Evidence map›Paper›PMID 32157552›Full record

SynthesisJournal of neuro-oncology2020

Trends in glioblastoma: outcomes over time and type of intervention: a systematic evidence based analysis.

Lina Marenco-Hillembrand, Olindi Wijesekera, Paola Suarez-Meade, David Mampre, Christina Jackson, Jennifer Peterson, Daniel Trifiletti, Julie Hammack, Kyle Ortiz, Elizabeth Lesser and 5 more

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of neuro-oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 142 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
142citing papers in PubMed, 5 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

142 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Frontiers in neurology · 2024
    Pooled it
  5. Pooled it
  6. Review
  7. Review
  8. Next-generation therapeutics for glioblastoma: Challenges and future directions.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
  9. NAR cancer · 2026
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Targeting BRD4-A Promising Therapeutic Option for Glioblastoma?International journal of molecular sciences · 2026
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article

82 more citing papers are in PubMed but not listed here.

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

15 authors.

Lina Marenco-HillembrandDepartment of Neurological Surgery, Mayo Clinic, 4500 San Pablo Road South, Jacksonville, FL, 32224, USA.
Olindi WijesekeraDepartment of Neurological Surgery, Case Western University, Cleveland, OH, USA.
Paola Suarez-MeadeDepartment of Neurological Surgery, Mayo Clinic, 4500 San Pablo Road South, Jacksonville, FL, 32224, USA.
David MampreSchool of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Christina JacksonDepartment of Neurological Surgery, Johns Hopkins University, Baltimore, MD, USA.
Jennifer PetersonDepartment of Radiation Oncology, Mayo Clinic, Jacksonville, FL, USA.
Daniel TrifilettiDepartment of Radiation Oncology, Mayo Clinic, Jacksonville, FL, USA.
Julie HammackDepartment of Neurology, Mayo Clinic, Jacksonville, FL, USA.
Kyle OrtizSchool of Medicine, University of Puerto Rico, San Juan, PR, USA.
Elizabeth LesserDivision of Biomedical Statistics and Bioinformatics, Mayo Clinic, Jacksonville, FL, USA.
Matthew SpiegelDivision of Biomedical Statistics and Bioinformatics, Mayo Clinic, Jacksonville, FL, USA.
Calder PrevattDepartment of Neurological Surgery, Mayo Clinic, 4500 San Pablo Road South, Jacksonville, FL, 32224, USA.
Maria HawayekSchool of Medicine, University of Puerto Rico, San Juan, PR, USA.
Alfredo Quinones-HinojosaDepartment of Neurological Surgery, Mayo Clinic, 4500 San Pablo Road South, Jacksonville, FL, 32224, USA.
Kaisorn L ChaichanaDepartment of Neurological Surgery, Mayo Clinic, 4500 San Pablo Road South, Jacksonville, FL, 32224, USA. Chaichana.Kaisorn@mayo.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite aggressive treatment with chemoradiotherapy and maximum surgical resection, survival in patients with glioblastoma (GBM) remains poor. Ongoing efforts are aiming to prolong the lifespan of these patients; however, disparities exist in reported survival values with lack of clear evidence that objectively examines GBM survival trends. We aim to describe the current status and advances in the survival of patients with GBM, by analyzing median overall survival through time and between treatment modalities.

methodsA systematic review was conducted according to PRISMA guidelines to identify articles of newly diagnosed glioblastoma from 1978 to 2018. Full-text glioblastoma papers with human subjects, ≥ 18 years old, and n ≥ 25, were included for evaluation.

resultsThe central tendency of median overall survival (MOS) was 13.5 months (2.3-29.6) and cumulative 5-year survival was 5.8% (0.01%-29.1%), with a significant difference in survival between studies that predate versus postdate the implementation of temozolomide and radiation, [12.5 (2.3-28) vs 15.6 (3.8-29.6) months, P < 0.001]. In clinical trials, bevacizumab [18.2 (10.6-23.0) months], tumor treating fields (TTF) [20.7 (20.5-20.9) months], and vaccines [19.2 (15.3-26.0) months] reported the highest central measure of median survival.

conclusionCoadministration with radiotherapy and temozolomide provided a statistically significant increase in survival for patients suffering from glioblastoma. However, the natural history for GBM remains poor. Therapies including TTF pooled values of MOS and provide means of prolonging the survival of GBM patients.

Indexed as

Brain NeoplasmsChemoradiotherapyCombined Modality TherapyEvidence-Based MedicineGlioblastomaHumansPrognosisSurvival RateAnalysisEpidemiologyGeographic locationGlioblastomaGliomaNeoplasmssurvivalTherapyTreatmentTrends

Identifiers

What OpenQuestion holds

Textmetadata
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.