Evidence map›Paper›PMID 34501461›Full record

ArticleJournal of clinical medicine2021

The Surgical Management of Brain Metastases in Non-Small Cell Lung Cancer (NSCLC): Identification of the Early Laboratory and Clinical Determinants of Survival.

Matthias Schneider, Niklas Schäfer, Christian Bode, Lars Eichhorn, Frank A Giordano, Erdem Güresir, Muriel Heimann, Yon-Dschun Ko, Jennifer Landsberg, Felix Lehmann and 7 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

17 authors.

Matthias SchneiderCenter of Integrated Oncology (CIO) Bonn, Department of Neurosurgery, University Hospital Bonn, 53127 Bonn, Germany.ORCID 0000-0002-6025-7479
Niklas SchäferCenter of Integrated Oncology (CIO) Bonn, Department of Neurology, Division of Clinical Neuro-Oncology, University Hospital Bonn, 53127 Bonn, Germany.
Christian BodeDepartment of Anesthesiology and Intensive Care, University Hospital Bonn, 53127 Bonn, Germany.ORCID 0000-0002-0830-870X
Lars EichhornDepartment of Anesthesiology and Intensive Care, University Hospital Bonn, 53127 Bonn, Germany.ORCID 0000-0002-9769-0639
Frank A GiordanoCenter of Integrated Oncology (CIO) Bonn, Department of Radiation Oncology, University Hospital Bonn, 53127 Bonn, Germany.
Erdem GüresirCenter of Integrated Oncology (CIO) Bonn, Department of Neurosurgery, University Hospital Bonn, 53127 Bonn, Germany.ORCID 0000-0001-8319-0847
Muriel HeimannCenter of Integrated Oncology (CIO) Bonn, Department of Neurosurgery, University Hospital Bonn, 53127 Bonn, Germany.
Yon-Dschun KoCenter of Integrated Oncology (CIO) Bonn, Department of Oncology and Hematology, Johanniter Hospital Bonn, 53113 Bonn, Germany.
Jennifer LandsbergCenter of Integrated Oncology (CIO) Bonn, Department of Dermatology and Allergy, University Hospital Bonn, 53127 Bonn, Germany.
Felix LehmannDepartment of Anesthesiology and Intensive Care, University Hospital Bonn, 53127 Bonn, Germany.ORCID 0000-0003-2847-9271
Alexander RadbruchCenter of Integrated Oncology (CIO) Bonn, Department of Neuroradiology, University Hospital Bonn, 53127 Bonn, Germany.
Christina SchaubCenter of Integrated Oncology (CIO) Bonn, Department of Neurology, Division of Clinical Neuro-Oncology, University Hospital Bonn, 53127 Bonn, Germany.
Katjana S SchwabCenter of Integrated Oncology (CIO) Bonn, Department of Internal Medicine III, University Hospital Bonn, 53127 Bonn, Germany.
Johannes WellerCenter of Integrated Oncology (CIO) Bonn, Department of Neurology, Division of Clinical Neuro-Oncology, University Hospital Bonn, 53127 Bonn, Germany.
Ulrich HerrlingerCenter of Integrated Oncology (CIO) Bonn, Department of Neurology, Division of Clinical Neuro-Oncology, University Hospital Bonn, 53127 Bonn, Germany.
Hartmut VatterCenter of Integrated Oncology (CIO) Bonn, Department of Neurosurgery, University Hospital Bonn, 53127 Bonn, Germany.
Patrick SchussCenter of Integrated Oncology (CIO) Bonn, Department of Neurosurgery, University Hospital Bonn, 53127 Bonn, Germany.ORCID 0000-0002-5806-2576

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBrain metastases (BM) indicate advanced states of cancer disease and cranial surgery represents a common treatment modality. In the present study, we aimed to identify the risk factors for a reduced survival in patients receiving a surgical treatment of BM derived from non-small cell lung cancer (NSCLC).

methodsA total of 154 patients with NSCLC that had been surgically treated for BM at the authors' institution between 2013 and 2018 were included for a further analysis. A multivariate analysis was performed to identify the predictors of a poor overall survival (OS).

resultsThe median overall survival (mOS) was 11 months (95% CI 8.2-13.8). An age > 65 years, the infratentorial location of BM, elevated preoperative C-reactive protein levels, a perioperative red blood cell transfusion, postoperative prolonged mechanical ventilation (>48 h) and the occurrence of postoperative adverse events were identified as independent factors of a poor OS.

conclusionsThe present study identified several predictors for a worsened OS in patients that underwent surgery for BM of NSCLC. These findings might guide a better risk/benefit assessment in the course of metastatic NSCLC therapy and might help to more sufficiently cope with the challenges of cancer therapy in these advanced stages of disease.

Indexed as

brain metastaseslung canceroverall survivalsurgical management

Identifiers

PMID34501461
PMCPMC8432449

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.