Evidence map›Paper›PMID 33420897›Full record

ArticleJournal of neuro-oncology2021

Resected WHO grade I meningioma and predictors of local control.

Kamila Nowak-Choi, Joshua D Palmer, James Casey, Ameet Chitale, Ingrid Kalchman, Elizabeth Buss, Scott W Keith, Sarah E Hegarty, Mark Curtis, Charalambos Solomides and 5 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of neuro-oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Signaling pathways in brain tumors and therapeutic interventions.Signal transduction and targeted therapy · 2023
    Review
  16. Article
  17. Article
  18. Article
  19. Article
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.

Kamila Nowak-Choi *Department of Radiation Oncology, Medstar Franklin Square Hospital, Baltimore, MD, USA.
Joshua D Palmer *Department of Radiation Oncology and Department of Neurosurgery, The James Cancer Hospital and Solove Research Institute, The Ohio State University Comprehensive Cancer Center, Columbus, OH, 43210, USA. Joshua.palmer@osumc.edu.ORCID http://orcid.org/0000-0003-3311-0129
James CaseyDepartment of Neurosurgery, Sidney Kimmel Medical College, Philadelphia, PA, USA.
Ameet ChitaleDepartment of Neurosurgery, Sidney Kimmel Medical College, Philadelphia, PA, USA.
Ingrid KalchmanSidney Kimmel Medical College, Philadelphia, PA, USA.
Elizabeth BussSidney Kimmel Medical College, Philadelphia, PA, USA.
Scott W KeithDivision of Biostatistics, Department of Pharmacology and Experimental Therapeutics, Sidney Kimmel Medical College, Philadelphia, PA, USA.
Sarah E HegartyDivision of Biostatistics, Department of Pharmacology and Experimental Therapeutics, Sidney Kimmel Medical College, Philadelphia, PA, USA.
Mark CurtisDepartment of Pathology, Anatomy and Cell Biology, Sidney Kimmel Medical College, Philadelphia, PA, USA.
Charalambos SolomidesDepartment of Pathology, Anatomy and Cell Biology, Sidney Kimmel Medical College, Philadelphia, PA, USA.
Wenyin ShiDepartment of Radiation Oncology, Sidney Kimmel Medical College, Philadelphia, PA, USA.
Kevin JudyDepartment of Neurosurgery, Sidney Kimmel Medical College, Philadelphia, PA, USA.
David W AndrewsDepartment of Neurosurgery, Sidney Kimmel Medical College, Philadelphia, PA, USA.
Christopher FarrellDepartment of Neurosurgery, Sidney Kimmel Medical College, Philadelphia, PA, USA.
Maria Werner-WasikDepartment of Radiation Oncology, Sidney Kimmel Medical College, Philadelphia, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite optimal surgical resection, meningiomas may recur, with increasing grade and the degree of resection being predictive of risk. We hypothesize that an increasing Ki67 correlates with a higher risk of recurrence of resected WHO grade I meningiomas.

methodsThe study population consisted of patients with resected WHO grade 1 meningiomas in locations outside of the base of skull. Digitally scanned slides stained for Ki67 were analyzed using automatic image analysis software in a standardized fashion.

resultsRecurrence was observed in 53 (17.7%) of cases with a median follow up time of 25.8 months. Ki67 ranged from 0 to 30%. Median Ki67 was 5.1% for patients with recurrence and 3.5% for patients without recurrence. In unadjusted analyses, high Ki-67 (≥ 5 vs. < 5) vs. ≥ 5) was associated with over a twofold increased risk of recurrence (13.1% vs. 27% respectively; HR 2.1731; 95% CI [1.2534, 3.764]; p = 0.006). After Adjusting for patient or tumor characteristics, elevated Ki-67 remained significantly correlated with recurrence. Grade 4 Simpson resection was noted in 71 (23.7%) of patients and it was associated with a significantly increased risk of recurrence (HR 2.56; 95% CI [1.41, 4.6364]; p = 0.002).

conclusionsWHO grade 1 meningiomas exhibit a significant rate of recurrence following resection. While Ki-67 is not part of the WHO grading criteria of meningiomas, a value greater than 5% is an independent predictor for increased risk of local recurrence following surgical resection.

Indexed as

Mitotic IndexAdultAgedAged, 80 and overBiomarkers, TumorFemaleHumansKi-67 AntigenMaleMeningeal NeoplasmsMeningiomaMiddle AgedNeoplasm GradingNeoplasm Recurrence, LocalRetrospective StudiesWorld Health OrganizationBiomarkers, TumorKi-67 AntigenExtent of resectionKi-67Radiation treatmentRecurrence riskWHO grade I meningioma

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.