Evidence map›Paper›PMID 31019097›Full record

ArticleNeurology2019

Leptomeningeal metastases in glioma: The Memorial Sloan Kettering Cancer Center experience.

Brian M Andersen, Caroline Miranda, Vaios Hatzoglou, Lisa M DeAngelis, Alexandra M Miller

Open access · bronzeAbstract read
In one paragraph

Article in Neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 4 pooled it
4.6field-weighted citation impact, top 5% 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

50 citing papers in PubMed, 4 syntheses or guidelines pooled it, 76 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Brian M AndersenFrom the Department of Neurology (B.M.A., C.M.), New York Presbyterian/Weill Cornell Medicine and Memorial Sloan Kettering Cancer Center; and Departments of Radiology (V.H.) and Neurology (L.M.D., A.M.M.) Memorial Sloan Kettering Cancer Center, New York, NY.
Caroline MirandaFrom the Department of Neurology (B.M.A., C.M.), New York Presbyterian/Weill Cornell Medicine and Memorial Sloan Kettering Cancer Center; and Departments of Radiology (V.H.) and Neurology (L.M.D., A.M.M.) Memorial Sloan Kettering Cancer Center, New York, NY.
Vaios HatzoglouFrom the Department of Neurology (B.M.A., C.M.), New York Presbyterian/Weill Cornell Medicine and Memorial Sloan Kettering Cancer Center; and Departments of Radiology (V.H.) and Neurology (L.M.D., A.M.M.) Memorial Sloan Kettering Cancer Center, New York, NY.
Lisa M DeAngelisFrom the Department of Neurology (B.M.A., C.M.), New York Presbyterian/Weill Cornell Medicine and Memorial Sloan Kettering Cancer Center; and Departments of Radiology (V.H.) and Neurology (L.M.D., A.M.M.) Memorial Sloan Kettering Cancer Center, New York, NY.
Alexandra M MillerFrom the Department of Neurology (B.M.A., C.M.), New York Presbyterian/Weill Cornell Medicine and Memorial Sloan Kettering Cancer Center; and Departments of Radiology (V.H.) and Neurology (L.M.D., A.M.M.) Memorial Sloan Kettering Cancer Center, New York, NY. millera2@mskcc.org.
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

objectiveTo perform a retrospective analysis examining the incidence and prognosis of glioma patients with leptomeningeal disease (LMD) at Memorial Sloan Kettering Cancer Center over a 15-year period and correlate these findings with clinicopathologic characteristics.

methodsWe conducted a retrospective review of glioma patients with LMD at Memorial Sloan Kettering Cancer Center diagnosed from 2001 to 2016. Patients were identified through a keyword search of their electronic medical record and by ICD-9 codes.

resultsOne hundred three patients were identified with disseminated LMD and 85 patients with subependymal spread of disease, 4.7% of all patients with glioma. These cohorts were analyzed separately for time to development of disseminated LMD/subependymal LMD, median overall survival, and survival from LMD diagnosis. Patients were pooled for subsequent analyses (n = 188) because of comparable clinical behavior. LMD was present at glioma diagnosis in 10% of patients. In the remaining 90% of patients diagnosed at recurrence, time to LMD diagnosis, survival after LMD diagnosis, and overall survival varied by original histology. Patients with oligodendroglioma had a median survival of 10.8 (range 1.8-67.7) months, astrocytoma 6.5 (0.1-28.5) months, and glioblastoma 3.8 (0.1-32.6) months after LMD diagnosis. In addition, we found that treatment of LMD was associated with superior performance status and increased survival.

conclusionPatients with LMD diagnosed at relapse may not have decreased overall survival as compared to historical controls with parenchymal relapse and may benefit from treatment.

Indexed as

AdultAgedAged, 80 and overAstrocytomaBrain NeoplasmsFemaleGlioblastomaGliomaHumansIncidenceMaleMeningeal NeoplasmsMiddle AgedOligodendrogliomaPrognosisRetrospective Studies

Identifiers

PMID31019097
PMCPMC6541431
OpenAlexW2941936185

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.