Evidence map›Paper›PMID 35067847›Full record

ArticleJournal of neuro-oncology2022

Decision making and surgical modality selection in glioblastoma patients: an international multicenter survey.

Jasper K W Gerritsen, Marike L D Broekman, Steven De Vleeschouwer, Philippe Schucht, Christine Jungk, Sandro M Krieg, Brian V Nahed, Mitchel S Berger, Arnaud J P E Vincent

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of neuro-oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

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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

9 authors at 8 institutions in 5 countries.

Jasper K W GerritsenDepartment of Neurosurgery, Erasmus Medical Center, Doctor Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands. j.gerritsen@erasmusmc.nl.ORCID http://orcid.org/0000-0003-4619-865X
Marike L D BroekmanDepartment of Neurosurgery, Haaglanden Medical Center, The Hague, The Netherlands.
Steven De VleeschouwerDepartment of Neurosurgery, University Hospital, Leuven, Belgium.
Philippe SchuchtDepartment of Neurosurgery, University Hospital, Bern, Switzerland.
Christine JungkDepartment of Neurosurgery, University Hospital, Heidelberg, Germany.
Sandro M KriegDepartment of Neurosurgery, Technical University, Munich, Germany.
Brian V NahedDepartment of Neurosurgery, Massachusetts General Hospital, Boston, MA, USA.
Mitchel S BergerDepartment of Neurosurgery, University of California, San Francisco, CA, USA.
Arnaud J P E VincentDepartment of Neurosurgery, Erasmus Medical Center, Doctor Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands.
Erasmus MC · NLHeidelberg University · DEKU Leuven · BEMassachusetts General Hospital · USMedisch Centrum Haaglanden · NLTechnical University of Munich · DEUniversity Hospital of Bern · CHUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDue to the lack of consensus on the management of glioblastoma patients, there exists variability amongst surgeons and centers regarding treatment decisions. Though, objective data about the extent of this heterogeneity is still lacking. We aim to evaluate and analyze the similarities and differences in neurosurgical practice patterns.

methodsThe survey was distributed to members of the neurosurgical societies of the Netherlands (NVVN), Europe (EANS), the United Kingdom (SBNS) and the United States (CNS) between January and March 2021 with questions about the selection of surgical modality and decision making in glioblastoma patients.

resultsSurvey respondents (224 neurosurgeons) were from 41 countries. Overall, the most notable differences observed were the presence and timing of a multidisciplinary tumor board; the importance and role of various perioperative factors in the decision-making process, and the preferred treatment in various glioblastoma cases and case variants. Tumor boards were more common at academic centers. The intended extent of resection for glioblastoma resections in eloquent areas was limited more often in European neurosurgeons. We found a strong relationship between the surgeon's theoretical survey answers and their actual approach in presented patient cases. In general, the factors which were found to be theoretically the most important in surgical decision making were confirmed to influence the respondents' decisions to the greatest extent in practice as well. DISCUSSION: This survey illustrates the theoretical and practical heterogeneity among surgeons and centers in their decision making and treatment selection for glioblastoma patients. These data invite further evaluations to identify key variables that can be optimized and may therefore benefit from consensus.

Indexed as

Clinical Decision-MakingGlioblastomaNeurosurgeonsNeurosurgical ProceduresHealth Care SurveysHumansInternationalityBiopsyDecision makingGlioblastomaSafe resectionSurvey

Identifiers

PMID35067847
OpenAlexW4207001706

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.