Evidence map›Paper›PMID 34617129›Full record

ArticleStrahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al]2022

Association between treatment-related lymphopenia and survival in glioblastoma patients following postoperative chemoradiotherapy.

Roberto Mapelli, Chiara Julita, Sofia Paola Bianchi, Nicolò Gallina, Raffaella Lucchini, Martina Midulla, Flavia Puci, Jessica Saddi, Sara Trivellato, Denis Panizza and 2 more

Abstract read
In one paragraph

Article in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al], 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Correlation of dynamic blood dose with clinical outcomes in radiotherapy for head-and-neck cancer.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2025
    Article
  6. Sarcopenia is associated with chemoradiotherapy discontinuation and reduced progression-free survival in glioblastoma patients.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2024
    Article
  7. Drug resistance in glioblastoma: from chemo- to immunotherapy.Cancer drug resistance (Alhambra, Calif.) · 2023
    Review
  8. The use of radiosensitizing agents in the therapy of glioblastoma multiforme-a comprehensive review.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2022
    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

12 authors.

Roberto MapelliDepartment of Radiation Oncology, University of Milan Bicocca and San Gerardo Hospital, Monza, Italy. r.mapelli.95@gmail.com.ORCID 0000-0003-1530-3138
Chiara JulitaDepartment of Radiation Oncology, University of Milan Bicocca and San Gerardo Hospital, Monza, Italy.
Sofia Paola BianchiDepartment of Radiation Oncology, University of Milan Bicocca and San Gerardo Hospital, Monza, Italy.
Nicolò GallinaDepartment of Radiation Oncology, University of Milan Bicocca and San Gerardo Hospital, Monza, Italy.
Raffaella LucchiniDepartment of Radiation Oncology, University of Milan Bicocca and San Gerardo Hospital, Monza, Italy.
Martina MidullaDepartment of Radiation Oncology, University of Milan Bicocca and San Gerardo Hospital, Monza, Italy.
Flavia PuciDepartment of Radiation Oncology, University of Milan Bicocca and San Gerardo Hospital, Monza, Italy.
Jessica SaddiDepartment of Radiation Oncology, University of Milan Bicocca and San Gerardo Hospital, Monza, Italy.
Sara TrivellatoDepartment of Medical Physics, San Gerardo Hospital, Monza, Italy.
Denis PanizzaDepartment of Medical Physics, San Gerardo Hospital, Monza, Italy.
Elena De PontiDepartment of Medical Physics, San Gerardo Hospital, Monza, Italy.
Stefano ArcangeliDepartment of Radiation Oncology, University of Milan Bicocca and San Gerardo Hospital, Monza, Italy.ORCID 0000-0003-3880-8876

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOur study investigated the association between treatment-related lymphopenia and overall survival (OS) in a series of glioblastoma (GBM) patients. We also explored clinical and dosimetric predictors of lymphocytes depletion.

methodsBetween 2015 and 2019, 64 patients were treated at the same institution with postoperative chemoradiotherapy. Peripheral lymphocyte count (PLC) data and dose-volume histogram parameters were collected. Radiotherapy (RT) schedule consisted in standard total dose of 60 Gy in 30 daily fractions, with concomitant and adjuvant temozolomide (TMZ). Posttreatment acute absolute lymphopenia (nadir AAL) was calculated as a PLC lower than 1.0 × 10

resultsA total of 57 patients were eligible and included in the analyses. The median PLC was significantly decreased following chemoradiotherapy (2180/mm

conclusionAlthough iatrogenic immunosuppression could be associated with inferior clinical outcomes, our data show that treatment-related lymphopenia does not adversely affect GBM survival. Prospective studies are required to confirm these findings.

Indexed as

Brain NeoplasmsGlioblastomaLymphopeniaChemoradiotherapyHumansTemozolomideTemozolomideGlioblastomaImmunosuppressionLymphopeniaRadiotherapyTemozolomide

Identifiers

PMID34617129
PMCPMC9038819

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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.