Evidence map›Paper›PMID 35600394›Full record

ArticleFrontiers in oncology2022

The Impact of Postoperative Tumor Burden on Patients With Brain Metastases.

Amir Kaywan Aftahy, Melanie Barz, Nicole Lange, Lea Baumgart, Cem Thunstedt, Mario Antonio Eller, Benedikt Wiestler, Denise Bernhardt, Stephanie E Combs, Philipp J Jost and 4 more

Abstract read
In one paragraph

Article 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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

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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

14 authors.

Amir Kaywan AftahyDepartment of Neurosurgery, School of Medicine, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Melanie BarzDepartment of Neurosurgery, School of Medicine, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Nicole LangeDepartment of Neurosurgery, School of Medicine, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Lea BaumgartDepartment of Neurosurgery, School of Medicine, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Cem ThunstedtDepartment of Neurosurgery, School of Medicine, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Mario Antonio EllerDepartment of Neurosurgery, School of Medicine, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Benedikt WiestlerDepartment of Neuroradiology, School of Medicine, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Denise BernhardtDepartment of Radiation Oncology, School of Medicine, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Stephanie E CombsDepartment of Radiation Oncology, School of Medicine, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Philipp J JostIII. Medical Department of Hematology and Oncology, School of Medicine, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Claire DelbridgeDepartment of Neuropathology, Institute of Pathology, School of Medicine, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Friederike Liesche-StarneckerDepartment of Neuropathology, Institute of Pathology, School of Medicine, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Bernhard MeyerDepartment of Neurosurgery, School of Medicine, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Jens GemptDepartment of Neurosurgery, School of Medicine, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Brain metastases were considered to be well-defined lesions, but recent research points to infiltrating behavior. Impact of postoperative residual tumor burden (RTB) and extent of resection are still not defined enough. Patients and Methods: Adult patients with surgery of brain metastases between April 2007 and January 2020 were analyzed. Early postoperative MRI (<72 h) was used to segment RTB. Survival analysis was performed and cutoff values for RTB were revealed. Separate (subgroup) analyses regarding postoperative radiotherapy, age, and histopathological entities were performed. Results: A total of 704 patients were included. Complete cytoreduction was achieved in 487/704 (69.2%) patients, median preoperative tumor burden was 12.4 cm Conclusions: RTB is a strong predictor for survival. Maximal cytoreduction, as confirmed by postoperative MRI, should be achieved whenever possible, regardless of type of postoperative radiotherapy.

Indexed as

brain metastasisextent of resection (EOR)neuro-oncologyoverall survival (OS)postoperative MRItumor burden

Identifiers

PMID35600394
PMCPMC9114705

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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.