Evidence map›Paper›PMID 35600355›Full record

ReviewFrontiers in oncology2022

Current Treatment Approaches and Global Consensus Guidelines for Brain Metastases in Melanoma.

Xiang-Lin Tan, Amy Le, Fred C Lam, Emilie Scherrer, Robert G Kerr, Anthony C Lau, Jiali Han, Ruixuan Jiang, Scott J Diede, Irene M Shui

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 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

10 authors at 6 institutions in 1 country.

Xiang-Lin TanMerck & Co., Inc., Rahway, NJ, United States.
Amy LeRichard M. Fairbanks School of Public Health, Indiana University, Indianapolis, IN, United States.
Fred C LamDivision of Neurosurgery, Huntington Hospital, Northwell Health, Huntington, NY, United States.
Emilie ScherrerMerck & Co., Inc., Rahway, NJ, United States.
Robert G KerrDivision of Neurosurgery, Huntington Hospital, Northwell Health, Huntington, NY, United States.
Anthony C LauDivision of Neurosurgery, Huntington Hospital, Northwell Health, Huntington, NY, United States.
Jiali HanIntegrative Precision Health, Limited Liability Company (LLC), Carmel, IN, United States.
Ruixuan JiangMerck & Co., Inc., Rahway, NJ, United States.
Scott J DiedeMerck & Co., Inc., Rahway, NJ, United States.
Irene M ShuiMerck & Co., Inc., Rahway, NJ, United States.
Merck & Co., Inc., Rahway, NJ, USA (United States) · USNorthwell Health · USHuntington Hospital · USIndiana University – Purdue University Indianapolis · USIntuitive Surgical (United States) · USSeagen (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Up to 60% of melanoma patients develop melanoma brain metastases (MBM), which traditionally have a poor diagnosis. Current treatment strategies include immunotherapies (IO), targeted therapies (TT), and stereotactic radiosurgery (SRS), but there is considerable heterogeneity across worldwide consensus guidelines. Objective: To summarize current treatments and compare worldwide guidelines for the treatment of MBM. Methods: Review of global consensus treatment guidelines for MBM patients. Results: Substantial evidence supported that concurrent IO or TT plus SRS improves progression-free survival (PFS) and overall survival (OS). Guidelines are inconsistent with regards to recommendations for surgical resection of MBM, since surgical resection of symptomatic lesions alleviates neurological symptoms but does not improve OS. Whole-brain radiation therapy is not recommended by all guidelines due to negative effects on neurocognition but can be offered in rare palliative scenarios. Conclusion: Worldwide consensus guidelines consistently recommend up-front combination IO or TT with or without SRS for the treatment of MBM.

Indexed as

brain metastasisimmunotherapymelanomatargeted therapytreatment guidelines

Identifiers

PMID35600355
PMCPMC9117744
OpenAlexW4229034705

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.