Evidence map›Paper›PMID 33585818›Full record

ArticleNeuro-oncology advances

Incidence and real-world burden of brain metastases from solid tumors and hematologic malignancies in Ontario: a population-based study.

Steven Habbous, Katharina Forster, Gail Darling, Katarzyna Jerzak, Claire M B Holloway, Arjun Sahgal, Sunit Das

Open access · goldAbstract read
In one paragraph

Article in Neuro-oncology advances. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 8% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Focused ultrasound for brain metastases.Neuro-oncology advances · 2026
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Hyperglycemia is associated with poor survival in patients with brain metastases treated with radiotherapy.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2025
    Article
  15. Article
  16. Brain Metastases From Solid Cancers in 58 Dogs.Veterinary medicine and science · 2025
    Article
  17. Review
  18. Article
  19. Article
  20. 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

7 authors at 4 institutions in 1 country.

Steven HabbousOntario Health (Cancer Care Ontario), Toronto, Ontario, Canada.ORCID 0000-0002-9650-9105
Katharina ForsterOntario Health (Cancer Care Ontario), Toronto, Ontario, Canada.
Gail DarlingOntario Health (Cancer Care Ontario), Toronto, Ontario, Canada.ORCID 0000-0001-8430-3516
Katarzyna JerzakFaculty of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-3995-0308
Claire M B HollowayOntario Health (Cancer Care Ontario), Toronto, Ontario, Canada.
Arjun SahgalFaculty of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0001-7991-8970
Sunit DasOntario Health (Cancer Care Ontario), Toronto, Ontario, Canada.ORCID 0000-0002-2146-4168
Sunnybrook Health Science Centre · CACancer Care Ontario · CASt. Michael's Hospital · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough intracranial metastatic disease (IMD) is a frequent complication of cancer, most cancer registries do not capture these cases. Consequently, a data-gap exists, which thwarts system-level quality improvement efforts. The purpose of this investigation was to determine the real-world burden of IMD.

methodsPatients diagnosed with a non-CNS cancer between 2010 and 2018 were identified from the Ontario Cancer Registry. IMD was identified by scanning hospital administrative databases for cranial irradiation or coding for a secondary brain malignancy (ICD-10 code C793).

results25,478 of 601,678 (4.2%) patients with a diagnosis of primary cancer were found to have IMD. The median time from primary cancer diagnosis to IMD was 5.2 (0.7, 15.4) months and varied across disease sites, for example, 2.1 months for lung, 7.3 months for kidney, and 22.8 months for breast. Median survival following diagnosis with IMD was 3.7 months. Lung cancer accounted for 60% of all brain metastases, followed by breast cancer (11%) and melanoma (6%). More advanced stage at diagnosis and younger age were associated with a higher likelihood of developing IMD (

conclusionIMD represents a significant burden in patients with systemic cancers and is a significant cause of cancer mortality. Our findings support measures to actively capture incidents of brain metastasis in cancer registries.

Indexed as

brain imagingbrain metastasesincidenceintracranial metastatic disease

Identifiers

PMID33585818
PMCPMC7872008
OpenAlexW3117230682

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.