Evidence map›Paper›PMID 31578671›Full record

Observational studyJournal of neuro-oncology2019

WHO grade of intracranial meningiomas differs with respect to patient's age, location, tumor size and peritumoral edema.

Anne Ressel, Susanne Fichte, Michael Brodhun, Steffen K Rosahl, Ruediger Gerlach

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study 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 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–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

32 citing papers in PubMed.

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  12. Meningioma recurrence: Time for an online prediction tool?Surgical neurology international · 2024
    Review
  13. Lateral ventricle meningiomas in children: clinicopathological and neuroradiological features.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Article
  14. Article
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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

5 authors.

Anne ResselDepartment of Neurosurgery, Helios Klinikum Erfurt, Nordhäuser Str. 74, 99089, Erfurt, Germany.
Susanne FichteDepartment of Neurosurgery, Helios Klinikum Erfurt, Nordhäuser Str. 74, 99089, Erfurt, Germany.
Michael BrodhunDepartment of Pathology/ Neuropathology, Helios Klinikum Erfurt, Nordhäuser Str. 74, 99089, Erfurt, Germany.
Steffen K RosahlDepartment of Neurosurgery, Helios Klinikum Erfurt, Nordhäuser Str. 74, 99089, Erfurt, Germany.
Ruediger GerlachDepartment of Neurosurgery, Helios Klinikum Erfurt, Nordhäuser Str. 74, 99089, Erfurt, Germany. ruediger.gerlach@helios-gesundheit.de.ORCID http://orcid.org/0000-0002-9097-3580

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo analyse whether the WHO grade of intracranial meningiomas differs itself depending on patients and meningioma characteristics at diagnosis.

methodsSingle center retrospective study of a series of consecutive patients with primary intracranial meningiomas who underwent surgery between January 2007 and March 2014. Patients (age, sex, outcome) and meningioma characteristics (histological diagnosis, tumor location, WHO grading, size, extend of peritumoral edema and tumor recurrence rate) were analysed.

resultsOf 240 included patients, 184 (76.7%) were female and 56 (23.3%) were male. 17 patients (7.1%) were in age group 20-40 years, 112 (46.7%) in group 41-60 years and 111 (46.3%) were in age group > 60 years. 189 patients (78.8%) were diagnosed with WHO grade I, 49 (20.4%) WHO grade II and 2 (0.8%) had a WHO grade III meningioma. WHO grade II meningiomas were significantly more frequent in the age group 20-40 years compared to age group 41-60 years (chi-square p < 0.05). Convexity meningiomas were significantly more frequent classified as WHO grade II meningiomas compared to all other locations (chi-square, p < 0.01). Mean calculated tumor volume and the tumor volume determined by volumetric measurement was significantly larger in grade II meningioma patients compared to grade I (46.3 ± 40.5 cc grade II versus 21.8 ± 27.8 cc grade I and 45.3 ± 38.2 cc versus 23.1 ± 30.0 cc respectively; t test < 0.01). Extend of the peritumoral edema was significantly larger in patients with grade II meningiomas (Wilcoxon test, p < 0.05). Short term outcome did not differ between different age groups nor was it associated with tumor size. During a mean follow up of 49 months (min 3, max 144 months) recurrence rate was significantly higher in WHO grade II (4 out of 49 [8.2]%) compared to WHO grade I patients (3 out if 186, [1.6%]; Chi-square, p < 0.05).

conclusionIn this series atypical meningioma was associated with younger age, location on the convexity, larger tumor size and more peritumoral edema.

Indexed as

AdultAge FactorsBrain EdemaFemaleHumansMaleMeningeal NeoplasmsMeningiomaMiddle AgedNeoplasm GradingRetrospective StudiesWorld Health OrganizationYoung AdultEdemaMeningiomaOutcomeRecurrenceSurgeryWHO grading

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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.