardt Brain Tumor and Neuro-Oncology Center, Cleveland, OH, 44195, USA.
Alireza M MohammadiRose Ella Burkhardt Brain Tumor and Neuro-Oncology Center, Cleveland, OH, 44195, USA.
Glen H J StevensRose Ella Burkhardt Brain Tumor and Neuro-Oncology Center, Cleveland, OH, 44195, USA.
David M PeereboomRose Ella Burkhardt Brain Tumor and Neuro-Oncology Center, Cleveland, OH, 44195, USA.
Manmeet S AhluwaliaRose Ella Burkhardt Brain Tumor and Neuro-Oncology Center, Cleveland, OH, 44195, USA.
Samuel T ChaoDepartment of Radiation Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH, USA. chaos@ccf.org.
Cleveland Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Little is known on the natural history, recurrence patterns, neurocognitive outcomes and prognostic factors associated with survival in long-term survivors (≥10 years) from brain metastasis (BM). In this study, the records of 1953 patients who underwent treatment for BM with a potential for ≥10 years of follow-up were reviewed. Cox regression analysis identified factors predictive for overall survival (OS). The median age at brain metastasis diagnosis was 60 years and the median OS was 6.4 months. The 1-year OS rate was 29.9, 12.1 % at 2 years, 3.0 % at 5 years, and 1.3 % at 10 years. On multivariable analysis, factors associated with worse OS included gender (males, HR 1.2), multiple brain metastases (HR 1.3), no surgery (HR 1.8), and no stereotactic radiosurgery (HR 1.8) (p < 0.0001 each). Fifty-six patients (2.9 %) survived ≥5 years; 23 patients (1.2 %) survived ≥10 years and the median survival for ≥10 year survivors was 18.5 years. Six of the 10-year survivors had an intracranial recurrence, five occurred within 11 years from the first treatment. Presence of a solitary lesion or single lesion at the time of brain metastasis diagnosis was associated with improved survival. Eight of the ≥10 year survivors (34.8 %) had no neurological symptoms at last follow-up; none of the 10-year survivors were documented to have a neurologic death. Our study demonstrates that patients with favorable prognostic features should undergo multimodality treatment. Albeit rare, patients who are alive 10 years after treatment for their brain metastases may be considered cured from their intracranial disease.

Indexed as

AdultAgedAge FactorsBrain NeoplasmsFemaleHumansLongitudinal StudiesMagnetic Resonance ImagingMaleMiddle AgedProportional Hazards ModelsRadiosurgerySurvival RateTime FactorsBrain metastasisLong-termNeurocognitiveStereotactic radiosurgerySurgerySurvivorsWhole-brain radiation therapy

Identifiers

PMID27456950
OpenAlexW2484584334

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.