Evidence map›Paper›PMID 35460555›Full record

ArticleNeuro-oncology2022

Molecular biomarker-defined brain tumors: Epidemiology, validity, and completeness in the United States.

J Bryan Iorgulescu, Chuxuan Sun, Corey Neff, Gino Cioffi, Catherine Gutierrez, Carol Kruchko, Jennifer Ruhl, Kristin A Waite, Serban Negoita, Jim Hofferkamp and 5 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Neuro-oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
10.1field-weighted citation impact, top 1% 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

39 citing papers in PubMed, 69 citations in OpenAlex.

  1. Article
  2. An Expanded T2-FLAIR Mismatch Phenotype in IDH-Mutant Astrocytomas.Journal of magnetic resonance imaging : JMRI · 2026
    Article
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  20. Glioma.Nature reviews. Disease primers · 2024
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 7 institutions in 1 country.

J Bryan IorgulescuDepartment of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-1405-3667
Chuxuan SunDepartment of Biostatistics, Duke University School of Medicine, Durham, NC, USA.
Corey NeffCentral Brain Tumor Registry of the United States, Hinsdale, IL, USA.
Gino CioffiCentral Brain Tumor Registry of the United States, Hinsdale, IL, USA.ORCID 0000-0002-3296-8652
Catherine GutierrezDepartment of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0001-7453-2577
Carol KruchkoCentral Brain Tumor Registry of the United States, Hinsdale, IL, USA.ORCID 0000-0001-7212-035X
Jennifer RuhlSurveillance, Epidemiology, and End Results program, National Cancer Institute, Bethesda, MD, USA.
Kristin A WaiteTrans Divisional Research Program, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.ORCID 0000-0002-3186-8510
Serban NegoitaSurveillance, Epidemiology, and End Results program, National Cancer Institute, Bethesda, MD, USA.ORCID 0000-0002-9327-9519
Jim HofferkampNorth American Association of Central Cancer Registries, Springfield, IL, USA.
Tarik TihanDivision of Neuropathology, Department of Pathology, University of California San Francisco, San Francisco, CA, USA.ORCID 0000-0003-4551-2555
Roger McLendonDepartment of Pathology, Duke University School of Medicine, Durham, NC, USA.ORCID 0000-0001-6682-4588
Daniel J BratDepartment of Pathology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.ORCID 0000-0002-0633-6563
Quinn T OstromCentral Brain Tumor Registry of the United States, Hinsdale, IL, USA.ORCID 0000-0003-3469-7558
Jill S Barnholtz-SloanCentral Brain Tumor Registry of the United States, Hinsdale, IL, USA.ORCID 0000-0001-6190-9304
Duke University · USCentral Brain Tumor Registry of the United States · USNational Cancer Institute · USBrigham and Women's Hospital · USNorth American Association of Central Cancer Registries · USNorthwestern University · USUniversity of California, San Francisco · US

Funding

VIRUS PRODUCTION COREP30CA014051 · NCI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI Kristin A Knouse · 1985 to 2026
$93.9M
Training Program in Nervous System TumorsK12CA090354 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI PLOTKIN, SCOTT R · 2001 to 2025
$16.3M
NCI NIH HHS K12 CA090354NCI NIH HHS P30 CA014051
6 · The paper itself

Abstract

backgroundSelected molecular biomarkers were incorporated into the US cancer registry reporting for patients with brain tumors beginning in 2018. We investigated the completeness and validity of these variables and described the epidemiology of molecularly defined brain tumor types.

methodsBrain tumor patients with histopathologically confirmed diagnosis in 2018 were identified within the Central Brain Tumor Registry of the United States and NCI's Surveillance, Epidemiology, and End Results Incidence databases. The brain molecular markers (BMM) site-specific data item was assessed for coding completeness and validity. 1p/19q status, MGMT promoter methylation, WHO grade data items, and new ICD-O-3 codes were additionally evaluated. These data were used to profile the characteristics and age-adjusted incidence rates per 100 000 population of molecularly defined brain tumors with 95% confidence intervals (95% CI).

resultsBMM completeness across the applicable tumor types was 75%-92% and demonstrated favorable coding validity. IDH-wildtype glioblastomas' incidence rate was 1.74 (95% CI: 1.69-1.78), as compared to 0.14 for WHO grade 2 (95% CI: 0.12-0.15), 0.15 for grade 3 (95% CI: 0.14-0.16), and 0.07 for grade 4 (95% CI: 0.06-0.08) IDH-mutant astrocytomas. Irrespective of WHO grade, IDH mutation prevalence was highest in adolescent and young adult patients, and IDH-mutant astrocytomas were more frequently MGMT promoter methylated. Among pediatric-type tumors, the incidence rate was 0.06 for H3K27M-mutant diffuse midline gliomas (95% CI: 0.05-0.07), 0.03 for SHH-activated/TP53-wildtype medulloblastomas (95% CI: 0.02-0.03), and <0.01 for both C19MC-altered embryonal tumor with multilayered rosettes and RELA-fusion ependymomas.

conclusionsOur findings illustrate the success of developing a dedicated, integrated diagnosis variable, which provides critical molecular information about brain tumors related to accurate diagnosis.

Indexed as

AstrocytomaBrain NeoplasmsGlioblastomaGliomaAdolescentBiomarkersChildHumansIsocitrate DehydrogenaseMutationUnited StatesYoung AdultBiomarkersIsocitrate Dehydrogenasebiomarkersbrain tumorCBTRUSIDHmolecular epidemiology

Identifiers

PMID35460555
PMCPMC9629432
OpenAlexW4224314048

What OpenQuestion holds

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Registered trials

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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.