Evidence map›Paper›PMID 31036031›Full record

ArticleRadiation oncology (London, England)2019

Impact of time to initiation of radiotherapy on survival after resection of newly diagnosed glioblastoma.

Sotirios Katsigiannis, Boris Krischek, Stefanie Barleanu, Stefan Grau, Norbert Galldiks, Marco Timmer, Christoph Kabbasch, Roland Goldbrunner, Pantelis Stavrinou

Abstract read
In one paragraph

Article in Radiation oncology (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

  1. Trial
  2. Multimodal PET-MR segmentation for glioblastoma: complementarity for treatment planning and recurrence definition.Cancer imaging : the official publication of the International Cancer Imaging Society · 2026
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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

9 authors.

Sotirios KatsigiannisDepartment of Neurosurgery, University Hospital of Bochum, In der Schornau Str. 23-25, 44892, Bochum, Germany. sotiriskatsigiannis@yahoo.gr.
Boris KrischekDepartment of Neurosurgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Stefanie BarleanuDepartment of Neurosurgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Stefan GrauDepartment of Neurosurgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Norbert GalldiksDepartment of Neurology, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Marco TimmerDepartment of Neurosurgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Christoph KabbaschDepartment of Neuroradiology, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Roland GoldbrunnerDepartment of Neurosurgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Pantelis StavrinouDepartment of Neurosurgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeTo evaluate the effect of timing of radiotherapy (RT) on survival in patients with newly diagnosed primary glioblastoma (GBM) treated with the same therapeutical protocol. MATERIALS AND

methodsPatients with newly diagnosed primary GBM treated with the same therapeutical scheme between 2010 and 2015 in our institution were retrospectively reviewed. The population was trichotomized based on the time interval from surgery till initiation of RT (< 28 days, 28-33 days, > 33 days). Kaplan-Meier and Cox regression analyses were used to compare progression free survival (PFS) and overall survival (OS) between the groups. The influence of various extensively studied prognostic factors on survival was assessed by multivariate analysis.

resultsOne-hundred-fifty-one patients met the inclusion criteria. Between the three groups no significant difference in PFS (p = 0.516) or OS (p = 0.902) could be demonstrated. Residual tumor volume (RTV) and midline structures involvement were identified as independent prognostic factors of PFS while age, O-6-Methylguanine Methyltransferase (MGMT) status, Ki67 index, RTV and midline structures involvement represented independent predictors of OS. Patients starting RT after a prolonged delay (> 48 days) exhibited a significantly shorter OS (p = 0.034).

conclusionInitiation of RT within a timeframe of 48 days is not associated with worsened survival. A prolonged delay (> 48 days) may be associated with worse OS. RT should neither be delayed, nor forced, but should rather start timely, as soon as the patient has recovered from surgery.

Indexed as

Time-to-TreatmentBrain NeoplasmsFemaleGlioblastomaHumansMaleMiddle AgedPrognosisRadiotherapyRetrospective StudiesSurvival RateGlioblastomaPrognostic factorsProgression free survivalSurvivalTiming of radiotherapy

Identifiers

PMID31036031
PMCPMC6489245

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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.