Evidence map›Paper›PMID 28138871›Full record

ReviewCurrent neurology and neuroscience reports2017

Clinical Relevance of Steroid Use in Neuro-Oncology.

K Ina Ly, Patrick Y Wen

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Current neurology and neuroscience reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04266977 (Restrictive Use of Dexamethasone in Glioblastoma), which is not on this map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% 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.

NCT04266977 narecruitingnot on this mapstarted 2020, after this paper: background citation

Restrictive Use of Dexamethasone in Glioblastoma

TypeinterventionalSponsorInsel Gruppe AG, University Hospital BernRan2020 to 2028Enrolled50ConditionsGlioblastoma, Dexamethasone, SteroidsArmsDexamethasone
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Corticosteroids in lung cancer.Frontiers in drug safety and regulation · 2025
    Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Perioperative corticosteroid use in paediatric neuro-oncology.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
    Article
  16. Review
  17. Article
  18. Sleep disturbance in people with brain tumours and caregivers: a survey of healthcare professionals' views and current practice.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    Article
  19. Article
  20. 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

2 authors at 1 institution in 1 country.

K Ina LyCenter for Neuro-Oncology, Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA, 02215, USA.
Patrick Y WenCenter for Neuro-Oncology, Dana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA, 02215, USA. patrick_wen@dfci.harvard.edu.
Center for Neuro-Oncology · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCorticosteroids are commonly used in the management of primary central nervous system (CNS) tumors and CNS metastases to treat cancer- and treatment-related cerebral edema and improve neurologic function. However, they are also associated with significant morbidity and mortality, given their wide range of adverse effects. PURPOSE OF REVIEW: To review the mechanism of action, pharmacology, and toxicity profile of corticosteroids and to critically appraise the evidence that supports their use in neuro-oncologic practice based on the latest scientific and clinical data. RECENT

findingsRecent data suggest that corticosteroids may negatively impact survival in glioma patients. In addition, corticosteroids should be incorporated as a standard criterion to assess a patient's clinical and radiographic response to treatment. Corticosteroids should be used judiciously in neuro-oncologic patients, given the potential deleterious effects on clinical outcome and patient survival. Anti-angiogenic agents, which lack these adverse effects, may be a reasonable alternative to corticosteroids.

Indexed as

Adrenal Cortex HormonesAnimalsBrain EdemaCentral Nervous System NeoplasmsGliomaHumansMagnetic Resonance ImagingNeoplasm GradingAdrenal Cortex HormonesBrain metastasesBrain tumorCerebral edemaCorticosteroidsResponse assessmentSteroids

Identifiers

PMID28138871
OpenAlexW2582824332

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.