Evidence map›Paper›PMID 35704157›Full record

Trial reportJournal of neuro-oncology2022

Prognostic impact of obesity in newly-diagnosed glioblastoma: a secondary analysis of CeTeG/NOA-09 and GLARIUS.

Johannes Weller, Niklas Schäfer, Christina Schaub, Anna-Laura Potthoff, Joachim P Steinbach, Uwe Schlegel, Michael Sabel, Peter Hau, Clemens Seidel, Dietmar Krex and 9 more

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report 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 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Baseline single institutional retrospective review of body mass index (BMI) as a prognostic indicator in patients with newly diagnosed glioblastoma (GBM).Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2024
    Article
  6. Article
  7. 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

19 authors at 8 institutions in 1 country.

Johannes WellerDivision of Clinical Neurooncology, Department of Neurology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany. Johannes.weller@ukbonn.de.ORCID http://orcid.org/0000-0001-5818-5392
Niklas SchäferDivision of Clinical Neurooncology, Department of Neurology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
Christina SchaubDivision of Clinical Neurooncology, Department of Neurology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
Anna-Laura PotthoffDepartment of Neurosurgery, University Hospital Bonn, Bonn, Germany.
Joachim P SteinbachDr. Senckenberg Institute of Neurooncology, University of Frankfurt, Frankfurt, Germany.
Uwe SchlegelDepartment of Neurology, University Hospital Knappschaftskrankenhaus, Ruhr-Universität Bochum, Bochum, Germany.
Michael SabelDepartment of Neurosurgery, University of Düsseldorf, Düsseldorf, Germany.
Peter HauDepartment of Neurology and Wilhelm Sander NeuroOncology Unit, University Hospital Regensburg, Regensburg, Germany.
Clemens SeidelDepartment of Radiation Oncology, University of Leipzig, Leipzig, Germany.
Dietmar KrexDepartment of Neurosurgery, University of Dresden, Dresden, Germany.
Roland GoldbrunnerDepartment of Neurosurgery, University of Cologne, Cologne, Germany.
Torsten PietschInstitute of Neuropathology, University Hospital Bonn, Bonn, Germany.
Theophilos TzaridisDivision of Clinical Neurooncology, Department of Neurology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
Thomas ZeyenDivision of Clinical Neurooncology, Department of Neurology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
Valeri BorgerDepartment of Neurosurgery, University Hospital Bonn, Bonn, Germany.
Erdem GüresirDepartment of Neurosurgery, University Hospital Bonn, Bonn, Germany.
Hartmut VatterDepartment of Neurosurgery, University Hospital Bonn, Bonn, Germany.
Ulrich HerrlingerDivision of Clinical Neurooncology, Department of Neurology, University Hospital Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
Matthias SchneiderDepartment of Neurosurgery, University Hospital Bonn, Bonn, Germany.
University Hospital Bonn · DEGoethe University Frankfurt · DEHeinrich Heine University Düsseldorf · DELeipzig University · DETechnische Universität Dresden · DEUniversitätsklinikum Knappschaftskrankenhaus Bochum · DEUniversity Hospital Regensburg · DEUniversity of Cologne · DE

Funding

Bundesministerium für Bildung und Forschung 01KG1005
6 · The paper itself

Abstract

purposeThe role of obesity in glioblastoma remains unclear, as previous analyses have reported contradicting results. Here, we evaluate the prognostic impact of obesity in two trial populations; CeTeG/NOA-09 (n = 129) for MGMT methylated glioblastoma patients comparing temozolomide (TMZ) to lomustine/TMZ, and GLARIUS (n = 170) for MGMT unmethylated glioblastoma patients comparing TMZ to bevacizumab/irinotecan, both in addition to surgery and radiotherapy.

methodsThe impact of obesity (BMI ≥ 30 kg/m

resultsOverall, 22.6% of patients (67 of 297) were obese. Obesity was associated with shorter survival in patients with MGMT methylated glioblastoma (median OS 22.9 (95% CI 17.7-30.8) vs. 43.2 (32.5-54.4) months for obese and non-obese patients respectively, p = 0.001), but not in MGMT unmethylated glioblastoma (median OS 17.1 (15.8-18.9) vs 17.6 (14.7-20.8) months, p = 0.26). The prognostic impact of obesity in MGMT methylated glioblastoma was confirmed in a multivariable Cox regression (adjusted odds ratio: 2.57 (95% CI 1.53-4.31), p < 0.001) adjusted for age, sex, extent of resection, baseline steroids, Karnofsky performance score, and treatment arm.

conclusionObesity was associated with shorter survival in MGMT methylated, but not in MGMT unmethylated glioblastoma patients.

Indexed as

Brain NeoplasmsGlioblastomaAntineoplastic Agents, AlkylatingDNA MethylationDNA Modification MethylasesDNA Repair EnzymesHumansObesityPrognosisTemozolomideAntineoplastic Agents, AlkylatingDNA Modification MethylasesDNA Repair EnzymesTemozolomideGlioblastomaMGMTObesityTemozolomide

Identifiers

PMID35704157
PMCPMC9325931
OpenAlexW4282959335

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.