Evidence map›Paper›PMID 33572555›Full record

ArticleCancers2021

Robotic Radiosurgery for Persistent Postoperative Acromegaly in Patients with Cavernous Sinus-Invading Pituitary Adenomas-A Multicenter Experience.

Felix Ehret, Markus Kufeld, Christoph Fürweger, Alfred Haidenberger, Paul Windisch, Susanne Fichte, Ralph Lehrke, Carolin Senger, David Kaul, Daniel Rueß and 5 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. 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 at 6 institutions in 2 countries.

Felix EhretCharité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Radiation Oncology, 13353 Berlin, Germany.ORCID 0000-0001-6177-1755
Markus KufeldEuropean Cyberknife Center, 81377 Munich, Germany.
Christoph FürwegerEuropean Cyberknife Center, 81377 Munich, Germany.
Alfred HaidenbergerEuropean Cyberknife Center, 81377 Munich, Germany.
Paul WindischEuropean Cyberknife Center, 81377 Munich, Germany.ORCID 0000-0003-1040-4888
Susanne FichteCyberKnife Center Mitteldeutschland, 99089 Erfurt, Germany.
Ralph LehrkeGerman CyberKnife Center, 59494 Soest, Germany.
Carolin SengerCharité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Radiation Oncology, 13353 Berlin, Germany.
David KaulCharité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Radiation Oncology, 13353 Berlin, Germany.
Daniel RueßDepartment of Stereotaxy and Functional Neurosurgery, Center for Neurosurgery, University Hospital Cologne, 50937 Cologne, Germany.
Maximilian RugeDepartment of Stereotaxy and Functional Neurosurgery, Center for Neurosurgery, University Hospital Cologne, 50937 Cologne, Germany.
Christian SchichorDepartment of Neurosurgery, Ludwig-Maximilians-University Munich, 81377 Munich, Germany.
Jörg-Christian TonnDepartment of Neurosurgery, Ludwig-Maximilians-University Munich, 81377 Munich, Germany.
Günter StallaMedicover Neuroendocrinology, 81667 Munich, Germany.ORCID 0000-0002-1975-3294
Alexander MuacevicEuropean Cyberknife Center, 81377 Munich, Germany.
Humboldt-Universität zu Berlin · DELudwig-Maximilians-Universität München · DEUniversity Hospital Cologne · DEGerman Cancer Research Center · DEKantonsspital Winterthur · CHMedicover · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe rates of incomplete surgical resection for pituitary macroadenomas with cavernous sinus invasion are high. In growth hormone-producing adenomas, there is a considerable risk for persistent acromegaly. Thus, effective treatment options are needed to limit patient morbidity and mortality. This multicenter study assesses the efficacy and safety of robotic radiosurgery (RRS) for patients with cavernous sinus-invading adenomas with persistent acromegaly.

methodsPatients who underwent RRS with CyberKnife for postoperative acromegaly were eligible.

resultsFifty patients were included. At a median follow-up of 57 months, the local control was 100%. The pretreatment insulin-like growth factor 1 (IGF-1) levels and indexes were 381 ng/mL and 1.49, respectively. The median dose and prescription isodose were 18 Gy and 70%, respectively. Six months after RRS, and at the last follow-up, the IGF-1 levels and indexes were 277 ng/mL and 1.14, as well as 196 ng/mL and 0.83, respectively (

conclusionsRRS is an effective treatment for this challenging patient population. IGF-1 levels are decreasing after treatment and most patients experience biochemical disease control or remission.

Indexed as

acromegalyCyberKnifegrowth hormoneinsulin-like growth factor 1pituitary adenomaradiosurgeryrobotic radiosurgery

Identifiers

PMID33572555
PMCPMC7866786
OpenAlexW3127962680

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.