Evidence map›Paper›PMID 31522324›Full record

ArticleJournal of neuro-oncology2019

Diagnostics and treatment of diffuse intrinsic pontine glioma: where do we stand?

Fatma E El-Khouly, Sophie E M Veldhuijzen van Zanten, Vicente Santa-Maria Lopez, N Harry Hendrikse, Gertjan J L Kaspers, G Loizos, David Sumerauer, Karsten Nysom, Kaie Pruunsild, Virve Pentikainen and 31 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 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

41 citing papers in PubMed, 68 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Killing the killers: Natural killer cell therapy targeting glioma stem cells in high-grade glioma.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  9. Frequency and outcomes of midline gliomas in a tertiary care hospital in Pakistan: a retrospective study.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Article
  10. Review
  11. Review
  12. Article
  13. The trends in diagnosis, management, and care of patients with diffuse intrinsic pontine gliomas: Perspectives from a tertiary care hospital of pakistan.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Radiotherapy and radio-sensitization in H3CNS neuroscience & therapeutics · 2023
    Review
  20. Review
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

41 authors at 20 institutions in 29 countries.

Fatma E El-KhoulyPediatric Oncology, Emma Children's Hospital, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands. f.el-khouly@amsterdamumc.nl.ORCID http://orcid.org/0000-0003-1451-8516
Sophie E M Veldhuijzen van ZantenPediatric Oncology, Emma Children's Hospital, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Vicente Santa-Maria LopezDepartment of Pediatric Hematology, Oncology and Stem Cell Transplantation, St Joan de Déu Children´s Hospital, Barcelona, Spain.
N Harry HendrikseDepartment of Clinical Pharmacology & Pharmacy, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Gertjan J L KaspersPediatric Oncology, Emma Children's Hospital, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
G LoizosPediatric Oncology-Hematology Clinic, Archbishop Makarios III Hospital, Nicosia, Cyprus.
David SumerauerDepartment of Pediatric Hematology and Oncology, 2nd Faculty of Medicine, University Hospital Motol, Charles University, Prague, Czech Republic.
Karsten NysomPediatrics and Adolescent Medicine, University Hospital Rigshospitalet, Copenhagen, Denmark.
Kaie PruunsildDepartment of Hematology and Oncology, Tallinn Children's Hospital, Tallinn, Estonia.
Virve PentikainenDivision of Hematology-Oncology and Stem Cell Transplantation, Children's Hospital, Helsinki University Hospital, Helsinki, Finland.
Halldora K ThorarinsdottirPediatric Hematology-Oncology, The Children's Hospital, Reykjavík, Iceland.
Giedre RutkauskieneDepartment of Pediatric Oncology and Hematology, Hospital of Lithuanian University of Health Sciences Kaunas Clinic, Kaunas, Lithuania.
Victor CalvagnaMater Dei Hospital, Valletta, Malta.
Monika DrogosiewiczChildren's Memorial Health Institute, Warsaw, Poland.
Monica DragomirDepartment of Pediatric Oncology, Oncology Institute Professor Doctor Alexandru Trestioreanu, Bucharest, Romania.
Ladislav DeakDepartment of Pediatric Oncology/Hematology, Children University Hospital, Kosice, Slovakia.
Lidija KitanovskiDivision of Hemato-Oncology, Department of Pediatrics, University Medical Center Ljubljana, Ljubljana, Slovenia.
Andre O von BuerenPediatric Oncology and Hematology, Department of Pediatrics, University Hospital of Geneva, Geneva, Switzerland.
Rejin KebudiPediatric Hematology-Oncology, Cerrahpasa Medical Faculty & Oncology Institute, Istanbul University, Istanbul, Turkey.
Irene SlavcDepartment of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria.
Sandra JacobsUniversitair Ziekenhuis Leuven, Leuven, Belgium.
Filip Jadrijevic-CvrljeDepartment of Oncology and Hematology, Children's Hospital Zagreb, Zagreb, Croatia.
Natacha Entz-WerleCHRU Hautepierre Strasbourg, Service de Pédiatrie Onco-Hématologie, Strasbourg, France.
Jacques GrillDépartement de Cancérologie de l'enfant et de l'adoloscent, CLCC Institut Gustave Roussy, Villejuif, France.
Antonis KattamisFirst Department of Pediatrics, 'Aghia Sofia' Children's Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Peter HauserSecond Department of Pediatrics, Semmelweis University, Budapest, Hungary.
Jane PearsDepartment of Pediatric Oncology, Our Lady's Children's Hospital, Crumlin, Dublin, Ireland.
Veronica BiassoniPediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Maura MassiminoPediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Enrique Lopez AguilarHospital de Pediatría, Centro Médico National Siglo XXI, Instituto Mexicano del Seguro Social, Jefatura de Servicio de Oncologia, Distrito Federal, Mexico.
Ingrid K TorsvikDivision of Oncology/Hematology, Department of Pediatrics, Haukeland University Hospital, Mons, Norway.
Maria Joao Gil-da-CostaPediatric Hematology and Oncology Division, University Hospital S. João Alameda Hernani Monteiro, Porto, Portugal.
Ella KumirovaDepartment of Neurooncology, Federal Research and Clinical Centre of Pediatric Hematology, Oncology and Immunology (FRC-PHOI), Moscow, Russia.
Ofelia Cruz-MartinezDepartment of Pediatric Hematology, Oncology and Stem Cell Transplantation, St Joan de Déu Children´s Hospital, Barcelona, Spain.
Stefan HolmDepartment of Pediatric Hematology and Oncology, Department of Woman and Child Health, Karolinska University Hospital, Stockholm, Sweden.
Simon BaileyGreat North Children's Hospital, Victoria Wing, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
Tim HaydenThe DIPG Collaborative, Cincinnati, USA.
Ulrich W ThomalePediatric Neurosurgery, Charité University Medical Center Berlin, Berlin, Germany.
Geert O R JanssensDepartment of Radiation Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
Christof M KrammDivision of Pediatric Hematology and Oncology, University Medical Center Geottingen, Göttingen, Germany.
Dannis G van VuurdenPediatric Oncology, Emma Children's Hospital, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Emma Kinderziekenhuis · NLFondazione IRCCS Istituto Nazionale dei Tumori · ITHospital Sant Joan de Déu Barcelona · ESAmsterdam University Medical Centers · NLArchbishop Makarios III Hospital · CYCharité - Universitätsmedizin Berlin · DECharles University · CZChildren's Health Ireland at Crumlin · IEChildren's Hospital Zagreb · HRChildren's Memorial Health Institute · PLCollaborative Group (United States) · USHaukeland University Hospital · NOHelsinki University Hospital · FIHôpitaux Universitaires de Strasbourg · FRHospital de São João · PTHospital of Lithuanian University of Health Sciences Kaunas Clinics · LTInstitut Gustave Roussy · FRInstitutul Oncologic Bucuresti · ROIstanbul University · TRKarolinska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDiffuse intrinsic pontine glioma (DIPG) is a rare clinically, neuro-radiologically, and molecularly defined malignancy of the brainstem with a median overall survival of approximately 11 months. Our aim is to evaluate the current tendency for its treatment in Europe in order to develop (inter)national consensus guidelines.

