Evidence map›Paper›PMID 31068759›Full record

ArticleJournal of central nervous system disease2019

Linear Accelerator-Based Stereotactic Radiotherapy for Low-Grade Meningiomas: Improved Local Control With Hypofractionation.

Rodney E Wegner, Shaakir Hasan, Stephen Abel, Sidney Anderson, Russell Fuhrer, Richard W Williamson, Stephen M Karlovits

Open access · goldAbstract read
In one paragraph

Article in Journal of central nervous system disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 11 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

7 authors at 1 institution in 1 country.

Rodney E WegnerAllegheny Health Network Cancer Institute, Division of Radiation Oncology, Allegheny General Hospital, Pittsburgh, PA, USA.ORCID https://orcid.org/0000-0003-2416-3499
Shaakir HasanAllegheny Health Network Cancer Institute, Division of Radiation Oncology, Allegheny General Hospital, Pittsburgh, PA, USA.
Stephen AbelAllegheny Health Network Cancer Institute, Division of Radiation Oncology, Allegheny General Hospital, Pittsburgh, PA, USA.
Sidney AndersonAllegheny Health Network Cancer Institute, Division of Radiation Oncology, Allegheny General Hospital, Pittsburgh, PA, USA.
Russell FuhrerAllegheny Health Network Cancer Institute, Division of Radiation Oncology, Allegheny General Hospital, Pittsburgh, PA, USA.
Richard W WilliamsonDepartment of Neurosurgery, Allegheny Health Network, Pittsburgh, PA, USA.
Stephen M KarlovitsAllegheny Health Network Cancer Institute, Division of Radiation Oncology, Allegheny General Hospital, Pittsburgh, PA, USA.
Allegheny Health Network · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeMeningioma is a common type of benign tumor that can be managed in several ways, ranging from close observation, surgical resection, and various types of radiation. We present here results from a 10-year experience treating meningiomas with a hypofractionated approach. MATERIALS AND

methodsWe reviewed the charts of 56 patients treated with stereotactic radiosurgery (SRS) or hypofractionated stereotactic radiotherapy (SRT) from 2008 to 2017. A total of 46 (82%) patients had WHO Grade 1 disease and 10 (18%) had Grade 2. Outcomes that were analyzed included local control rates and the rate and grade of any reported toxicity.

resultsA total of 38 women and 18 men underwent SRS to a median dose of 15 Gy (n = 24) or hypofractionated SRT with a median dose of 25 Gy in five fractions (n = 34). Of the 56 patients, 22 had surgery before receiving treatment. The median follow-up was 36 (6-110) months. Local control at 2 and 5 years for all patients was 90% and 88%, respectively. Comparing fractionated to single-fraction treatment, there was improved local control with fractionation (91% vs 80% local control at 2 years,

conclusionsThis study provides further evidence for high rates of local control and minimal toxicity using a hypofractionated SRT approach, with improvement in local control through use of hypofractionation.

Indexed as

hypofractionatedmeningiomastereotactic radiosurgery

Identifiers

PMID31068759
PMCPMC6495433
OpenAlexW2943235485

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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.