Evidence map›Paper›PMID 31456143›Full record

ArticleJournal of neuro-oncology2019

Prognostic assessment in patients with newly diagnosed small cell lung cancer brain metastases: results from a real-life cohort.

Ariane Steindl, Franziska Schlieter, Thomas Klikovits, Elena Leber, Brigitte Gatterbauer, Josa M Frischer, Karin Dieckmann, Georg Widhalm, Sabine Zöchbauer-Müller, Mir Ali Reza Hoda and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of neuro-oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

18 citing papers in PubMed, 21 citations in OpenAlex.

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  15. Brain Metastasis in Patients with Small Cell Lung Cancer.International journal of general medicine · 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

12 authors at 1 institution in 1 country.

Ariane SteindlDivision of Oncology, Department of Medicine I, Medical University of Vienna, Vienna, Austria.
Franziska SchlieterDivision of Oncology, Department of Medicine I, Medical University of Vienna, Vienna, Austria.
Thomas KlikovitsComprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Elena LeberDivision of Oncology, Department of Medicine I, Medical University of Vienna, Vienna, Austria.
Brigitte GatterbauerComprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Josa M FrischerComprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Karin DieckmannComprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Georg WidhalmComprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Sabine Zöchbauer-MüllerDivision of Oncology, Department of Medicine I, Medical University of Vienna, Vienna, Austria.
Mir Ali Reza HodaComprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Matthias PreusserDivision of Oncology, Department of Medicine I, Medical University of Vienna, Vienna, Austria.
Anna S BerghoffDivision of Oncology, Department of Medicine I, Medical University of Vienna, Vienna, Austria. anna.berghoff@meduniwien.ac.at.ORCID http://orcid.org/0000-0001-9379-6797
Comprehensive Cancer Center Vienna · AT

Funding

Daiichi-Sankyo UE71101084
6 · The paper itself

Abstract

purposesBrain metastases (BM) are a frequent complication in small cell lung cancer (SCLC), resulting in a reduced survival prognosis. Precise prognostic assessment is an important foundation for treatment decisions and clinical trial planning.

methodsPatients with newly diagnosed SCLC BM were identified from the Vienna Brain Metastasis Registry and evaluated concerning prognostic factors.

results489 patients (male 62.2%, female 37.8%; median age 61 years) were included. Neurological symptoms were present in 297/489 (60.7%) patients. A- to oligosymptomatic patients (5 vs. 9 months, p = 0.030) as well as patients with synchronous diagnosis of BM and primary tumor (5 vs. 9 months, p = 0.008) presented with improved overall survival (OS) prognosis. RPA (HR 1.66; 95% CI 1.44-1.91; p < 0.001), GPA (HR 1.65; p < 0.001), DS-GPA (HR 1.60; p < 0.001) and LabBM score (HR 1.69; p < 0.001) were statistically significantly associated with OS. In multivariate analysis, DS-GPA (HR 1.59; p < 0.001), neurological deficits (HR 1.26; p = 0.021) and LabBM score (HR 1.57; p < 0.001) presented with statistical independent association with OS.

conclusionA- to oligosymptomatic BM as well as synchronous diagnosis of SCLC and BM were associated with improved OS. Established prognostic scores could be validated in this large SCLC BM real-life cohort.

Indexed as

AdultAgedAged, 80 and overBrain NeoplasmsCohort StudiesCombined Modality TherapyFemaleFollow-Up StudiesHumansLung NeoplasmsMaleMiddle AgedPrognosisSmall Cell Lung CarcinomaSurvival RateNeurological symptomPrognostic factorsPrognostic scoresSCLC brain metastasesSynchronous diagnosis of BM and primary tumor

Identifiers

PMID31456143
PMCPMC6775039
OpenAlexW2970470417

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.