Evidence map›Paper›PMID 29663172›Full record

ArticleJournal of neuro-oncology2018

Individual changes in neurocognitive functioning and health-related quality of life in patients with brain oligometastases treated with stereotactic radiotherapy.

Pim B van der Meer, Esther J J Habets, Ruud G Wiggenraad, Antoinette Verbeek-de Kanter, Geert J Lycklama À Nijeholt, Hanneke Zwinkels, Martin Klein, Linda Dirven, Martin J B Taphoorn

Abstract read
In one paragraph

Article in Journal of neuro-oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
–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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Health-related quality of life in adult patients with brain metastases after stereotactic radiosurgery: a systematic, narrative review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Pooled it
  4. Challenges in interpreting individual-level changes in health-related quality of life in patients with glioma using minimally important differences (MIDs) and a 4-point Likert scale.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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  8. Health-related quality of life after stereotactic radiosurgery in patients with brain metastases.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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  19. Long-term survival results after treatment for oligometastatic brain disease.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology
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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

9 authors.

Pim B van der MeerDepartment of Neurology, Leiden University Medical Center, PO BOX 9600, 2300 RC, Leiden, The Netherlands. pbvandermeer@lumc.nl.
Esther J J HabetsDepartment of Neurology, Haaglanden Medical Center, The Hague, The Netherlands.
Ruud G WiggenraadDepartment of Radiotherapy, Haaglanden Medical Center, The Hague, The Netherlands.
Antoinette Verbeek-de KanterDepartment of Radiotherapy, Haaglanden Medical Center, The Hague, The Netherlands.
Geert J Lycklama À NijeholtDepartment of Radiology, Haaglanden Medical Center, The Hague, The Netherlands.
Hanneke ZwinkelsDepartment of Neurology, Haaglanden Medical Center, The Hague, The Netherlands.
Martin KleinBrain Tumor Center Amsterdam, Amsterdam, The Netherlands.
Linda DirvenDepartment of Neurology, Leiden University Medical Center, PO BOX 9600, 2300 RC, Leiden, The Netherlands.
Martin J B TaphoornDepartment of Neurology, Leiden University Medical Center, PO BOX 9600, 2300 RC, Leiden, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecently, it has been shown that at group level, patients with limited brain metastases treated with stereotactic radiotherapy (SRT) maintain their pre-treatment levels of neurocognitive functioning (NCF) and health-related quality of life (HRQoL). The aim of this study was to evaluate NCF and HRQoL changes over time at the individual patient level.

methodsNCF (seven domains assessed with a standardized test battery) and HRQoL (eight predetermined scales assessed with the EORTC QLQ-C30 and BN20 questionnaires) were measured prior to SRT and at 3 and/or 6 months follow-up. Changes in NCF and HRQoL were evaluated at (1) a domain/scale level and (2) patient level.

resultsA total of 55 patients were examined, of which the majority showed stable NCF 3 months after SRT, on both the domain level (78-100% of patients) and patient level (67% of patients). This was different for HRQoL, where deterioration in the different scales was observed in 12-61% of patients, stable scores in 20-71%, and improvement in 16-40%, 3 months after SRT. At patient level, most patients (64%) showed both improvement and deterioration in different HRQoL scales. Results were similar between 3 and 6 months after SRT.

conclusionIn line with results at group level, most brain oligometastases patients with ≥ 6 months follow-up and treated with SRT maintained their pre-treatment level of NCF during this period. By contrast, changes in HRQoL scores differed considerably at domain and patient level, despite stable HRQoL scores at group level.

Indexed as

CognitionQuality of LifeRadiosurgeryBrain NeoplasmsFemaleFollow-Up StudiesHumansMaleMiddle AgedBrain metastasesHealth-related quality of lifeNeurocognitive functioningStereotactic radiotherapy

Identifiers

PMID29663172
PMCPMC6096889

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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.