Evidence map›Paper›PMID 36134018›Full record

ArticleNeuro-oncology practice2022

Clinical outcomes of dose-escalated re-irradiation in patients with recurrent high-grade glioma.

Corbin A Helis, Shih-Ni Prim, Christina K Cramer, Roy Strowd, Glenn J Lesser, Jaclyn J White, Stephen B Tatter, Adrian W Laxton, Christopher Whitlow, Hui-Wen Lo and 4 more

Open access · greenAbstract read
In one paragraph

Article in Neuro-oncology practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

14 authors at 2 institutions in 1 country.

Corbin A HelisDepartment of Radiation Oncology, Fort Belvoir Community Hospital, Fort Belvoir, Virginia, USA.ORCID https://orcid.org/0000-0001-6097-7882
Shih-Ni PrimDepartment of Radiation Oncology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Christina K CramerDepartment of Radiation Oncology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Roy StrowdDepartment of Neurology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Glenn J LesserDepartment of Medicine (Hematology and Oncology), Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Jaclyn J WhiteDepartment of Neurosurgery, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Stephen B TatterDepartment of Neurosurgery, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Adrian W LaxtonDepartment of Neurosurgery, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Christopher WhitlowDepartment of Radiology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Hui-Wen LoDepartment of Cancer Biology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Waldemar DebinskiDepartment of Cancer Biology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
James D VerversDepartment of Radiation Oncology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Paul J BlackDepartment of Radiation Oncology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Michael D ChanDepartment of Radiation Oncology, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Wake Forest University · USAlexander T. Augusta Military Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Re-irradiation for recurrent gliomas is a controversial treatment option with no clear standard dose or concurrent systemic therapy. Methods: This series represents a single-institution retrospective review of patients treated with re-irradiation for recurrent high-grade glioma. After 2012, patients were commonly offered concurrent bevacizumab as a cytoprotective agent against radiation necrosis. Kaplan-Meier method was used to estimate overall survival and progression-free survival. Cox proportional hazards regression was used to identify factors associated with overall survival and progression-free survival. Results: Between 2001 and 2021, 52 patients underwent re-irradiation for a diagnosis of recurrent high-grade glioma. 36 patients (69.2%) had a histologic diagnosis of glioblastoma at the time of re-irradiation. The median BED10 (biological equivalent dose 10 Gy) of re-irradiation was 53.1 Gy. Twenty-one patients (40.4%) received concurrent bevacizumab with re-irradiation. Median survival for the entire cohort and for glioblastoma at the time of recurrence patients was 6.7 months and 6.0 months, respectively. For patients with glioblastoma at the time of recurrence, completing re-irradiation (HR 0.03, Conclusion: High dose re-irradiation with concurrent bevacizumab is feasible in patients with recurrent gliomas. Concurrent bevacizumab and increasing radiation dose may improve survival in patients with recurrent glioblastoma.

Indexed as

bevacizumabrecurrent gliomare-irradiation

Identifiers

PMID36134018
PMCPMC9476990
OpenAlexW4229015750

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.