Evidence map›Paper›PMID 30850560›Full record

Trial reportThe oncologist2019

Newly Diagnosed Metastatic Intracranial Ependymoma in Children: Frequency, Molecular Characteristics, Treatment, and Outcome in the Prospective HIT Series.

Martin Benesch, Martin Mynarek, Hendrik Witt, Monika Warmuth-Metz, Torsten Pietsch, Brigitte Bison, Stefan M Pfister, Kristian W Pajtler, Marcel Kool, Ulrich Schüller and 16 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in The oncologist, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Supratentorial and Infratentorial Ependymoma.Advances and technical standards in neurosurgery · 2024
    Review
  8. Ependymoma from Benign to Highly Aggressive Diseases: A Review.Advances and technical standards in neurosurgery · 2024
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. MR Imaging of Pediatric Brain Tumors.Diagnostics (Basel, Switzerland) · 2022
    Review
  14. Review
  15. Article
  16. Pediatric ependymoma: an overview of a complex disease.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
    Review
  17. Review
  18. 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

26 authors at 19 institutions in 2 countries.

Martin BeneschDivision of Pediatric Hematology and Oncology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria katja.von-hoff@charite.de martin.benesch@klinikum-graz.at.
Martin MynarekDepartment of Pediatric Hematology and Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0003-3302-2719
Hendrik WittHopp Children's Cancer Center (KiTZ), Nationales Centrum für Tumorerkrankungen (NCT) Heidelberg, Heidelberg, Germany.
Monika Warmuth-MetzInstitute of Diagnostic and Interventional Neuroradiology, University Hospital Würzburg, Würzburg, Germany.
Torsten PietschInstitute of Neuropathology, Brain Tumor Reference Center of the German Society for Neuropathology and Neuroanatomy (DGNN), University of Bonn, Bonn, Germany.
Brigitte BisonInstitute of Diagnostic and Interventional Neuroradiology, University Hospital Würzburg, Würzburg, Germany.
Stefan M PfisterHopp Children's Cancer Center (KiTZ), Nationales Centrum für Tumorerkrankungen (NCT) Heidelberg, Heidelberg, Germany.
Kristian W PajtlerHopp Children's Cancer Center (KiTZ), Nationales Centrum für Tumorerkrankungen (NCT) Heidelberg, Heidelberg, Germany.
Marcel KoolHopp Children's Cancer Center (KiTZ), Nationales Centrum für Tumorerkrankungen (NCT) Heidelberg, Heidelberg, Germany.
Ulrich SchüllerDepartment of Pediatric Hematology and Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Klaus PietschmannDepartment of Radiation Oncology, University of Leipzig, Leipzig, Germany.
Björn-Ole JuhnkeDepartment of Pediatric Hematology and Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Stephan TippeltPediatric Hematology and Oncology, Pediatrics III, University Children's Hospital of Essen, Essen, Germany.
Gudrun FleischhackPediatric Hematology and Oncology, Pediatrics III, University Children's Hospital of Essen, Essen, Germany.
Irene SchmidDr. von Hauner Children's Hospital, Ludwig Maximilians University, Munich, Germany.
Christof M KrammDivision of Pediatric Hematology and Oncology, University Medical Center Göttingen, Göttingen, Germany.
Peter VorwerkDepartment of Pediatric Hematology/Oncology, University Otto von Guericke Magdeburg, Magdeburg, Germany.
Andreas BeilkenDepartment of Pediatric Hematology/Oncology, Medical School Hannover, Hanover, Germany.
Carl Friedrich ClassenUniversity Children's Hospital, Rostock, Germany.
Pablo Hernáiz DrieverDepartment of Pediatric Oncology and Hematology, Charité - Universitätsmedizin Berlin, (corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health), Berlin, Germany.
Gabriele KropshoferDepartment of Pediatrics I, Medical University of Innsbruck, Innsbruck, Austria.
Thomas ImschweilerZentrum für Kinder- und Jugendmedizin, Helios Klinikum Krefeld, Krefeld, Germany.
Andreas LemmerPediatric Hematology and Oncology Unit, Department of Pediatrics, Helios Klinikum Erfurt, Erfurt, Germany.
Rolf-Dieter KortmannDepartment of Radiation Oncology, University of Leipzig, Leipzig, Germany.
Stefan RutkowskiDepartment of Pediatric Hematology and Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Katja von HoffDepartment of Pediatric Hematology and Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany katja.von-hoff@charite.de martin.benesch@klinikum-graz.at.
Essen University Hospital · DEFreie Universität Berlin · DEHopp Children's Cancer Center Heidelberg · DELeipzig University · DEUniversität Hamburg · DEUniversitätsklinikum Würzburg · DEUniversity Medical Center Hamburg-Eppendorf · DEGerman Cancer Research Center · DEHeidelberg University · DEHelios Klinikum Erfurt · DEHelios Klinikum Krefeld · DEInnsbruck Medical University · ATLudwig-Maximilians-Universität München · DEMedical University of Graz · ATMedizinische Hochschule Hannover · DEOtto-von-Guericke University Magdeburg · DEUniversitätsmedizin Göttingen · DEUniversity of Bonn · DEUniversity of Rostock · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on frequency, clinical presentation, and outcome of primary metastatic intracranial ependymoma in children are scarce. PATIENTS AND

methodsProspective data on patients younger than 21 years with metastatic intracranial ependymoma at first diagnosis, registered from 2001 to 2014 in the HIT-2000 trial and the HIT-2000 Interim Registry, were analyzed.

resultsOf 453 registered patients with intracranial ependymoma and central neuropathology review, initial staging included spinal magnetic resonance imaging in all patients and lumbar cerebrospinal fluid (CSF) analysis in 402 patients. Ten patients (2.2%) had metastatic disease, including three with microscopic CSF positivity only (M1 metastasis stage, 0.7% of patients with CSF staging). Location of the primary tumor was supratentorial in four patients (all supratentorial

conclusionPrimary metastatic disease is rare in children with intracranial ependymoma. Prognosis may depend on molecular subgroup and extent of dissemination, and relevance of CSF analysis for initial staging remains to be clarified. IMPLICATIONS FOR PRACTICE: Childhood ependymoma presenting with metastasis at first diagnosis is very rare with a frequency of 2.4% in this population-based, well-characterized cohort. Detection of microscopic metastases in the cerebrospinal fluid was extremely rare, and impact on prognosis and respective treatment decision on irradiation field remains unclear. Initial metastatic presentation occurs in both supratentorial

Indexed as

AdolescentBrain NeoplasmsChildChild, PreschoolCohort StudiesCombined Modality TherapyDrug-Related Side Effects and Adverse ReactionsDrug TherapyEpendymomaFemaleHumansInfratentorial NeoplasmsMaleNeoplasm MetastasisPrognosisProgression-Free SurvivalChildrenIntracranial ependymomaMetastasesMolecular subgroupsTherapy

Identifiers

PMID30850560
PMCPMC6738295
OpenAlexW2920864180

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.