Evidence map›Paper›PMID 34781889›Full record

ArticleBMC neurology2021

Prognostic value of tumour volume in patients with a poor Karnofsky performance status scale - a bicentric retrospective study.

Melanie Barz, Julia Gerhardt, Stefanie Bette, A Kaywan Aftahy, Thomas Huber, Stephanie E Combs, Yu-Mi Ryang, Benedikt Wiestler, Marco Skardelly, Irina Gepfner-Tuma and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

12 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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 6 institutions in 1 country.

Melanie BarzDepartment of Neurosurgery, Technical University Munich, School of Medicine, Klinikum rechts der Isar, Ismaninger Str. 22, 81675, Munich, Germany. melanie.barz@tum.de.ORCID http://orcid.org/0000-0001-8734-9309
Julia GerhardtDepartment of Neurosurgery, Helios Klinikum Berlin Buch, Berlin, Germany.
Stefanie BetteDepartment of Diagnostic and Interventional Radiology, Universitätsklinikum Augsburg, Augsburg, Germany.
A Kaywan AftahyDepartment of Neurosurgery, Technical University Munich, School of Medicine, Klinikum rechts der Isar, Ismaninger Str. 22, 81675, Munich, Germany.
Thomas HuberInstitute of Clinical Radiology and Nuclear Medicine, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Stephanie E CombsHelmholtz Zentrum Munich (HMGU), Department of Radiation Sciences (DRS), Institute of Innovative Radiotherapy (iRT), Munich, Germany.
Yu-Mi RyangDepartment of Neurosurgery, Helios Klinikum Berlin Buch, Berlin, Germany.
Benedikt WiestlerDepartment of Neuroradiology, Technical University Munich, School of Medicine, Klinikum rechts der Isar, Munich, Germany.
Marco SkardellyDepartment of Neurosurgery, University of Tübingen, Tübingen, Germany.
Irina Gepfner-TumaDepartment of Neurosurgery, University of Tübingen, Tübingen, Germany.
Felix BehlingDepartment of Neurosurgery, University of Tübingen, Tübingen, Germany.
Friederike Schmidt-GrafDepartment of Neurology, Technical University Munich, School of Medicine, Klinikum rechts der Isar, Munich, Germany.
Bernhard MeyerDepartment of Neurosurgery, Technical University Munich, School of Medicine, Klinikum rechts der Isar, Ismaninger Str. 22, 81675, Munich, Germany.
Jens GemptDepartment of Neurosurgery, Technical University Munich, School of Medicine, Klinikum rechts der Isar, Ismaninger Str. 22, 81675, Munich, Germany.
TUM Klinikum · DEUniversity of Tübingen · DEHelios Hospital Berlin-Buch · DEHeidelberg University · DEHelmholtz Zentrum München · DEUniversity Hospital Augsburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backroundMedian overall survival (OS) after diagnosis of glioblastoma (GBM) remains 15 months amongst patients receiving aggressive surgical resection, chemotherapy and irradiation. Treatment of patients with a poor preoperative Karnofsky Performance Status Scale (KPSS) is still controversial. Therefore, we retrospectively assessed the outcome after surgical treatment in patients with a KPSS of ≤60%.

methodsWe retrospectively included patients with a de-novo glioblastoma WHO °IV and preoperative KPSS ≤60%, who underwent surgery at two neurosurgical centres between September 2006 and March 2016. We recorded pre- and postoperative tumour volume, pre- and postoperative KPSS, OS, age and MGMT promoter status.

resultsOne hundred twenty-three patients (58 females/65 males, mean age 67.4 ± 13.4 years) met the inclusion criteria. Seventy-five of the 123 patients (61%) underwent surgical resection. 48/123 patients (39%) received a biopsy. The median preoperative and postoperative tumour volume of all patients was 33.0 ± 31.3 cm

conclusionGBM patients with a preoperative KPSS of ≤60% might profit from surgical reduction of tumour burden.

Indexed as

Brain NeoplasmsGlioblastomaAgedAged, 80 and overFemaleHumansKarnofsky Performance StatusMaleMiddle AgedNeurosurgical ProceduresPrognosisRetrospective StudiesTreatment OutcomeTumor BurdenEORGlioblastomaKarnofsky performance status scaleSurgery

Identifiers

PMID34781889
PMCPMC8591917
OpenAlexW3211755214

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.