Evidence map›Paper›PMID 36525165›Full record

ArticleJournal of neuro-oncology2023

Quality of life outcomes in incidental and operated meningiomas (QUALMS): a cross-sectional cohort study.

Sumirat M Keshwara, Conor S Gillespie, Mohammad A Mustafa, Alan M George, George E Richardson, Abigail L Clynch, Justin Z Wang, David D A Lawson, Catherine E Gilkes, J Osman Farah and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of neuro-oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. The Underserved Survivors of Nonmalignant Brain Tumors.Clinical journal of oncology nursing · 2025
    Review
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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

18 authors at 2 institutions in 2 countries.

Sumirat M KeshwaraInstitute of Systems, Molecular & Integrative Biology, University of Liverpool, Liverpool, L69 7BE, UK. skeshwara@doctors.org.uk.ORCID https://orcid.org/0000-0001-5390-9996
Conor S GillespieInstitute of Systems, Molecular & Integrative Biology, University of Liverpool, Liverpool, L69 7BE, UK.
Mohammad A MustafaInstitute of Systems, Molecular & Integrative Biology, University of Liverpool, Liverpool, L69 7BE, UK.
Alan M GeorgeDepartment of Neurosurgery, The Walton Centre NHS Foundation Trust, Liverpool, L9 7LJ, UK.
George E RichardsonInstitute of Systems, Molecular & Integrative Biology, University of Liverpool, Liverpool, L69 7BE, UK.
Abigail L ClynchInstitute of Systems, Molecular & Integrative Biology, University of Liverpool, Liverpool, L69 7BE, UK.
Justin Z WangDivision of Neurosurgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.
David D A LawsonDepartment of Neurosurgery, The Walton Centre NHS Foundation Trust, Liverpool, L9 7LJ, UK.
Catherine E GilkesDepartment of Neurosurgery, The Walton Centre NHS Foundation Trust, Liverpool, L9 7LJ, UK.
J Osman FarahDepartment of Neurosurgery, The Walton Centre NHS Foundation Trust, Liverpool, L9 7LJ, UK.
Jawad YousafDepartment of Neurosurgery, The Walton Centre NHS Foundation Trust, Liverpool, L9 7LJ, UK.
Emmanuel ChavredakisDepartment of Neurosurgery, The Walton Centre NHS Foundation Trust, Liverpool, L9 7LJ, UK.
Samantha J MillsDepartment of Neuroradiology, The Walton Centre NHS Foundation Trust, Liverpool, L9 7LJ, UK.
Andrew R BrodbeltDepartment of Neurosurgery, The Walton Centre NHS Foundation Trust, Liverpool, L9 7LJ, UK.
Gelareh ZadehDivision of Neurosurgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Christopher P MillwardInstitute of Systems, Molecular & Integrative Biology, University of Liverpool, Liverpool, L69 7BE, UK.
Abdurrahman I IslimInstitute of Systems, Molecular & Integrative Biology, University of Liverpool, Liverpool, L69 7BE, UK.
Michael D JenkinsonInstitute of Systems, Molecular & Integrative Biology, University of Liverpool, Liverpool, L69 7BE, UK.ORCID https://orcid.org/0000-0003-4587-2139
University of Liverpool · GBUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFew studies have evaluated meningioma patients' longer-term health-related quality of life (HRQoL) following diagnosis and treatment, particularly in those with incidental, actively monitored tumours.

methodsA single-center, cross-sectional study was completed. Adult patients with surgically managed or actively monitored meningioma with more than five years of follow-up were included. The patient-reported outcome measures RAND SF-36, EORTC QLQ-C30 and QLQ-BN20 were used to evaluate HRQoL. HRQoL scores were compared to normative population data. Outcome determinants were evaluated using multivariate linear regression analysis.

results243 patient responses were analyzed, and the mean time from diagnosis was 9.8 years (range 5.0-40.3 years). Clinically relevant, statistically significant HRQoL impairments were identified across several SF-36 and QLQ-C30 domains. Increasing education level (β = 2.9, 95% CI 0.9 to 4.9), P = .004), employment (β = 7.7, 95% CI 2.2 to 13.1, P = .006) and absence of postoperative complications (β=-6.7, 95% CI -13.2 to (-)0.3, P = .041) were associated with a better QLQ-C30 summary score. Other tumour and treatment variables were not.

conclusionThis study highlights the longer-term disease burden of patients with meningioma nearly one decade after diagnosis or surgery. Patients with actively monitored meningioma have similar HRQoL to operated meningioma patients. Healthcare professionals should be mindful of HRQoL impairments and direct patients to sources of support as needed.

Indexed as

Meningeal NeoplasmsMeningiomaAdultCohort StudiesCross-Sectional StudiesHumansQuality of LifeSurveys and QuestionnairesActive monitoringMeningiomaQuality of lifeSurgery

Identifiers

PMID36525165
PMCPMC9756745
OpenAlexW4311693763

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.