methodsHealthcare professionals specialized in DIPG were asked to fill in an online survey with questions regarding usual treatment strategies at diagnosis and at disease progression in their countries and/or their centers, respectively.

resultsSeventy-four healthcare professionals responded to the survey, of which 87.8% were pediatric oncologists. Only 13.5% of the respondents biopsy all of their patients, 41.9% biopsy their patients infrequently. More than half of the respondents (54.1%) treated their patients with radiotherapy only at diagnosis, whereas 44.6% preferred radiotherapy combined with chemotherapy. When the disease progresses, treatment strategies became even more diverse, and the tendency for no treatment increased from 1.4% at diagnosis to 77.0% after second progression. 36.5% of the healthcare professionals treat children younger than 3 years differently than older children at diagnosis. This percentage decreased, when the disease progresses. Most of the participants (51.4%) included less than 25% of their patients in clinical trials.

conclusionThis survey demonstrates a large heterogeneity of treatment regimens, especially at disease progression. We emphasize the need for international consensus guidelines for the treatment of DIPG, possible by more collaborative clinical trials.

Indexed as

BiopsyBrain Stem NeoplasmsCombined Modality TherapyDiffuse Intrinsic Pontine GliomaDisease ProgressionHumansPrognosisChemotherapyDiffuse intrinsic pontine glioma (DIPG)Diffuse midline glioma H3-K27 mutant (DMG K3-27M)Radiotherapy

Identifiers

PMID31522324
PMCPMC6775536
OpenAlexW2973200220

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.