Evidence map›Paper›PMID 28454549›Full record

ArticleRadiation oncology (London, England)2017

Does age really matter? Radiotherapy in elderly patients with glioblastoma, the Munich experience.

Christoph Straube, Hagen Scherb, Jens Gempt, Stefanie Bette, Claus Zimmer, Friederike Schmidt-Graf, Jürgen Schlegel, Bernhard Meyer, Stephanie E Combs

Open access · goldAbstract read
In one paragraph

Article in Radiation oncology (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Factors predicting intolerance to definitive conventional radiotherapy in geriatric patients.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2018
    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

9 authors at 2 institutions in 1 country.

Christoph StraubeDepartment of Radiation Oncology, Klinikum rechts der Isar, Technische Universität München (TUM), Munich, Germany. Christoph.Straube@tum.de.ORCID http://orcid.org/0000-0002-7175-0859
Hagen ScherbInstitute of Computational Biology, Helmholtz Zentrum München, Deutsches Forschungszentrum für Gesundheit und Umwelt (GmbH), Neuherberg, Germany.
Jens GemptDepartment of Neurosurgery, Klinikum rechts der Isar, Technische Universität München (TUM), Munich, Germany.
Stefanie BetteDepartment Department of Neuroradiology, Klinikum rechts der Isar, Technische Universität München (TUM), Munich, Germany.
Claus ZimmerDeutsches Konsortium für Translationale Krebsforschung (DKTK), Partner Site Munich, Munich, Germany.
Friederike Schmidt-GrafDepartment of Neurology, Klinikum rechts der Isar, Technische Universität München (TUM), Munich, Germany.
Jürgen SchlegelDepartment of Neuropathology, Klinikum rechts der Isar, Technische Universität München (TUM), Munich, Germany.
Bernhard MeyerDepartment of Neurosurgery, Klinikum rechts der Isar, Technische Universität München (TUM), Munich, Germany.
Stephanie E CombsDepartment of Radiation Oncology, Klinikum rechts der Isar, Technische Universität München (TUM), Munich, Germany.
TUM Klinikum · DEHelmholtz Zentrum München · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlioblastoma is usually diagnosed around the age of 60-70 years. Patients older than 65 years are frequently described as "elderly". Several trials with monotherapy have established treatment regimens that offer therapies with reduced side effects but reduced efficacy. We analysed the outcome of elderly glioblastoma patients treated at our facility.

methodsWe performed a retrospective analysis of 62 consecutive patients older than 65 years treated for a primary glioblastoma at our facility from 2009 to 2015.

resultsMedian age was 69.6 years (range 65.1-85.6 years); median OS of the entire cohort was 10.9 months. ECOG, MGMT and extent of resection but not age and the time from surgery to radiotherapy were associated with longer survival. Patients treated with adjuvant chemotherapy had a significantly longer survival (20.5 vs. 7.8 months). Furthermore, salvage therapies were associated with significant improved survival when compared to Best Supportive Care (22.3 vs. 8.8 months).

conclusionAlso elderly patients are likely to benefit from an aggressive treatment after primary diagnosis of glioblastoma.

Indexed as

AgedAged, 80 and overAge FactorsBrain NeoplasmsChemoradiotherapyCombined Modality TherapyFemaleFollow-Up StudiesGlioblastomaHumansMalePrognosisRadiotherapy DosageRetrospective StudiesSurvival Rate

Identifiers

PMID28454549
PMCPMC5408447
OpenAlexW2608565912

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.