Evidence map›Paper›PMID 32765889›Full record

ReviewNeuro-oncology practice2020

A systematic review and meta-analysis examining the effects of cannabis and its derivatives in adults with malignant CNS tumors.

Jesus-Eduardo Rodriguez-Almaraz, Susan Chang, Jennifer Clarke, Nancy Ann Oberheim-Bush, Jennie Taylor, Robin Buerki, Mitchel Berger, Lydia Zablotska, Iryna Lobach, Nicholas Butowski

Open access · greenAbstract readReview
In one paragraph

Review in Neuro-oncology practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Cannabinoids in Medicine: Cancer, Immunity, and Microbial Diseases.International journal of molecular sciences · 2020
    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 1 institution in 1 country.

Jesus-Eduardo Rodriguez-AlmarazUniversity of California, San Francisco, Neuro-Oncology Division.
Susan ChangUniversity of California, San Francisco, Neuro-Oncology Division.
Jennifer ClarkeUniversity of California, San Francisco, Neuro-Oncology Division.
Nancy Ann Oberheim-BushUniversity of California, San Francisco, Neuro-Oncology Division.
Jennie TaylorUniversity of California, San Francisco, Neuro-Oncology Division.
Robin BuerkiUniversity of California, San Francisco, Neuro-Oncology Division.
Mitchel BergerUniversity of California, San Francisco, Neuro-Oncology Division.
Lydia ZablotskaUniversity of California, San Francisco, Department of Epidemiology and Biostatistics.
Iryna LobachUniversity of California, San Francisco, Department of Epidemiology and Biostatistics.
Nicholas ButowskiUniversity of California, San Francisco, Neuro-Oncology Division.
University of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary CNS tumors constitute a heterogeneous group of neoplasms that share a considerable morbidity and mortality rate. To help control tumor growth and clinical outcomes (overall survival, progression-free survival, quality of life) symptoms, patients often resort to alternative therapies, including the use of cannabis. Despite rapidly growing popularity, cannabis and its impact on patients with primary malignant CNS tumors is understudied.

methodsTo shed light on the lack of scientific evidence in this field, in November 2018 we conducted a search and examination of cannabis in neuro-oncology in major journal databases and bibliographies of selected articles, and through abstracts of annual meetings using prespecified criteria in line with the Cochrane Collaboration guidelines.

resultsWe identified 45 publications, of which 9 were selected. Five studies were included. Publication dates ranged from 2004 to 2018 and included varying histologies of primary brain tumors. The average survival at 1 year was 56.09% (95% CI: 48.28-63.9). There was no difference in risk ratio (RR) for death at 1 year between groups (RR: 1.069 [95% CI: 0.139-8.25]). We found strong evidence of heterogeneity (Q = 74.0%;

conclusionsThere was limited moderate-quality evidence that supports the use of cannabinoids as adjuvant to the standard of care in the treatment of brain and CNS tumors. There was very low-quality evidence suggesting that cannabinoids were associated with adult-onset gliomas. Further prospective clinical trials are necessary to adequately evaluate the impact of cannabinoids on CNS tumors, specifically on survival and quality of life.

Indexed as

adult gliomacannabisclinical outcomesCNS tumors

Identifiers

PMID32765889
PMCPMC7393278
OpenAlexW3014098096

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.