Evidence map›Paper›PMID 33864773›Full record

ReviewNeuro-Chirurgie2022

Brain metastases: An update on the multi-disciplinary approach of clinical management.

D K Mitchell, H J Kwon, P A Kubica, W X Huff, R O'Regan, M Dey

Open access · bronzeAbstract readReview
In one paragraph

Review in Neuro-Chirurgie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
4.3field-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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
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  7. Review
  8. Article
  9. Whole-brain radiotherapy with simultaneous integrated boost in treatment of patients with brain metastases: a systematic review and meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  10. Article
  11. Review
  12. Article
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  14. Whole brain radiotherapy and simultaneous integrated boost: is it still a viable treatment for multiple brain metastases in the era of SRS?Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2026
    Article
  15. Living with brain metastasis - a qualitative study of patients' and family members' coping strategies.International journal of qualitative studies on health and well-being · 2025
    Article
  16. Article
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  18. Review
  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

6 authors at 2 institutions in 1 country.

D K MitchellDepartment of Neurosurgery, Indiana University School of Medicine, Indiana University Purdue University Indianapolis, Indianapolis, IN, USA.
H J KwonDepartment of Neurosurgery, Indiana University School of Medicine, Indiana University Purdue University Indianapolis, Indianapolis, IN, USA.
P A KubicaDepartment of Neurosurgery, University of Wisconsin School of Medicine & Public Health, UW Carbone Cancer Center, 600 Highland Ave, Madison, WI, 53792, USA.
W X HuffDepartment of Neurosurgery, Indiana University School of Medicine, Indiana University Purdue University Indianapolis, Indianapolis, IN, USA.
R O'ReganDepartment of Medicine/Hematology Oncology, University of Wisconsin School of Medicine & Public Health, UW Carbone Cancer Center, Madison, WI, USA.
M DeyDepartment of Neurosurgery, University of Wisconsin School of Medicine & Public Health, UW Carbone Cancer Center, 600 Highland Ave, Madison, WI, 53792, USA. Electronic address: dey@neurosurgery.wisc.edu.
Indiana University – Purdue University Indianapolis · USUniversity of Wisconsin Carbone Cancer Center · US

Funding

Plasmacytoid Dendritic Cells in Malignant GliomaK08NS092895 · NINDS · UNIVERSITY OF WISCONSIN-MADISON · PI DEY, MAHUA · 2016 to 2020
$917k
NINDS NIH HHS K08 NS092895
6 · The paper itself

Abstract

importanceBrain metastasis (BM) is the most common malignant intracranial neoplasm in adults with over 100,000 new cases annually in the United States and outnumbering primary brain tumors 10:1. OBSERVATIONS: The incidence of BM in adult cancer patients ranges from 10-40%, and is increasing with improved surveillance, effective systemic therapy, and an aging population. The overall prognosis of cancer patients is largely dependent on the presence or absence of brain metastasis, and therefore, a timely and accurate diagnosis is crucial for improving long-term outcomes, especially in the current era of significantly improved systemic therapy for many common cancers. BM should be suspected in any cancer patient who develops new neurological deficits or behavioral abnormalities. Gadolinium enhanced MRI is the preferred imaging technique and BM must be distinguished from other pathologies. Large, symptomatic lesion(s) in patients with good functional status are best treated with surgery and stereotactic radiosurgery (SRS). Due to neurocognitive side effects and improved overall survival of cancer patients, whole brain radiotherapy (WBRT) is reserved as salvage therapy for patients with multiple lesions or as palliation. Newer approaches including multi-lesion stereotactic surgery, targeted therapy, and immunotherapy are also being investigated to improve outcomes while preserving quality of life.

conclusionWith the significant advancements in the systemic treatment for cancer patients, addressing BM effectively is critical for overall survival. In addition to patient's performance status, therapeutic approach should be based on the type of primary tumor and associated molecular profile as well as the size, number, and location of metastatic lesion(s).

Indexed as

Brain NeoplasmsRadiosurgeryAdultAgedCranial IrradiationHumansPrognosisQuality of LifeRetrospective StudiesSalvage TherapyBrain metastasisCancerChemotherapyLung cancerNeurosurgeryRadiation

Identifiers

PMID33864773
PMCPMC8514593
OpenAlexW3153010787

What OpenQuestion holds

Textmetadata
LicenceTDM
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.