Evidence map›Paper›PMID 33999382›Full record

SynthesisJournal of neuro-oncology2021

Primary and radiation induced skull base osteosarcoma: a systematic review of clinical features and treatment outcomes.

Othman Bin Alamer, Ali S Haider, Maryam Haider, Navraj S Sagoo, Faith C Robertson, Eliel N Arrey, Salah G Aoun, Kenny Yu, Aaron A Cohen-Gadol, Tarek Y El Ahmadieh

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis 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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

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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

10 authors at 8 institutions in 2 countries.

Othman Bin AlamerCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Ali S HaiderTexas A&M University College of Medicine, Houston, TX, USA.
Maryam HaiderMcGovern Medical School at University of Texas Health, Houston, TX, USA.
Navraj S SagooUniversity of Texas Medical Branch School of Medicine, Galveston, TX, USA.
Faith C RobertsonDepartment of Neurosurgery, Massachusetts General Hospital, Boston, MA, USA.
Eliel N ArreyDepartment of Surgery, Morehouse School of Medicine, Atlanta, GA, USA.
Salah G AounDepartment of Neurological Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, USA.
Kenny YuDepartment of Neurosurgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Aaron A Cohen-GadolDepartment of Neurological Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
Tarek Y El AhmadiehDepartment of Neurological Surgery, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, USA. tarek.elahmadieh@phhs.org.ORCID http://orcid.org/0000-0002-7122-4349
Neurological Surgery · USKing Saud bin Abdulaziz University for Health Sciences · SAMassachusetts General Hospital · USMemorial Sloan Kettering Cancer Center · USMorehouse School of Medicine · USTexas A&M University · USThe University of Texas Health Science Center at Houston · USThe University of Texas Medical Branch at Galveston · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeWe aim to systematically review and summarize the demographics, clinical features, management strategies, and clinical outcomes of primary and radiation-induced skull-base osteosarcoma (SBO).

methodsPubMed, Scopus, and Cochrane databases were used to identify relevant articles. Papers including SBO cases and sufficient clinical outcome data were included. A comprehensive clinical characteristic review and survival analysis were also conducted.

resultsForty-one studies describing 67 patients were included. The median age was 31 years (male = 59.7%). The middle skull-base was most commonly involved (52.7%), followed by anterior (34.5%) and posterior (12.7%) skull-base. Headache (27%), exophthalmos (18%), and diplopia (10%) were common presenting symptoms. Sixty-eight percent of patients had primary SBO, while 25% had radiation-induced SBO. Surgery was the main treatment modality in 89% of cases. Chemotherapy was administered in 65.7% and radiotherapy in 50%. Median progression-free survival (PFS) was 12 months, and the overall 5-year survival was 22%. The five-year survival rates of radiation-induced SBO and primary SBO were 39% and 16%, respectively (P < 0.05).

conclusionSBO is a malignant disease with poor survival outcomes. Surgical resection is the primary management modality, in conjunction with chemotherapy and radiotherapy. Radiation-induced SBO has a superior survival outcome as compared to its primary counterpart. Complete surgical resection showed a statistically insignificant survival benefit as compared to partial resection.

Indexed as

OsteosarcomaSkull BaseSkull Base NeoplasmsHumansProgression-Free SurvivalTreatment OutcomePrimary osteosarcomaRadiation induced osteosarcomaSkull-base osteosarcomaSystematic review

Identifiers

PMID33999382
PMCPMC9312842
OpenAlexW3160169441

What OpenQuestion holds

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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.