Evidence map›Paper›PMID 28836140›Full record

ArticleJournal of neuro-oncology2017

Association between hospital volume and receipt of treatment and survival in patients with glioblastoma.

Matthew Koshy, David J Sher, Michael Spiotto, Zain Husain, Herb Engelhard, Konstantin Slavin, Martin K Nicholas, Ralph R Weichselbaum, Chad Rusthoven

Abstract readComparative 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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Article
  2. Pituitary adenoma management and outcomes according to hospital case volume and facility type.World journal of otorhinolaryngology - head and neck surgery · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Impact of hospital volume on mortality for brain metastases treated with radiation.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2021
    Article
  12. Observational
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. 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.

Matthew KoshyDepartment of Radiation Oncology, University of Illinois at Chicago, Chicago, IL, USA. mkoshy@radonc.uchicago.edu.ORCID http://orcid.org/0000-0001-6937-7058
David J SherDepartment of Radiation Oncology, UT Southwestern Medical Center, Dallas, TX, USA.
Michael SpiottoDepartment of Radiation Oncology, University of Illinois at Chicago, Chicago, IL, USA.
Zain HusainDepartment of Radiation Oncology, Yale University, New Haven, CT, USA.
Herb EngelhardDepartment of Neurosurgery, University of Illinois at Chicago, Chicago, IL, USA.
Konstantin SlavinDepartment of Neurosurgery, University of Illinois at Chicago, Chicago, IL, USA.
Martin K NicholasDepartment of Neurology, University of Illinois at Chicago, Chicago, IL, USA.
Ralph R WeichselbaumDepartment of Radiation Oncology, University of Illinois at Chicago, Chicago, IL, USA.
Chad RusthovenDepartment of Radiation Oncology, University of Colorado, Aurora, CO, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The relation between hospital volume and outcomes for patients with glioblastoma is unknown. We undertook this study to determine the effect of hospital volume on treatment received and its effect on survival in patients with glioblastoma. We included patients from the National Cancer Database diagnosed with a glioblastoma from 2006 to 2013. Hospital volume was calculated by examining the treating facilities average number of cases per year and grouping them into tertiles: (low < 9.25, medium 9.26-23.88, and high ≥ 23.39). Treatment was defined as receiving any type of therapeutic surgery, radiation or chemotherapy. Using regression models we examined the relation between hospital volume to treatment received and survival with adjustment for clinical, socioeconomic and institutional factors. The study included 68,726 patients of which 91.8% received treatment. Among patients diagnosed at low volume facilities, 90.1% received treatment versus 94.2% in high volume facilities (p < 0.0001). Compared to low volume centers, the odds ratio of receiving any treatment was 1.01 (CI 95% CI: 0.95-1.09) and 1.43 (95% CI: 1.31-1.55) for medium volume and high volume facilities, respectively. On multivariate analysis for survival among those who received treatment, the hazard of mortality was decreased at high volume (HR 0.92, 95% CI 0.89-0.94) facilities compared to low volume facilities. Patients diagnosed with glioblastoma at a high volume facility (≥23.39 cases per year) have an increased likelihood of receiving treatment. Furthermore, glioblastoma patients may significantly improve their survival by choosing to receive care at a high-volume hospital.

Indexed as

Hospitals, High-VolumeHospitals, Low-VolumeAgedBrain NeoplasmsCohort StudiesComorbidityFemaleFunctional LateralityGlioblastomaHumansKaplan-Meier EstimateMaleMiddle AgedMultivariate AnalysisProportional Hazards ModelsRegistriesBrain tumorsGlioblastomaHospital volume

Identifiers

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.