Evidence map›Paper›PMID 30815592›Full record

ArticleClinical and translational radiation oncology2019

Cerebral infarction after fractionated stereotactic radiation therapy of benign anterior skull base tumors.

Arnar Astradsson, Per Munck Af Rosenschöld, Lars Poulsgaard, Lars Ohlhues, Svend Aage Engelholm, Ulla Feldt-Rasmussen, Reginald Marsh, Henrik Roed, Marianne Juhler

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational radiation oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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 at 3 institutions in 3 countries.

Arnar AstradssonDepartment of Neurosurgery, Aarhus University Hospital, Aarhus, Denmark.
Per Munck Af RosenschöldRadiation Physics, Skåne University Hospital, Lund, Sweden.
Lars PoulsgaardDepartment of Neurosurgery, Rigshospitalet, Copenhagen, Denmark.
Lars OhlhuesDepartment of Radiation Oncology, Rigshospitalet, Copenhagen, Denmark.
Svend Aage EngelholmDepartment of Radiation Oncology, Rigshospitalet, Copenhagen, Denmark.
Ulla Feldt-RasmussenDepartment of Medical Endocrinology, Rigshospitalet, Copenhagen, Denmark.
Reginald MarshGillies McIndoe Research Institute, Newtown, Wellington, New Zealand.
Henrik RoedDepartment of Radiation Oncology, Rigshospitalet, Copenhagen, Denmark.
Marianne JuhlerDepartment of Neurosurgery, Rigshospitalet, Copenhagen, Denmark.
Rigshospitalet · DKGillies McIndoe Research Institute · NZSkåne University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to examine the occurrence of cerebral infarction (ischemic stroke), in a large combined cohort of patients with anterior skull base meningiomas, pituitary adenomas and craniopharyngiomas, after fractionated stereotactic radiation therapy (FSRT). MATERIAL AND

methodsAll patients, 18 years and older, with anterior skull base meningiomas, pituitary adenomas and craniopharyngiomas, treated with fractionated stereotactic radiation, in our center, from January 1999 to December 2015 were identified. In total 169 patients were included. The prescription dose to the tumor was 54 Gy for 164 patients (97%) and 46.0-52.2 Gy for 5 patients (3%). Cases of cerebral infarctions subsequent to FSRT were identified from the Danish National Patient Registry and verified with review of case notes. The rate of cerebral infarction after FSRT was compared to the rate in the general population with a one sample

resultsAt a median follow-up of 9.3 years (range 0.1-16.5), 7 of the 169 patients (4.1%) developed a cerebral infarction, at a median 5.7 years (range 1.2-11.5) after FSRT. The mean cerebral infarction rate for the general population was 0.0035 and 0.0048 for the FSRT cohort (p = 0.423). Univariate cox models analysis showed that increasing age correlated significantly with the cerebral infarction risk, with a hazard ratio of 1.090 (p = 0.013).

conclusionIncreased risk of cerebral infarction after FSRT of anterior skull base tumors was associated with age, similar to the general population. Our study revealed that FSRT did not introduce an excess risk of cerebral infarction.

Identifiers

PMID30815592
PMCPMC6378839
OpenAlexW2913876807

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.