Evidence map›Paper›PMID 36109699›Full record

ArticleBMC neurology2022

Exploring the relationship between age and prognosis in glioma: rethinking current age stratification.

Zetian Jia, Xiaohui Li, Yaqi Yan, Xuxuan Shen, Jiuxin Wang, He Yang, Shuo Liu, Chengxi Han, Yuhua Hu

Abstract read
In one paragraph

Article in BMC neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–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

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

9 authors.

Zetian Jia *Department of Neurosurgery, The First Hospital of Handan of Hebei Province, Handan, 056000, People's Republic of China.
Xiaohui Li *School of Life Science and Engineering, Handan University, 056000, Handan, People's Republic of China.
Yaqi YanDepartment of Cardiology, The First Hospital of Handan of Hebei Province, Handan, 056000, People's Republic of China.
Xuxuan ShenDepartment of Neurosurgery, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, Zhejiang, 322100, China.
Jiuxin WangDepartment of Neurosurgery, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, People's Republic of China.
He YangDepartment of Neurosurgery, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, People's Republic of China.
Shuo LiuDepartment of Neurosurgery, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, People's Republic of China.
Chengxi HanDepartment of Neurosurgery, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, People's Republic of China.
Yuhua HuDepartment of Neurosurgery, The Second Hospital of Hebei Medical University, Shijiazhuang, 050000, People's Republic of China. huyuhua2000@163.com.ORCID https://orcid.org/0000-0002-9567-9284

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe age of glioma plays a unique role in prognosis. We hypothesized that age is not positively correlated with survival prognosis and explored its exact relationship.

methodsGlioma was identified from the SEER database (between 2000 and 2018). A multivariate Cox proportional regression model and restricted cubic spline (RCS) plot were used to assess the relationship between age and prognosis.

resultsA total of 66465 patients with glioma were included. Hazard ratios (HR) for ten-year by age: 0-9 years, HR 1.06 (0.93-1.20); 10-19 years: reference; 20-29 years, HR 0.90 (0.82-1.00); 30-39 years, HR 1.14 (1.04-1.25); 40-49 years, HR 2.09 (1.91-2.28); 50-59 years, HR 3.48 (3.19-3.79); 60-69 years, HR 4.91 (4.51-5.35);70-79 years, HR 7.95 (7.29-8.66); 80-84 years, HR 12.85 (11.74-14.06). After adjusting for covariates, the prognosis was not positively correlated with age. The smooth curve of RCS revealed this non-linear relationship: HR increased to 10 years first, decreased to 23 years, reached its lowest point, and became J-shaped.

conclusionThe relationship between age and glioma prognosis is non-linear. These results challenge the applicability of current age groupings for gliomas and advocate the consideration of individualized treatment guided by precise age.

Indexed as

Brain NeoplasmsGliomaChildChild, PreschoolHumansInfantInfant, NewbornProportional Hazards ModelsAgeAkaike information criterionBrain tumorsCentral nervous systemGlioblastoma multiformeGliomaHigh grade gliomasLow grade gliomasRestricted cubic splineSEER

Identifiers

PMID36109699
PMCPMC9476578

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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.