Evidence map›Paper›PMID 34277025›Full record

ArticleNeuro-oncology practice2021

Chemotherapy for adult patients with spinal cord gliomas.

Dorothee Gramatzki, Jörg Felsberg, Bettina Hentschel, Oliver Bähr, Manfred Westphal, Gabriele Schackert, Jörg Christian Tonn, Ulrich Herrlinger, Markus Loeffler, Torsten Pietsch and 4 more

Open access · greenAbstract read
In one paragraph

Article in Neuro-oncology practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Spinal ependymal tumors.Neuro-oncology advances · 2024
    Review
  2. Astrocytomas of the spinal cord.Neuro-oncology advances · 2024
    Review
  3. Review
  4. Review
  5. 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

14 authors at 8 institutions in 2 countries.

Dorothee GramatzkiDepartment of Neurology, Clinical Neuroscience Center, University Hospital and University of Zurich, Zurich, Switzerland.
Jörg FelsbergInstitute of Neuropathology, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany.
Bettina HentschelInstitute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Leipzig, Germany.
Oliver BährDr. Senckenberg Institute of Neurooncology, Goethe University Hospital, Frankfurt, Germany.
Manfred WestphalDepartment of Neurosurgery, University of Hamburg, Hamburg, Germany.
Gabriele SchackertDepartment of Neurosurgery, University of Dresden, Dresden, Germany.
Jörg Christian TonnDepartment of Neurosurgery, Ludwig-Maximilians-University Munich, Munich, Germany.
Ulrich HerrlingerDepartment of Neurology, Division of Clinical Neurooncology, University Hospital Bonn, Bonn, Germany.
Markus LoefflerInstitute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Leipzig, Germany.
Torsten PietschDepartment of Neuropathology, DGNN Brain Tumor Reference Center, University Hospital Bonn, Bonn, Germany.ORCID https://orcid.org/0000-0003-0763-6506
Joachim Peter SteinbachDr. Senckenberg Institute of Neurooncology, Goethe University Hospital, Frankfurt, Germany.
Guido ReifenbergerInstitute of Neuropathology, Medical Faculty, Heinrich Heine University, Düsseldorf, Germany.
Patrick RothDepartment of Neurology, Clinical Neuroscience Center, University Hospital and University of Zurich, Zurich, Switzerland.
Michael WellerDepartment of Neurology, Clinical Neuroscience Center, University Hospital and University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0002-1748-174X
University of Zurich · CHGerman Cancer Research Center · DEGoethe University Frankfurt · DELeipzig University · DEUniversity Hospital Bonn · DEHeinrich Heine University Düsseldorf · DETechnische Universität Dresden · DEUniversität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of spinal cord gliomas, particularly in adults is low, and the role of chemotherapy has remained unclear.

methodsWe performed a multicenter, retrospective study of 21 patients diagnosed with spinal cord glioma who received chemotherapy at any time during the disease course. Benefit from chemotherapy was estimated by magnetic resonance imaging. Data on radiotherapy were taken into consideration.

resultsThirteen patients were diagnosed with astrocytic gliomas World Health Organization (WHO) grades 1-4, the remaining eight patients with ependymomas WHO grades 1 or 3. Most patients had more than one neurosurgical intervention. Median age at time of first chemotherapy was 33 years (range 21-67 years). Seven patients had chemotherapy combined with radiotherapy as first-line treatment. Two patients had chemoradiotherapy at recurrence, without prior tumor-specific treatment beyond surgery. One patient received chemotherapy alone as first-line treatment and 2 patients had chemotherapy alone at recurrence, without prior treatment. Nine patients had received radiation therapy at an earlier time and chemotherapy was given at time of further recurrences. Best responses in astrocytomas were as follows: chemotherapy alone-2 stable disease (SD) and 3 progressive disease (PD); chemoradiotherapy-1 complete response, 3 SD, and 4 PD. Best responses in ependymomas were as follows: chemotherapy alone-1 partial response, 5 SD, and 1 PD; chemoradiotherapy-1 SD.

conclusionsSpinal cord gliomas represent a heterogeneous group of tumors. Survival outcomes in response to chemotherapy in adult spinal cord glioma patients vary substantially, but individual patients appear to derive benefit from chemotherapy.

Indexed as

astrocytomachemotherapyependymomagliomaspinal cord

Identifiers

PMID34277025
PMCPMC8278344
OpenAlexW3136001056

What OpenQuestion holds

Textmetadata
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.