Evidence map›Paper›PMID 29754199›Full record

ArticleJournal of neuro-oncology2018

Treatment and survival of glioblastoma patients in Denmark: The Danish Neuro-Oncology Registry 2009-2014.

Steinbjørn Hansen, Birthe Krogh Rasmussen, René Johannes Laursen, Michael Kosteljanetz, Henrik Schultz, Bente Mertz Nørgård, Rikke Guldberg, Kim Oren Gradel

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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 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing 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

35 citing papers in PubMed.

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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

8 authors.

Steinbjørn HansenDepartment of Oncology, Odense University Hospital, Odense, Denmark. steinbjoern.hansen@rsyd.dk.ORCID http://orcid.org/0000-0001-5651-6493
Birthe Krogh RasmussenDepartment of Neurology, Nordsjaelland Hospital, Hilleroed, Denmark.
René Johannes LaursenDepartment of Neurosurgery, Aalborg University Hospital, Aalborg, Denmark.
Michael KosteljanetzDepartment of Neurosurgery, Copenhagen University Hospital, Copenhagen, Denmark.
Henrik SchultzDepartment of Oncology, Aarhus University Hospital, Aarhus, Denmark.
Bente Mertz NørgårdInstitute of Clinical Research, University of Southern Denmark, Odense, Denmark.
Rikke GuldbergCenter for Clinical Epidemiology, Odense University Hospital, Odense, Denmark.
Kim Oren GradelInstitute of Clinical Research, University of Southern Denmark, Odense, Denmark.

Funding

The Danish Cancer Society R94-A5827
6 · The paper itself

Abstract

backgroundAs many glioblastoma patients are in a poor condition they are unable to undergo the full treatment documented in clinical trials. We aimed to examine the survival and its relationship to clinical characteristics and treatment in a nationwide population of glioblastoma patients in Denmark.

methodsWe included prospectively recorded clinical data from 1364 adult patients with histologically verified glioblastoma from the Danish Neuro-Oncology Registry, 2009-2014.

resultsThe age standardized incidence rate was 6.3/100,000 person-years for males and 3.9 for females and the median age was 66 years. The median overall survival was 11.2 months. There was an independently significant prognostic effect of age, performance status, cognitive symptoms, tumor diameter, multifocality, crossing midline, and contrast enhancement. For partial and total resection compared to biopsy only, the adjusted risk of dying was reduced by 43% (HR [CI] 0.57 [0.48-0.68]) and 51% (0.49 [0.40-0.60]), respectively. For patients receiving a partial and full radiochemotherapy regimen compared to no postsurgical treatment, the risk reduction was 56% (HR [CI] 0.44 [0.37-0.53]) and 70% (0.30 [0.25-0.35]), respectively. The full radiochemotherapy regimen was only allocated to 50% of the patients, 29% among the oldest (70+ years) and 60% among the younger (18-69 years).

conclusionsGlioblastoma patients had a poor overall survival but with several specific independent prognostic factors. Extensive cancer treatment was associated with an increasing survival in all age groups, but only half of the patients were sufficiently fit for a full regimen of postoperative combined radiochemotherapy.

Indexed as

AdolescentAdultAgedAged, 80 and overBrain NeoplasmsChemoradiotherapyCombined Modality TherapyDenmarkFemaleFollow-Up StudiesGlioblastomaHumansMaleMiddle AgedNeurosurgical ProceduresPrognosisDanish Neuro-Oncology RegistryEpidemiologyGlioblastomaPrognosisSurvival analysis

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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.