Evidence map›Paper›PMID 35840786›Full record

ArticleJournal of neuro-oncology2022

The trial effect in patients with glioblastoma: effect of clinical trial enrollment on overall survival.

Kaitlyn F Melnick, Patricia Miller, Ethan Carmichael, Kyle McGrath, Ashley Ghiaseddin, David D Tran, Maryam Rahman

Abstract read
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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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
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

7 authors at 2 institutions in 1 country.

Kaitlyn F MelnickDepartment of Neurological Surgery, University of Florida, Gainesville, FL, USA. Kaitlyn.melnick@neurosurgery.ufl.edu.
Patricia MillerDepartment of Neurological Surgery, University of Florida, Gainesville, FL, USA.
Ethan CarmichaelDepartment of Neurological Surgery, University of Florida, Gainesville, FL, USA.
Kyle McGrathUniversity of Florida College of Medicine, Gainesville, FL, USA.
Ashley GhiaseddinDepartment of Neurological Surgery, University of Florida, Gainesville, FL, USA.
David D TranDepartment of Neurological Surgery, University of Florida, Gainesville, FL, USA.
Maryam RahmanDepartment of Neurological Surgery, University of Florida, Gainesville, FL, USA.
University of Florida · USNeurological Surgery · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine whether participation in a clinical trial was associated with improved survival in patients with glioblastoma (GBM).

methodsFollowing IRB approval, patients were identified using CPT and ICD codes. Data was collected using retrospective review of electronic medical records. When necessary, death data was obtained from online obituaries. Inverse propensity score matching was utilized to transform the two cohorts to comparable sets. Survival was compared using Kaplan-Meyer curves and Wilcoxon Rank Sum Test.

resultsIn this cohort of 365 patients, 89 were enrolled in a clinical trial and 276 were not. Patients enrolled in clinical trials had a significantly higher mean baseline KPS score, higher proportion of surgical resections, and were more likely to receive temozolomide treatment than patients not enrolled in a clinical trial. After inverse propensity score matching, patients enrolled in a clinical trial lived significantly longer than those not enrolled (28.8 vs 22.2 months, p = 0.005). A potential confounder of this study is that patients not in a clinical trial had significantly fewer visits with neuro-oncologists than patients enrolled in a clinical trial (7 ± 8 vs 12 ± 9, p < 0. 0001).

conclusionsClinical trials enroll patients with the most favorable prognostic features. Even when correcting for this bias, clinical trial enrollment is an independent predictor of increased survival regardless of treatment arm.

Indexed as

Brain NeoplasmsClinical Trials as TopicGlioblastomaCohort StudiesHumansPrognosisTemozolomideTemozolomideClinical TrialGlioblastomaGliomaNeuro-oncology

Identifiers

PMID35840786
OpenAlexW4285491115

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.