Evidence map›Paper›PMID 34007966›Full record

ArticleNeuro-oncology advances

The state of neuro-oncology during the COVID-19 pandemic: a worldwide assessment.

Maciej M Mrugala, Quinn T Ostrom, Shelley M Pressley, Jennie W Taylor, Alissa A Thomas, Jeffrey S Wefel, Scott L Coven, Alvina A Acquaye, Chas Haynes, Sameer Agnihotri and 18 more

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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

11 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. How has the COVID-19 pandemic impacted clinical care and research in Neuro-Oncology?Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2022
    Review
  9. Article
  10. Article
  11. 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

28 authors at 20 institutions in 5 countries.

Maciej M MrugalaDepartment of Neurology, Mayo Clinic, Scottsdale, Arizona, USA.
Quinn T OstromDepartment of Medicine, Epidemiology & Population Sciences, Baylor College of Medicine, Houston, Texas, USA.
Shelley M PressleySociety for Neuro-oncology, Houston, Texas, USA.
Jennie W TaylorDepartment of Neurological Surgery, University of California, San Francisco, California, USA.
Alissa A ThomasDepartment of Neurological Sciences, University of Vermont Larner College of Medicine, Burlington, Vermont, USA.
Jeffrey S WefelDepartments of Neuro-Oncology and Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.ORCID https://orcid.org/0000-0003-3584-023X
Scott L CovenDivision of Pediatric Hematology/Oncology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Alvina A AcquayeNeuro-oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Chas HaynesSociety for Neuro-oncology, Houston, Texas, USA.
Sameer AgnihotriDepartment of Neurological Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Michael LimDepartment of Neurosurgery, Johns Hopkins University, Baltimore, Maryland, USA.
Katherine B PetersDepartments of Neurology and Neurosurgery, Duke University, Durham, North Carolina, USA.ORCID https://orcid.org/0000-0001-5110-3868
Erik P SulmanDepartment of Radiation Oncology, NYU Grossman School of Medicine, New York, New York, USA.
Joanne T SalcidoPediatric Brain Tumor Foundation, Asheville, North Carolina, USA.
Nicholas A ButowskiDepartment of Neurological Surgery, University of California, San Francisco, California, USA.
Shawn Hervey-JumperDepartment of Neurological Surgery, University of California, San Francisco, California, USA.
Alireza MansouriDepartment of Neurosurgery, Penn State Health, Hershey, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-7442-7539
Kathy R OliverInternational Brain Tumour Alliance, Tadworth, UK.
Alyx B PorterDepartment of Neurology, Mayo Clinic, Scottsdale, Arizona, USA.
Farshad NassiriDivision of Neurosurgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
David SchiffDepartments of Neurology, Neurological Surgery and Medicine, University of Virginia School of Medicine, Charlottesville, Virginia, USA.
Erin M DunbarPiedmont Brain Tumor Center, Atlanta, Georgia, USA.
Monika E HegiNeuroscience Research Center, Lausanne University Hospital and University of Lausanne, Epalinges, Switzerland.
Terri S ArmstrongNeuro-oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.ORCID https://orcid.org/0000-0002-2414-0492
Martin J van den BentBrain Tumor Institute, ErasmusMC Cancer Institute, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0001-5710-5127
Susan M ChangDepartment of Neurological Surgery, University of California, San Francisco, California, USA.
Gelareh ZadehDivision of Neurosurgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-6637-4502
Milan G ChhedaDepartments of Medicine and Neurology, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID https://orcid.org/0000-0001-8282-9098
University of California, San Francisco · USNational Institutes of Health · USSociety for Neuroscience · USUniversity of Toronto · CABaylor College of Medicine · USBrain Tumour Charity · GBDuke University · USErasmus MC Cancer Institute · NLIndiana University School of MedicineJohns Hopkins University · USMayo Clinic in Arizona · USNeurological Surgery · USNYU Langone Health · USPediatric Brain Tumor Foundation · USPenn State Milton S. Hershey Medical Center · USPiedmont Cancer Institute · USThe University of Texas MD Anderson Cancer Center · USUniversity of Lausanne · CHUniversity of Pittsburgh · USUniversity of Vermont · US

Funding

Outcomes and Risk of Rare TumorsZIABC011837 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI ARMSTRONG, TERRI S. · 2018 to 2024
$2.7M
6 · The paper itself

Abstract

backgroundIt remains unknown how the COVID-19 pandemic has changed neuro-oncology clinical practice, training, and research efforts.

methodsWe performed an international survey of practitioners, scientists, and trainees from 21 neuro-oncology organizations across 6 continents, April 24-May 17, 2020. We assessed clinical practice and research environments, institutional preparedness and support, and perceived impact on patients.

resultsOf 582 respondents, 258 (45%) were US-based and 314 (55%) international. Ninety-four percent of participants reported changes in their clinical practice. Ninety-five percent of respondents converted at least some practice to telemedicine. Ten percent of practitioners felt the need to see patients in person, specifically because of billing concerns and pressure from their institutions. Sixty-seven percent of practitioners suspended enrollment for at least one clinical trial, including 62% suspending phase III trial enrollments. More than 50% believed neuro-oncology patients were at increased risk for COVID-19. Seventy-one percent of clinicians feared for their own personal safety or that of their families, specifically because of their clinical duties; 20% had inadequate personal protective equipment. While 69% reported increased stress, 44% received no psychosocial support from their institutions. Thirty-seven percent had salary reductions and 63% of researchers temporarily closed their laboratories. However, the pandemic created positive changes in perceived patient satisfaction, communication quality, and technology use to deliver care and mediate interactions with other practitioners.

conclusionsThe pandemic has changed treatment schedules and limited investigational treatment options. Institutional lack of support created clinician and researcher anxiety. Communication with patients was satisfactory. We make recommendations to guide clinical and scientific infrastructure moving forward and address the personal challenges of providers and researchers.

Indexed as

clinical trial enrollmentCOVID-19neuro-oncology outcomes

Identifiers

PMID34007966
PMCPMC7928618
OpenAlexW3132318115

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.