Evidence map›Paper›PMID 28953948›Full record

ArticlePloS one2017

The anti-apoptotic protein survivin can improve the prognostication of meningioma patients.

Theo L Winther, Sverre H Torp

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Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Theo L WintherDepartments of Laboratory Medicine, Children's and Women's Health, University of Science and Technology, Trondheim, Norway.ORCID http://orcid.org/0000-0002-3976-7490
Sverre H TorpDepartments of Laboratory Medicine, Children's and Women's Health, University of Science and Technology, Trondheim, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 2016 WHO histopathological grading includes a substantial within-variation in recurrence risk, and is thus insufficient to predict prognosis after initial surgery of patients suffering from meningiomas. The aim of this study was to compare the prognostic value of the histopathological grading and the conventional biomarker MIB-1 with expression of the anti-apoptotic protein survivin to see if this biomarker could complement recurrence prediction.

methodsUsing immunohistochemistry, the expression of MIB-1 and survivin were determined as labeling indices (LIs) in tissue micro arrays from 160 human meningiomas. The accuracy of prognostication was assessed with receiver operator characteristics analyses and standard survival analyses.

resultsThe expression of survivin was significantly associated with both histopathological grade (P = 0.022) and recurrence status (P = 0.035). A survivin LI of 1% was identified as the optimal cutoff value to predict recurrence (P = 0.003), and was proven as more reliable than the histopathological grading (P = 0.497) and MIB-1 expression (P = 0.091). This result was further strengthened in multivariate analyses where survivin expression was revealed as an independent predictor of recurrence-free survival, while the histopathological grading and MIB-1 expression did not reach significance (P ≥ 0.156).

conclusionsThese findings suggest that incorporation of survivin in the clinical practice might be useful as complement for the histopathological grading and should further be evaluated in independent prospective studies.

Indexed as

AdultAgedAged, 80 and overFemaleHumansImmunohistochemistryInhibitor of Apoptosis ProteinsKaplan-Meier EstimateMaleMeningeal NeoplasmsMeningiomaMiddle AgedMultivariate AnalysisPrognosisProportional Hazards ModelsROC CurveBIRC5 protein, humanInhibitor of Apoptosis ProteinsSurvivin

Identifiers

PMID28953948
PMCPMC5617184

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