Evidence map›Paper›PMID 31157142›Full record

ArticleGlobal spine journal2019

Primary Bone Tumor of the Spine-An Evolving Field: What a General Spine Surgeon Should Know.

Raphaële Charest-Morin, Charles G Fisher, Arjun Sahgal, Stefano Boriani, Ziya L Gokaslan, Aron Lazary, Jeremy Reynolds, Chetan Bettegowda, Laurence D Rhines, Nicolas Dea

Abstract read
In one paragraph

Article in Global spine journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Primary Osseous Malignancies of the Spine.Diagnostics (Basel, Switzerland) · 2023
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Surgical Management of Skull Base and Spine Chordomas.Current treatment options in oncology · 2021
    Review
  11. 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

10 authors.

Raphaële Charest-MorinUniversity of British Columbia, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0002-7689-1087
Charles G FisherUniversity of British Columbia, Vancouver, British Columbia, Canada.
Arjun SahgalSunnybrook Odette Cancer Center, Toronto, Ontario, Canada.
Stefano BorianiIRCCS Galeazzi Orthopedic Institute, Milan, Italy.
Ziya L GokaslanThe Warren Alpert Medical School of Brown University, Providence, RI, USA.
Aron LazaryNational Center for Spinal Disorders and Buda Health Center, Budapest, Hungary.
Jeremy ReynoldsOxford Spinal Unit, Oxford University, Oxford, UK.
Chetan BettegowdaJohns Hopkins University School of Medicine, Baltimore, MD, USA.
Laurence D RhinesThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Nicolas DeaUniversity of British Columbia, Vancouver, British Columbia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designA narrative review of the literature.

objectiveThis article reviews the general principles of treatment and investigation for primary bone tumors of the spine. Furthermore, it explores the emerging alternatives.

methodsA review was performed using Medline, Embase, and Cochrane databases.

resultsPrimary bone tumors of the spine are rare entities that general spine surgeons may encounter only a few times in their career. The treatment algorithm of these complex tumors is filled with nuances and is evolving constantly. For these reasons, patients should be referred to experienced tertiary or quaternary centers who can offer a comprehensive multidisciplinary approach. For most malignant spinal bone tumors, surgery remains the cornerstone of treatment. Respecting oncologic principles has been associated with improved survival and decreased local recurrence in multiple settings. However, even in experienced centers, these surgeries carry a significant risk of adverse events and possible long-term neurologic impairment. The associated morbidity of these procedures and the challenges of local recurrence have encouraged professionals caring for these patients to explore alternatives or adjuncts to surgical treatment.

conclusionsOver the past few years, several advances have occurred in medical oncology, radiation oncology and interventional radiology, changing the treatment paradigm for some tumors. Other advances still need to be refined before being applied in a clinical setting.

Indexed as

en bloc resectioninterventional radiologymedical treatmentmolecular sequencingprimary spine tumorsradiation oncologysurgery

Identifiers

PMID31157142
PMCPMC6512194

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.