Evidence map›Paper›PMID 28643151›Full record

ArticleJournal of neuro-oncology2017

Multi-institutional external validation of a novel glioblastoma prognostic nomogram incorporating MGMT methylation.

Jason K Molitoris, Yuan James Rao, Rajal A Patel, Liam T Kane, Shahed N Badiyan, Haley Gittleman, Jill S Barnholtz-Sloan, Soren M Bentzen, Tim J Kruser, Jiayi Huang and 1 more

Abstract readMulticenter StudyValidation Study
PubMed Publisher
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 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  7. Radiomics for precision medicine in glioblastoma.Journal of neuro-oncology · 2022
    Review
  8. Article
  9. Validation and optimization of a web-based nomogram for predicting survival of patients with newly diagnosed glioblastoma.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2020
    Article
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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

11 authors at 5 institutions in 1 country.

Jason K MolitorisRadiation Oncology, University of Maryland Medical Center, Baltimore, MD, USA.
Yuan James RaoRadiation Oncology, Washington University, St. Louis, MO, USA.
Rajal A PatelRadiation Oncology, Northwestern University, Chicago, IL, USA.
Liam T KaneRadiation Oncology, Northwestern University, Chicago, IL, USA.
Shahed N BadiyanRadiation Oncology, University of Maryland School of Medicine, Baltimore, MD, USA.
Haley GittlemanCase Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH, USA.
Jill S Barnholtz-SloanCase Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH, USA.
Soren M BentzenRadiation Oncology, University of Maryland School of Medicine, Baltimore, MD, USA.
Tim J KruserRadiation Oncology, Northwestern University, Chicago, IL, USA.
Jiayi HuangRadiation Oncology, Washington University, St. Louis, MO, USA.
Minesh P MehtaRadiation Oncology, University of Maryland School of Medicine, Baltimore, MD, USA. MineshM@baptisthealth.net.
Northwestern University · USCase Western Reserve University · USUniversity of Maryland, Baltimore · USWashington University in St. Louis · USUniversity of Maryland Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A recent nomogram for glioblastoma (GBM) was designed to incorporate methylguanine-DNA methyltransferase (MGMT) methylation status in trial patients receiving temozolomide. Since clinical trial patients are strictly selected, compared to the general population, we performed a multi-institutional, external, independent assessment of the nomogram. Consecutive adult patients with supratentorial GBM diagnosed between June 2007 and December 2014 who initiated TMZ-based concurrent chemoradiotherapy (CRT) and were not enrolled on RTOG 0525 or 0825 were eligible. We collected age, gender, MGMT status, performance status, resection extent, race, and tumor site and Cox regression analysis of overall survival (OS) was conducted with the 1-year nomogram-predicted survival (NPS). The predictive accuracy was quantified by the concordance index (c-index) as well as by separating patients into quintile-groups of the population distribution of NPS and comparing mean NPS and observed OS. Of 514 patients with GBM, 309 had all nomogram factors. Median OS was 18.7 months. NPS and observed OS demonstrated a c-index of 0.695. On univariate analysis, the NPS and all included factors except gender were significant. On multivariable analysis (MVA) the only significant factor for worse survival was lower NPS. When separated into quintile-groups of NPS, the observed survival was slightly better than the predicted survival for all but the worst prognostic group. Our multi-institutional cohort provides independent external validation of a novel GBM nomogram incorporating MGMT methylation status. No individual factor included in the nomogram retained significance on MVA after adjusting for NPS.

Indexed as

DNA MethylationNomogramsAdultAgedAged, 80 and overBrain NeoplasmsChemoradiotherapyClinical Trials as TopicDNA Modification MethylasesDNA Repair EnzymesFemaleGlioblastomaHumansKaplan-Meier EstimateMaleMiddle AgedDNA Modification MethylasesDNA Repair EnzymesMGMT protein, humanTumor Suppressor ProteinsGlioblastomaNomogramO6-Methylguanine-DNA methyltransferaseSurvival

Identifiers

PMID28643151
OpenAlexW2677466604

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.