Evidence map›Paper›PMID 28290003›Full record

ArticleJournal of neuro-oncology2017

Demographics, patterns of care, and survival in pediatric medulloblastoma.

Emily V Dressler, Therese A Dolecek, Meng Liu, John L Villano

Abstract read
In one paragraph

Article in Journal of neuro-oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 16% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

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  13. Surgical outcome of children with medulloblastoma: a retrospective study of a 405-patient series from Children's Cancer Hospital Egypt (CCHE-57357).Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
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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

4 authors at 2 institutions in 1 country.

Emily V DresslerDivision of Cancer Biostatistics (EVD, ML) and Departments of Medicine and Neurology (JLV), University of Kentucky, 800 Rose St., CC446, Lexington, KY, 40536-0093, USA.
Therese A DolecekDivision of Epidemiology and Biostatistics and Institute for Health Research and Policy, School of Public Health (TAD), University of Illinois at Chicago, Chicago, IL, USA.
Meng LiuDivision of Cancer Biostatistics (EVD, ML) and Departments of Medicine and Neurology (JLV), University of Kentucky, 800 Rose St., CC446, Lexington, KY, 40536-0093, USA.
John L VillanoDivision of Cancer Biostatistics (EVD, ML) and Departments of Medicine and Neurology (JLV), University of Kentucky, 800 Rose St., CC446, Lexington, KY, 40536-0093, USA. jlvillano@uky.edu.
University of Kentucky · USUniversity of Illinois Chicago · US

Funding

University of Kentucky Markey Cancer Center Support Grant ECIA SupplementP30CA177558 · NCI · UNIVERSITY OF KENTUCKY · PI KATHLEEN L. O'CONNOR · 2013 to 2026
$38.3M
Clinical characteristics and patterns of care for rare brain tumor sub-typesR03CA156561 · NCI · UNIVERSITY OF KENTUCKY · PI VILLANO, JOHN LEE · 2013 to 2014
$161k
NCI NIH HHS P30 CA177558NCI NIH HHS R03 CA156561
6 · The paper itself

Abstract

We evaluated the American College of Surgeon's National Cancer Data Base (NCDB) to describe current hospital-based epidemiologic frequency, survival, and patterns of care of pediatric medulloblastoma. We analyzed NCDB 1998-2011 data on medulloblastoma for children ages 0-19 years using logistic and poisson regression, Kaplan-Meier survival estimates, and Cox proportional hazards models. 3647 cases of medulloblastoma in those aged 0-19 years were identified. Chemotherapy was received by 79 and 74% received radiation, with 65% receiving both therapies. Those who received radiation were more likely to be older than four, while those who received chemotherapy were more likely to be age four and younger. Variables associated with receipt of neither radiation nor chemotherapy included age at diagnosis of <1 year, female gender, being of race other than black or white, having no insurance, and living in a residential area with a low level of high school graduates. Better overall survival was observed as age at diagnosis increased, in females, and having received radiation. Compared to medulloblastoma, NOS, better survival was observed for those with demoplastic medulloblastoma, with worse survival in those with large cell medulloblastoma. Majority received multi- disciplinary therapy and radiation had the greatest effect on survival. Ages four and under were most likely to receive chemotherapy and least likely to receive radiation. Suboptimal treatment included 17.8% that did not receive chemotherapy, of which 11.8% received neither chemotherapy nor radiation. Disparities associated with medical access were characteristics for not receiving standard treatment, which resulted in poor outcome.

Indexed as

AdolescentCerebellar NeoplasmsChildChild, PreschoolDemographyFemaleHealthcare DisparitiesHumansInfantInfant, NewbornKaplan-Meier EstimateMaleMedulloblastomaProportional Hazards ModelsYoung AdultChemotherapyDisparityNCDBPediatric medulloblastomaRadiation therapySurgery

Identifiers

PMID28290003
PMCPMC5481479
OpenAlexW2597003815

What OpenQuestion holds

Textmetadata
LicenceTDM
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.