Evidence map›Paper›PMID 28593402›Full record

ArticleJournal of neuro-oncology2017

Clinical presentation and prognostic indicators in 100 adults and children with neurofibromatosis 1 associated non-optic pathway brain gliomas.

Susan Byrne, Steve Connor, Karine Lascelles, Ata Siddiqui, Darren Hargrave, Rosalie E Ferner

Open access · hybridAbstract 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 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Article
  3. Lifelong Management of Neurofibromatosis 1 Patients.Journal of Korean Neurosurgical Society · 2025
    Article
  4. Article
  5. Review
  6. Review
  7. Pediatric-Like Brain Tumors in Adults.Advances and technical standards in neurosurgery · 2024
    Review
  8. Article
  9. Review
  10. Article
  11. Neurological manifestations of neurofibromatosis: a review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Hypothalamic Endocrine Tumors: An Update.Journal of clinical medicine · 2019
    Review
  18. Review
  19. Review
  20. Review
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

6 authors at 3 institutions in 1 country.

Susan ByrneNational Neurofibromatosis Service, Guy's and St. Thomas' NHS Foundation Trust, London, UK. Suabyrne@gmail.com.ORCID http://orcid.org/0000-0001-6731-0343
Steve ConnorDepartment of Neuroradiology, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Karine LascellesNational Neurofibromatosis Service, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Ata SiddiquiDepartment of Neuroradiology, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Darren HargraveDepartment of Paediatric Oncology, Great Ormond Street Hospital, London, UK.
Rosalie E FernerNational Neurofibromatosis Service, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Guy's and St Thomas' NHS Foundation Trust · GBKing's College London · GBGreat Ormond Street Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Type 1 Neurofibromatosis (NF1) is a common autosomal dominant condition, with a major impact on the nervous system, eye, bone, and skin, and a predisposition to malignancy. At present it is not possible to predict clinically or on imaging, whether a brain tumour will remain indolent or undergo high-grade change. There are no consensus guidelines on the follow-up of non-optic pathway glioma (non-OPG) tumours in NF1. One hundred patients from the National NF1 Service with generalised NF1 and a diagnosis of non-OPG glioma were followed up for a median time of 63 months after glioma detection. Forty-two patients underwent surgical intervention. Ninety-one percent (38) of those requiring surgery did so within 5 years of diagnosis of glioma. Serial neuroimaging was undertaken in 88 patients. In 66 (75%), the lesion on the scan was stable or had improved at follow-up. High-grade lesions were present in five patients and were strongly associated with tumours in the thalamus (p = 0.001). Five patients died during follow-up. The diagnosis of high-grade glioma had a HR of 99.7 (95% CI 11.1-898.9, p < 000.1) on multivariate Cox regression to evaluate predictive factors related to death. In our cohort of 100 patients with NF1, we have shown that tumours in the thalamus are more likely to be associated with radiological progression, high-grade tumours, and surgical intervention. As a result of this finding, heightened surveillance with more frequent imaging should be considered in thalamic involvement. We have also demonstrated that over 40% of patients underwent surgery, and did so within 5 years of tumour diagnosis. Serial imaging should be undertaken for at the very least, 5 years from tumour detection.

Indexed as

AdolescentAdultBrainBrain NeoplasmsChildChild, PreschoolFemaleFollow-Up StudiesGliomaHumansMaleMiddle AgedMultivariate AnalysisNeurofibromatosis 1PrognosisProportional Hazards ModelsBrain tumourEpidemiologyNeurofibromatosis type 1 (NF1)NeurooncologyPilocytic astrocytomaThalamic tumour

Identifiers

PMID28593402
PMCPMC5537330
OpenAlexW2621906115

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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.