Evidence map›Paper›PMID 30523606›Full record

ArticleJournal of neuro-oncology2019

Association of patterns of care, prognostic factors, and use of radiotherapy-temozolomide therapy with survival in patients with newly diagnosed glioblastoma: a French national population-based study.

Pascale Fabbro-Peray, Sonia Zouaoui, Amélie Darlix, Michel Fabbro, Johan Pallud, Valérie Rigau, Hélène Mathieu-Daude, Faiza Bessaoud, Fabienne Bauchet, Adeline Riondel and 9 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of neuro-oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% 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

63 citing papers in PubMed, 2 syntheses or guidelines pooled it, 89 citations in OpenAlex.

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3 more citing papers are in PubMed but not listed here.

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

19 authors at 10 institutions in 2 countries.

Pascale Fabbro-PerayDepartment of Biostatistics, Epidemiology, Public Health, CHU Nîmes, Nîmes, France.
Sonia ZouaouiDepartment of Neurosurgery, Hopital Gui de Chauliac, CHU Montpellier, Montpellier University Medical Center, 80 Avenue Fliche, 34295, Montpellier, France.
Amélie DarlixGroupe de Neuro-Oncologie du Languedoc Roussillon, ICM, Montpellier, France.
Michel FabbroGroupe de Neuro-Oncologie du Languedoc Roussillon, ICM, Montpellier, France.
Johan PalludDepartment of Neurosurgery, Sainte Anne Hospital, and University Paris Descartes, Paris, France.
Valérie RigauGroupe de Neuro-Oncologie du Languedoc Roussillon, ICM, Montpellier, France.
Hélène Mathieu-DaudeGroupe de Neuro-Oncologie du Languedoc Roussillon, ICM, Montpellier, France.
Faiza BessaoudRegistre des Tumeurs de l'Hérault, ICM, Montpellier, France.
Fabienne BauchetGroupe de Neuro-Oncologie du Languedoc Roussillon, ICM, Montpellier, France.
Adeline RiondelDepartment of Biostatistics, Epidemiology, Public Health, CHU Nîmes, Nîmes, France.
Elodie SorbetsDepartment of Biostatistics, Epidemiology, Public Health, CHU Nîmes, Nîmes, France.
Marie CharissouxGroupe de Neuro-Oncologie du Languedoc Roussillon, ICM, Montpellier, France.
Aymeric AmelotDepartment of Neurosurgery, CHU Lariboisière, Paris, France.
Emmanuel MandonnetDepartment of Neurosurgery, CHU Lariboisière, Paris, France.
Dominique Figarella-BrangerDepartment of Neuropathology, CHU Marseille, INSERM U911, Marseille, France.
Hugues DuffauDepartment of Neurosurgery, Hopital Gui de Chauliac, CHU Montpellier, Montpellier University Medical Center, 80 Avenue Fliche, 34295, Montpellier, France.
Brigitte TretarreRegistre des Tumeurs de l'Hérault, ICM, Montpellier, France.
Luc TaillandierDepartment of Neuro-oncology, CHU Nancy, Nancy, France.
Luc BauchetDepartment of Neurosurgery, Hopital Gui de Chauliac, CHU Montpellier, Montpellier University Medical Center, 80 Avenue Fliche, 34295, Montpellier, France. l-bauchet@chu-montpellier.fr.ORCID http://orcid.org/0000-0003-1077-2496
Inserm · FRUniversité de Montpellier · FRCEA Le Ripault · FRCentre Hospitalier Universitaire de Montpellier · FRHôpital Fernand-Widal · FRCentre Hospitalier Régional et Universitaire de Nancy · FRHôpital Lariboisière · FRInstitut de Recherche en Cancérologie de Montpellier · FRLaboratoire d'Informatique, de Robotique et de Microélectronique de Montpellier · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlioblastoma is the most frequent primary malignant brain tumor. In daily practice and at whole country level, oncological care management for glioblastoma patients is not completely known.

objectivesTo describe oncological patterns of care, prognostic factors, and survival for all patients in France with newly-diagnosed and histologically confirmed glioblastoma, and evaluate the impact of extended temozolomide use at the population level.

methodsNationwide population-based cohort study including all patients with newly-diagnosed and histologically confirmed glioblastoma in France in 2008 and followed until 2015.

resultsData from 2053 glioblastoma patients were analyzed (male/female ratio 1.5, median age 64 years). Median overall survival (OS) was 11.2 [95% confidence interval (CI) 10.7-11.9] months. The first-line therapy and corresponding median survival (MS, in months) were: 13% did not receive any oncological treatment (biopsy only) (MS = 1.8, 95% CI 1.6-2.1), 27% received treatment without the combination of radiotherapy (RT)-temozolomide (MS = 5.9, 95% CI 5.5-6.6), 60% received treatment including the initiation of the concomitant phase of RT-temozolomide (MS = 16.4, 95% CI 15.2-17.4) whom 44% of patients initiated the temozolomide adjuvant phase (MS = 18.9, 95% CI 18.0-19.8). Only 22% patients received 6 cycles or more of adjuvant temozolomide (MS = 25.5, 95% CI 24.0-28.3). The multivariate analysis showed that the risk of mortality was significantly higher for the non-progressive patients who stopped at 6 cycles (standard protocol) than those who continued the treatment, hazard ratio = 1.5 (95% CI 1.2-1.9).

conclusionIn non-progressive patients, prolonging the adjuvant temozolomide beyond 6 cycles may improve OS.

Indexed as

Practice Patterns, Physicians'AdultAgedAged, 80 and overAntineoplastic Agents, AlkylatingBrain NeoplasmsCombined Modality TherapyDatabases, FactualFemaleFranceGlioblastomaHumansMaleMiddle AgedPrognosisSurvival RateAntineoplastic Agents, AlkylatingTemozolomideClinical epidemiologyGlioblastomaNeuro-oncologyNeurosurgeryPopulation-based studyTemozolomide

Identifiers

PMID30523606
PMCPMC6399437
OpenAlexW2902224287

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.