Evidence map›Paper›PMID 32222933›Full record

ArticleJournal of neuro-oncology2020

Effect of early radiotherapy initiation and high-dose chemotherapy on the prognosis of pediatric atypical teratoid rhabdoid tumors in different age groups.

Wan-Chin Yang, Hsiu-Ju Yen, Muh-Lii Liang, Hsin-Hung Chen, Yi-Yen Lee, Feng-Chi Chang, Shih-Chieh Lin, Tai-Tong Wong, Yu-Wen Hu, Yi-Wei Chen

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Article 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 38% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

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  6. 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

10 authors at 3 institutions in 1 country.

Wan-Chin YangDivision of Radiation Oncology, Department of Oncology, Taipei Veterans General Hospital, No. 201, Sec. 2, Shipai Road, Beitou District, Taipei, 112, Taiwan (ROC).
Hsiu-Ju YenSchool of Medicine, National Yang-Ming University No, 155, Sec.2, Linong Street, Taipei, 112, Taiwan (ROC).
Muh-Lii LiangSchool of Medicine, National Yang-Ming University No, 155, Sec.2, Linong Street, Taipei, 112, Taiwan (ROC).
Hsin-Hung ChenSchool of Medicine, National Yang-Ming University No, 155, Sec.2, Linong Street, Taipei, 112, Taiwan (ROC).
Yi-Yen LeeSchool of Medicine, National Yang-Ming University No, 155, Sec.2, Linong Street, Taipei, 112, Taiwan (ROC).
Feng-Chi ChangSchool of Medicine, National Yang-Ming University No, 155, Sec.2, Linong Street, Taipei, 112, Taiwan (ROC).
Shih-Chieh LinSchool of Medicine, National Yang-Ming University No, 155, Sec.2, Linong Street, Taipei, 112, Taiwan (ROC).
Tai-Tong WongDepartment of Neurosurgery, Taipei Medical University Hospital, No.252, Wuxing St, Xinyi District, Taipei, Taiwan (ROC).
Yu-Wen HuDivision of Radiation Oncology, Department of Oncology, Taipei Veterans General Hospital, No. 201, Sec. 2, Shipai Road, Beitou District, Taipei, 112, Taiwan (ROC). ywhu@vghtpe.gov.tw.
Yi-Wei ChenDivision of Radiation Oncology, Department of Oncology, Taipei Veterans General Hospital, No. 201, Sec. 2, Shipai Road, Beitou District, Taipei, 112, Taiwan (ROC). chenyw@vghtpe.gov.tw.
National Yang Ming Chiao Tung University · TWTaipei Veterans General Hospital · TWTaipei Medical University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe optimal treatment strategy for pediatric atypical teratoid rhabdoid tumor (ATRT) is inconclusive. This study evaluated the prognostic value of early radiotherapy (RT) and high-dose chemotherapy with autologous stem cell rescue (HDC/ASCR) in pediatric ATRT.

methodsThis pooled analysis included ATRT patients treated at our institution and from other studies who were identified by a search of the PubMed electronic database. The effect of patient demographics and treatment profiles on progression-free survival (PFS) and overall survival (OS) were analyzed using Cox regression.

resultsOverall, 34 patients from our institution and 436 patients from 35 published studies were included. In multivariable analysis, patients with gross total resection (GTR), early RT (time to RT interval < 2 months), and HDC/ASCR had both better PFS [hazard ratio (HR) 0.46, p[Formula: see text] 0.001; HR 0.64, p = 0.011; and HR 0.51, p = 0.005, respectively] and OS (HR 0.55, p = 0.002; HR 0.48, p = 0.004; and HR 0.42, p < 0.001, respectively). For patients aged < 3 years, both RT and HDC/ASCR were significant favorable factors for PFS (HR 0.32 and 0.46, respectively) and OS (HR 0.40 and 0.36, respectively), while early RT was not prognostic. For patients aged ≥ 3 years, early RT was significantly associated with better PFS (HR 0.51) and HDC/ASCR did not affect PFS, and neither was related to OS.

conclusionBoth early RT initiation and HDC/ASCR were important components in the treatment of pediatric ATRT. However, the optimal treatment strategies might differ by age.

Indexed as

AdolescentAdultChildCombined Modality TherapyFemaleHumansMalePrognosisRhabdoid TumorTeratomaTreatment OutcomeYoung AdultAgeATRTEthnicityHigh-dose chemotherapyRadiotherapy

Identifiers

PMID32222933
OpenAlexW3013054371

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.