Evidence map›Paper›PMID 33850188›Full record

ArticleScientific reports2021

Radiotherapy for brain metastasis and long-term survival.

Kawngwoo Park, Gi Hwan Bae, Woo Kyung Kim, Chan-Jong Yoo, Cheol Wan Park, Soo-Ki Kim, Jihye Cha, Jin Wook Kim, Jaehun Jung

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Malignant Brain and Spinal Tumors Originating from Bone or Cartilage.Advances in experimental medicine and biology · 2023
    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

9 authors at 4 institutions in 1 country.

Kawngwoo Park *Department of Neurosurgery, Gachon University Gil Medical Center, Incheon, 21565, Republic of Korea.
Gi Hwan Bae *Department of Preventive Medicine, Gachon University College of Medicine, Incheon, 21565, Republic of Korea.
Woo Kyung KimDepartment of Neurosurgery, Gachon University Gil Medical Center, Incheon, 21565, Republic of Korea.
Chan-Jong YooDepartment of Neurosurgery, Gachon University Gil Medical Center, Incheon, 21565, Republic of Korea.
Cheol Wan ParkDepartment of Emergency Medicine, Gachon University Gil Medical Center, Incheon, 21565, Republic of Korea.
Soo-Ki KimDepartment of Microbiology, Wonju College of Medicine, Yonsei University, Wonju, 26426, Republic of Korea.
Jihye ChaDepartment of Radiation Oncology, Wonju College of Medicine, Yonsei University, Wonju, 26426, Republic of Korea.
Jin Wook KimDepartment of Neurosurgery, Seoul National University College of Medicine, Seoul, 03080, Republic of Korea.
Jaehun JungDepartment of Preventive Medicine, Gachon University College of Medicine, Incheon, 21565, Republic of Korea. eastside1st@gmail.com.
Gachon University Gil Medical Center · KRYonsei University · KRGachon University · KRSeoul National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with brain metastases (BM) can benefit from radiotherapy (RT), although the long-term benefits of RT remain unclear. We searched a Korean national health insurance claims database and identified 135,740 patients with newly diagnosed BM during 2002-2017. Propensity score matching (PSM) was used to evaluate survival according to RT modality, which included whole-brain radiotherapy (WBRT) and/or stereotactic radiosurgery (SRS). The 84,986 eligible patients were followed for a median interval of 6.6 months, and 37,046 patients underwent RT (43.6%). After the PSM, patients who underwent RT had significantly better overall survival after 1 year (42.4% vs. 35.3%, P < 0.001), although there was no significant difference at 2.6 years, and patients who did not undergo RT had better survival after 5 years. Among patients with BM from lung cancer, RT was also associated with a survival difference after 1 year (57.3% vs. 32.8%, P < 0.001) and a median survival increase of 3.7 months. The 1-year overall survival rate was significantly better for SRS than for WBRT (46.4% vs. 38.8%, P < 0.001). Among Korean patients with BM, especially patients with primary lung cancer, RT improved the short-term survival rate, and SRS appears to be more useful than WBRT in this setting.

Indexed as

Brain NeoplasmsRadiosurgeryAdultAgedFemaleHumansLung NeoplasmsMaleMiddle AgedRepublic of KoreaRetrospective StudiesSurvival Rate

Identifiers

PMID33850188
PMCPMC8044241
OpenAlexW3156764913

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.