Evidence map›Paper›PMID 36551572›Full record

ArticleCancers2022

Impact of Bevacizumab on Visual Function, Tumor Size, and Toxicity in Pediatric Progressive Optic Pathway Glioma: A Retrospective Nationwide Multicentre Study.

Carlien A M Bennebroek, Judith van Zwol, Giorgio L Porro, Rianne Oostenbrink, Anne T M Dittrich, Annabel L W Groot, Jan W Pott, Etienne J M Janssen, Noël J Bauer, Maria M van Genderen and 4 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Bevacizumab in Pediatric Neuro-Oncology.Current oncology (Toronto, Ont.) · 2025
    Review
  5. Article
  6. Review
  7. Review
  8. Pediatric CNS tumors: Overview and treatment paradigms.Seminars in pediatric neurology · 2025
    Review
  9. Review
  10. Pediatric-type low-grade gliomas in adolescents and young adults-challenges and emerging paradigms.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Review
  11. Molecular-targeted therapy for childhood low-grade glial and glioneuronal tumors.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Review
  12. Review
  13. Article
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 7 institutions in 2 countries.

Carlien A M BennebroekDepartment of Ophthalmology, Amsterdam UMC Location University of Amsterdam, 1053 VE Amsterdam, The Netherlands.ORCID 0000-0002-4733-2120
Judith van ZwolDepartment of Ophthalmology, Amsterdam UMC Location University of Amsterdam, 1053 VE Amsterdam, The Netherlands.
Giorgio L PorroDepartment of Ophthalmology Utrecht UMC, 3584 CX Utrecht, The Netherlands.
Rianne OostenbrinkENCORE-NF1 Center, Department of General Pediatrics, Erasmus MC, 3015 GD Rotterdam, The Netherlands.ORCID 0000-0001-7919-8934
Anne T M DittrichDepartment of Pediatrics, Radboud University Medical Center, Amalia Children's Hospital, 6525 GA Nijmegen, The Netherlands.
Annabel L W GrootDepartment of Ophthalmology, Radboud University Medical Center, 6525 GA Nijmegen, The Netherlands.
Jan W PottDepartment of Ophthalmology, University Medical Center Groningen, University of Groningen, 9713 GZ Groningen, The Netherlands.
Etienne J M JanssenDepartment of Neurology, Maastricht University Medical Center, 6221 CZ Maastricht, The Netherlands.
Noël J BauerDepartment of Ophthalmology, Maastricht University Medical Center, 6229 HX Maastricht, The Netherlands.
Maria M van GenderenDepartment of Ophthalmology Utrecht UMC, 3584 CX Utrecht, The Netherlands.
Peerooz SaeedDepartment of Ophthalmology, Amsterdam UMC Location University of Amsterdam, 1053 VE Amsterdam, The Netherlands.
Maarten H LequinDepartment of Radiology, Princess Máxima Center for Pediatric Oncology, 3584 CS Utrecht, The Netherlands.
Pim de GraafDepartment of Radiology and Nuclear Medicine, Amsterdam UMC Location Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The Netherlands.ORCID 0000-0003-1938-0747
Antoinette Y N Schouten-van MeeterenDepartment of Neuro-Oncology, Princess Máxima Center for Pediatric Oncology, 3584 CS Utrecht, The Netherlands.
Amsterdam University Medical Centers · NLMaastricht University · NLPrincess Máxima Center · NLRadboud University Nijmegen · NLBartiméus · NLErasmus MC · NLUniversity Medical Center Groningen · NL

Funding

ODAS Stichting 2019-01
6 · The paper itself

Abstract

backgroundsBevacizumab (BVZ) is used as a subsequent line of treatment for pediatric optic pathway glioma (OPG) in the case of progression. Data on the treatment effect concerning tumor progression and visual function are scarce and nationwide studies are lacking.

methodsWe performed a retrospective, nationwide, multicentre cohort study including all pediatric patients with OPG treated with BVZ in the Netherlands (2009-2021). Progression-free survival, change in visual acuity and visual field, MRI-based radiologic response, and toxicity were evaluated.

resultsIn total, 33 pediatric patients with OPG were treated with BVZ (median 12 months). Visual acuity improved in 20.5%, remained stable in 74.4%, and decreased in 5.1% of 39 of all analysed eyes. The monocular visual field improved in 73.1%, remained stable in 15.4%, and decreased in 7.7% of 25 analysed eyes. Radiologic response at the end of therapy showed a partial response in 7 patients (21.9%), minor response in 7 (21.9%), stable disease in 15 (46.9%), and progressive disease in 3 (9.3%). Progression-free survival at 18 and 36 months after the start of BVZ reduced from 70.9% to 38.0%. Toxicity (≥grade 3 CTCAE) during treatment was observed in five patients (15.2%).

conclusionTreatment of BVZ in pediatric patients with OPG revealed stabilisation in the majority of patients, but was followed by progression at a later time point in more than 60% of patients. This profile seems relatively acceptable given the benefits of visual field improvement in more than 70% of analysed eyes and visual acuity improvement in more than 20% of eyes at the cessation of BVZ.

Indexed as

bevacizumabchildlow grade gliomaoptic pathway gliomaprogressionsystemic anticancer therapytoxicityvisual acuityvisual functionvisual outcome

Identifiers

PMID36551572
PMCPMC9776082
OpenAlexW4312126248

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.