Evidence map›Paper›PMID 33305077›Full record

ArticleAdvances in radiation oncology

Evaluation of Prognostic Factors and Role of Participation in a Randomized Trial or a Prospective Registry in Pediatric and Adolescent Nonmetastatic Medulloblastoma - A Report From the HIT 2000 Trial.

Stefan Dietzsch, Felix Placzek, Klaus Pietschmann, André O von Bueren, Christiane Matuschek, Albrecht Glück, Matthias Guckenberger, Volker Budach, Jutta Welzel, Christoph Pöttgen and 28 more

Abstract read
In one paragraph

Article in Advances in radiation oncology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  10. Postoperative speech impairment and cranial nerve deficits after secondary surgery of posterior fossa tumours in childhood: a prospective European multicentre study.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022
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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

38 authors.

Stefan DietzschDepartment for Radiation Oncology, University of Leipzig Medical Center, Leipzig, Germany.
Felix PlaczekDepartment for Radiation Oncology, University of Leipzig Medical Center, Leipzig, Germany.
Klaus PietschmannDepartment for Radiation Oncology, University of Leipzig Medical Center, Leipzig, Germany.
André O von BuerenDepartment of Pediatrics, Obstetrics and Gynecology, Division of Pediatric Hematology and Oncology, University Hospital Geneva, CANSEARCH Research Laboratory, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Christiane MatuschekDepartment of Radiation Oncology, Medical Faculty, Heinrich Heine University of Düsseldorf, Düsseldorf, Germany.
Albrecht GlückRadiation Oncology, Munich-Schwabing Municipal Hospital, Munich, Germany.
Matthias GuckenbergerDepartment of Radiation Oncology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Volker BudachDepartment for Radiation Oncology, Charité School of Medicine and University Hospital Berlin, Berlin, Germany.
Jutta WelzelDepartment of Radiation Oncology, Pius Hospital Oldenburg, Oldenburg, Germany.
Christoph PöttgenDepartment of Radiotherapy, West German Cancer Center, University of Duisburg-Essen, Essen, Germany.
Heinz SchmidbergerDepartment for Radiation Oncology, University of Mainz Medical Center, Mainz, Germany.
Frank HeinzelmannDepartment for Radiation Oncology, University of Tuebingen Medical Center, Tuebingen, Germany.
Frank PaulsenDepartment for Radiation Oncology, University of Tuebingen Medical Center, Tuebingen, Germany.
Montserrat Pazos EscuderoDepartment of Radiotherapy and Radiation Oncology, Ludwig Maximilian University Munich, Munich, Germany.
Rudolf SchwarzDepartment of Radiation Oncology, University Medical Center Eppendorf, Hamburg, Germany.
Dagmar HornungDepartment of Radiation Oncology, University Medical Center Eppendorf, Hamburg, Germany.
Carmen MartiniDepartment of Radiation Oncology, University Medical Center Freiburg, Freiburg, Germany.
Anca Ligia GrosuDepartment of Radiation Oncology, University Medical Center Freiburg, Freiburg, Germany.
Georg StuebenDepartment of Radiation Oncology, University Medical Center Augsburg, Augsburg, Germany.
Karolina JablonskaDepartment of Radiation Oncology, University Medical Center Cologne, Cologne, Germany.
Juergen DunstDepartment of Radiation Oncology, University Hospital Schleswig-Holstein, Kiel, Germany.
Heidi Stranzl-LawatschDepartment of Therapeutic Radiology and Oncology, Medical University of Graz, Graz, Austria.
Karin DieckmannDepartment of Radiotherapy, Medical University of Vienna, Vienna, Austria.
Beate TimmermannClinic for Particle Therapy, West German Proton Therapy Centre, University of Essen, Essen, Germany.
Torsten PietschDepartment of Neuropathology, DGNN Brain Tumor Reference Center, University of Bonn, Bonn, Germany.
Monika Warmuth-MetzInstitute of Diagnostic and Interventional Neuroradiology, University Hospital of Wuerzburg, Wuerzburg, Germany.
Brigitte BisonInstitute of Diagnostic and Interventional Neuroradiology, University Hospital of Wuerzburg, Wuerzburg, Germany.
Robert KwiecienInstitute of Biometry and Clinical Research, University of Muenster, Muenster, Germany.
Martin BeneschDivision of Pediatric Hematology/Oncology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria.
Nicolas U GerberUniversity Children's Hospital of Zurich, Switzerland.
Michael A GrotzerUniversity Children's Hospital of Zurich, Switzerland.
Stefan M PfisterHopp Children's Cancer Center Heidelberg (KiTZ), Division of Pediatric Neurooncology, German Cancer Research Center (DKFZ) and German Cancer Consortium (DKTK), Department of Pediatric Oncology, Hematology and Immunology, Heidelberg University Hospital, Heidelberg, Germany.
Steven C CliffordWolfson Childhood Cancer Research Centre, Newcastle University Centre for Cancer, Newcastle upon Tyne, United Kingdom.
Katja von HoffDepartment of Pediatric Oncology and Hematology, Charité University Medicine Berlin, Berlin, Germany.
Sabine KlaggesDepartment for Radiation Oncology, University of Leipzig Medical Center, Leipzig, Germany.
Stefan RutkowskiDepartment of Pediatric Hematology and Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Rolf-Dieter KortmannDepartment for Radiation Oncology, University of Leipzig Medical Center, Leipzig, Germany.
Martin MynarekDepartment of Pediatric Hematology and Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Funding

Cancer Research UK 13457
6 · The paper itself

Abstract

purposeWe aimed to compare treatment results in and outside of a randomized trial and to confirm factors influencing outcome in a large retrospective cohort of nonmetastatic medulloblastoma treated in Austria, Switzerland and Germany. METHODS AND MATERIALS: Patients with nonmetastatic medulloblastoma (n = 382) aged 4 to 21 years and primary neurosurgical resection between 2001 and 2011 were assessed. Between 2001 and 2006, 176 of these patients (46.1%) were included in the randomized HIT SIOP PNET 4 trial. From 2001 to 2011 an additional 206 patients were registered to the HIT 2000 study center and underwent the identical central review program. Three different radiation therapy protocols were applied. Genetically defined tumor entity (former molecular subgroup) was available for 157 patients.

resultsMedian follow-up time was 7.3 (range, 0.09-13.86) years. There was no difference between HIT SIOP PNET 4 trial patients and observational patients outside the randomized trial, with 7 years progression-free survival rates (PFS) of 79.5% ± 3.1% versus 78.7% ± 3.1% (

conclusionsUsing a centralized review program and risk-stratified therapy for all patients registered to the study center, outcome was identical for patients with nonmetastatic medulloblastoma treated on and off the randomized HIT SIOP PNET 4 trial. The prognostic values of prolonged time to RT and genetically defined tumor entity were confirmed.

Identifiers

PMID33305077
PMCPMC7718550

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