Evidence map›Paper›PMID 31358784›Full record

ArticleScientific reports2019

Easy-to-use clinical tool for survival estimation in Ewing sarcoma at diagnosis and after surgery.

S E Bosma, C Lancia, A J Rueten-Budde, A Ranft, H Gelderblom, M Fiocco, M A J van de Sande, P D S Dijkstra, U Dirksen

Registry-linked trialAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07695311 (Precision Analysis of Fusion Genes in Ewing Sarcoma), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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.

NCT07695311 phase1not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Precision Analysis of Fusion Genes in Ewing Sarcoma (ES) and Desmoplastic Small Round Cell Tumor (DSRCT), Then EWSR1 (Ewing Sarcoma Gene Breakpoint Region 1 Gene) Immunotherapy Without or With Anti-CTLA-4 (Botensilimab) and Anti-PD1 (Balstilimab)

TypeinterventionalSponsorRabi HannaRan2026 to 2030Enrolled24ConditionsEwing Sarcoma, Desmoplastic Small Round Cell TumorArmsEWSR1 immunotherapy, Botensilimab, Balstilimab
3 · Its place in the literature

Who cites it

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

  1. Clinical practice guidelines for the treatment of Ewing sarcoma (Spanish Sarcoma Research Group-GEIS).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Guideline
  2. Analysis of Migration and Invasion in Ewing Sarcoma.Methods in molecular biology (Clifton, N.J.) · 2027
    Article
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  12. [European radiology · 2021
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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.

S E BosmaLeiden University Medical Center, department of orthopedics, Leiden, The Netherlands. s.e.bosma@lumc.nl.ORCID http://orcid.org/0000-0001-8070-3483
C LanciaLeiden University Mathematical Institute, Leiden, The Netherlands.
A J Rueten-BuddeLeiden University Mathematical Institute, Leiden, The Netherlands.
A RanftUniversity Hospital Essen, University Duisburg. Essen, Pediatrics III, Sarcoma Centre, West German Cancer Centre, German Cancer Consortium, Essen, Germany.
H GelderblomLeiden University Medical Center, department of medical oncology, Leiden, The Netherlands.
M FioccoLeiden University Mathematical Institute, Leiden, The Netherlands.
M A J van de SandeLeiden University Medical Center, department of orthopedics, Leiden, The Netherlands.
P D S DijkstraLeiden University Medical Center, department of orthopedics, Leiden, The Netherlands.
U DirksenUniversity Hospital Essen, University Duisburg. Essen, Pediatrics III, Sarcoma Centre, West German Cancer Centre, German Cancer Consortium, Essen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Accurate survival estimations in Ewing sarcoma are necessary to develop risk- and response adaptive treatment strategies allowing for early decision-making. We aim to develop an easy-to-use survival estimation tool from diagnosis and surgery. A retrospective study of 1314 Ewing sarcoma patients was performed. Associations between prognostic variables at diagnosis/surgery and overall survival (OS), were investigated using Kaplan-Meier and multivariate Cox models. Predictive accuracy was evaluated by cross-validation and Harrell C-statistics. Median follow-up was 7.9 years (95%CI 7.6-8.3). Independent prognostic factors at diagnosis were age, volume, primary tumor localization and disease extent. 5 risk categories (A-E) were identified with 5-year OS of 88% (86-94), 69% (64-74), 57% (50-64), 51% (42-60) and 28% (22-34) respectively. Harrell C-statistic was 0.70. Independent prognostic factors from surgery were age, volume, disease extent and histological response. In categories A-B, 5y OS increased to 92% (87-97) and 79% (71-87) respectively for 100% necrosis and decreased to 76% (67-85) and 62% (55-69) respectively for <100% necrosis. In categories C-E, 5y OS increased to 65% (55-75), 65% (52-78) and 52% (38-66) respectively for ≥90% necrosis and decreased to 38% (22-54), 11% (0-26) and 7% (0-19) respectively for <90% necrosis. We present an easy-to-use survival estimation tool from diagnosis in Ewing sarcoma based on age, volume, primary tumor localization and disease extent. Histological response is a strong additional prognostic factor for OS.

Indexed as

AdolescentAdultBone NeoplasmsChildFemaleHumansMalePrognosisProportional Hazards ModelsRetrospective StudiesSarcoma, EwingSurvival AnalysisYoung Adult

Identifiers

PMID31358784
PMCPMC6662666

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Registered trials

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.