Evidence map›Paper›PMID 33399987›Full record

ArticleJournal of cancer research and clinical oncology2021

Management, functional outcomes and survival in a French multicentric series of 118 adult patients with cerebellar glioblastoma.

Thiébaud Picart, David Meyronet, Johan Pallud, Chloé Dumot, Philippe Metellus, Sonia Zouaoui, Moncef Berhouma, François Ducray, Luc Bauchet, Jacques Guyotat and 2 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Journal of cancer research and clinical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

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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

12 authors at 8 institutions in 1 country.

Thiébaud PicartDepartment of Neurosurgery, Hospices Civils de Lyon, Hôpital Neurologique Pierre Wertheimer, 59 Boulevard Pinel, 69667, Bron, France. thiebaud.picart@chu-lyon.fr.ORCID http://orcid.org/0000-0001-6494-6725
David MeyronetClaude Bernard University Lyon 1, Lyon, France.ORCID http://orcid.org/0000-0001-9943-4578
Johan PalludDepartment of Neurosurgery, Hôpital Sainte-Anne, Paris, France.ORCID http://orcid.org/0000-0002-1652-9844
Chloé DumotDepartment of Neurosurgery, Hospices Civils de Lyon, Hôpital Neurologique Pierre Wertheimer, 59 Boulevard Pinel, 69667, Bron, France.
Philippe MetellusHôpital Privé Clairval, Ramsay Général de Santé, Marseille, France.ORCID http://orcid.org/0000-0001-8987-8116
Sonia ZouaouiDepartment of Neurosurgery, Montpellier University Hospital, Montpellier, France.ORCID http://orcid.org/0000-0003-0467-3280
Moncef BerhoumaDepartment of Neurosurgery, Hospices Civils de Lyon, Hôpital Neurologique Pierre Wertheimer, 59 Boulevard Pinel, 69667, Bron, France.ORCID http://orcid.org/0000-0003-1852-071X
François DucrayClaude Bernard University Lyon 1, Lyon, France.ORCID http://orcid.org/0000-0002-8150-5785
Luc Bauchet *Department of Neurosurgery, Montpellier University Hospital, Montpellier, France.ORCID http://orcid.org/0000-0003-1077-2496
Jacques Guyotat *Department of Neurosurgery, Hospices Civils de Lyon, Hôpital Neurologique Pierre Wertheimer, 59 Boulevard Pinel, 69667, Bron, France.
French Brain Tumor DataBase
Club de Neuro-Oncologie of the Société Française de Neurochirurgie
Université Claude Bernard Lyon 1 · FRCentre de Recherche en Cancérologie de Lyon · FRDélégation Paris 5 · FRHospices Civils de Lyon · FRInserm · FRInstitut de Neurophysiopathologie · FRInstitut de Psychiatrie et Neurosciences de Paris · FRUniversité de Montpellier · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo analyze the outcomes and predictors in a large series of cerebellar glioblastomas in order to guide patient management.

methodsThe French brain tumor database and the Club de Neuro-Oncologie of the Société Française de Neurochirurgie retrospectively identified adult patients with cerebellar glioblastoma diagnosed between 2003 and 2017. Diagnosis was confirmed by a centralized neuropathological review.

resultsData from 118 cerebellar glioblastoma patients were analyzed (mean age 55.9 years, 55.1% males). The clinical presentation associated raised intracranial pressure (50.8%), static cerebellar syndrome (68.6%), kinetic cerebellar syndrome (49.2%) and/or cranial nerve disorders (17.8%). Glioblastomas were hemispheric (55.9%), vermian (14.4%) or both (29.7%). Hydrocephalus was present in 49 patients (41.5%). Histologically, tumors corresponded either to IDH-wild-type or to K27-mutant glioblastomas. Surgery consisted of total (12.7%), subtotal (35.6%), partial resection (33.9%) or biopsy (17.8%). The postoperative Karnofsky performance status was improved, stable and worsened in 22.4%, 43.9% and 33.7% of patients, respectively. Progression-free and overall survivals reached 5.1 months and 9.1 months, respectively. Compared to other surgical strategies, total or subtotal resection improved the Karnofsky performance status (33.3% vs 12.5%, p < 0.001), prolonged progression-free and overall survivals (6.5 vs 4.3 months, p = 0.015 and 16.7 vs 6.2 months, p < 0.001, respectively) and had a comparable complication rate (40.4% vs 31.1%, p = 0.29). After total or subtotal resection, the functional outcomes were correlated with age (p = 0.004) and cerebellar hemispheric tumor location (p < 0.001) but not brainstem infiltration (p = 0.16).

conclusionIn selected patients, maximal resection of cerebellar glioblastoma is associated with improved onco-functional outcomes, compared with less invasive procedures.

Indexed as

Cerebellar NeoplasmsGlioblastomaAdultAgedCognitionCombined Modality TherapyFemaleFranceHumansMaleMiddle AgedNeuroimagingNeurosurgical ProceduresPrognosisSurvival AnalysisTreatment OutcomeCerebellar glioblastomaNeuro-oncologyNeurosurgeryOnco-functional outcomeSurvival analysis

Identifiers

PMID33399987
PMCPMC11802107
OpenAlexW3120232949

What OpenQuestion holds

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Registered trials

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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.