Evidence map›Paper›PMID 36355361›Full record

ArticleNeuro-oncology2023

Global survival trends for brain tumors, by histology: analysis of individual records for 556,237 adults diagnosed in 59 countries during 2000-2014 (CONCORD-3).

Fabio Girardi, Melissa Matz, Charles Stiller, Hui You, Rafael Marcos Gragera, Mikhail Y Valkov, Jean-Luc Bulliard, Prithwish De, David Morrison, Miriam Wanner and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Neuro-oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
8.4field-weighted citation impact, top 2% 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

45 citing papers in PubMed, 3 syntheses or guidelines pooled it, 62 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 11 institutions in 8 countries.

Fabio GirardiCancer Survival Group, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0001-7094-7986
Melissa MatzCancer Survival Group, London School of Hygiene and Tropical Medicine, London, UK.
Charles StillerNational Cancer Registration and Analysis Service, Public Health England, London, UK.
Hui YouCancer Information Analysis Unit, Cancer Institute NSW, St Leonards, New South Wales, Australia.
Rafael Marcos GrageraEpidemiology Unit and Girona Cancer Registry, Catalan Institute of Oncology, Girona, Spain.
Mikhail Y ValkovDepartment of Radiology, Radiotherapy and Oncology, Northern State Medical University, Arkhangelsk, Russia.
Jean-Luc BulliardCentre for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland.
Prithwish DeSurveillance and Cancer Registry, and Research Office, Clinical Institutes and Quality Programs, Ontario Health, Toronto, Ontario, Canada.
David MorrisonScottish Cancer Registry, Public Health Scotland, Edinburgh, UK.
Miriam WannerCancer Registry Zürich, Zug, Schaffhausen and Schwyz, University Hospital Zürich, Zürich, Switzerland.
David K O'BrianAlaska Cancer Registry, Alaska Department of Health and Social Services, Anchorage, Alaska, USA.
Nathalie Saint-JacquesDepartment of Medicine and Community Health and Epidemiology, Centre for Clinical Research, Dalhousie University, Halifax, Nova Scotia, Canada.
Michel P ColemanCancer Survival Group, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0001-8940-3807
Claudia AllemaniCancer Survival Group, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0003-4871-3766
CONCORD Working Group
London Cancer · GBUniversity College London Hospitals NHS Foundation Trust · GBCancer Institute of New South Wales · AUCentre universitaire de médecine générale et santé publique, Lausanne · CHClínica Girona · ESDalhousie University · CANorthern State Medical University · RUPublic Health England · GBPublic Health Scotland · GBUniversity Hospital of Zurich · CHAlaska Department of Health and Social Services · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurvival is a key metric of the effectiveness of a health system in managing cancer. We set out to provide a comprehensive examination of worldwide variation and trends in survival from brain tumors in adults, by histology.

methodsWe analyzed individual data for adults (15-99 years) diagnosed with a brain tumor (ICD-O-3 topography code C71) during 2000-2014, regardless of tumor behavior. Data underwent a 3-phase quality control as part of CONCORD-3. We estimated net survival for 11 histology groups, using the unbiased nonparametric Pohar Perme estimator.

resultsThe study included 556,237 adults. In 2010-2014, the global range in age-standardized 5-year net survival for the most common sub-types was broad: in the range 20%-38% for diffuse and anaplastic astrocytoma, from 4% to 17% for glioblastoma, and between 32% and 69% for oligodendroglioma. For patients with glioblastoma, the largest gains in survival occurred between 2000-2004 and 2005-2009. These improvements were more noticeable among adults diagnosed aged 40-70 years than among younger adults.

conclusionsTo the best of our knowledge, this study provides the largest account to date of global trends in population-based survival for brain tumors by histology in adults. We have highlighted remarkable gains in 5-year survival from glioblastoma since 2005, providing large-scale empirical evidence on the uptake of chemoradiation at population level. Worldwide, survival improvements have been extensive, but some countries still lag behind. Our findings may help clinicians involved in national and international tumor pathway boards to promote initiatives aimed at more extensive implementation of clinical guidelines.

Indexed as

AstrocytomaBrain NeoplasmsGlioblastomaAdultGlobal HealthHumansRegistriesbrain tumorinternational comparisonsnet survivalpopulation-based cancer registries

Identifiers

PMID36355361
PMCPMC10013649
OpenAlexW4308684155

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.