Evidence map›Paper›PMID 36922442›Full record

ArticleJournal of cancer survivorship : research and practice2024

Symptom networks in glioma patients: understanding the multidimensionality of symptoms and quality of life.

J G Röttgering, T M C K Varkevisser, M Gorter, V Belgers, P C De Witt Hamer, J C Reijneveld, M Klein, T F Blanken, L Douw

Open access · hybridAbstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
7.9field-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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Heterogeneous trajectory of cancer-related fatigue and its associated factors in patients with glioma during the perioperative period: a prospective longitudinal study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Symptom network and latent profile analysis in patients after glioma surgery: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  15. Neuro-oncology practice · 2025
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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 at 5 institutions in 1 country.

J G RöttgeringCancer Center Amsterdam, Brain Tumor Center, Amsterdam, The Netherlands. j.rottgering@amsterdamumc.nl.
T M C K VarkevisserAmsterdam UMC Location Vrije Universiteit Amsterdam, Anatomy and Neurosciences, Boelelaan 1117, Amsterdam, The Netherlands.
M GorterCancer Center Amsterdam, Brain Tumor Center, Amsterdam, The Netherlands.
V BelgersCancer Center Amsterdam, Brain Tumor Center, Amsterdam, The Netherlands.
P C De Witt HamerCancer Center Amsterdam, Brain Tumor Center, Amsterdam, The Netherlands.
J C ReijneveldDepartment of Neurology, SEIN, Heemstede, The Netherlands.
M KleinCancer Center Amsterdam, Brain Tumor Center, Amsterdam, The Netherlands.
T F BlankenDepartment of Psychological Methods, University of Amsterdam, 1018 WT, Amsterdam, The Netherlands.
L DouwCancer Center Amsterdam, Brain Tumor Center, Amsterdam, The Netherlands.
Amsterdam University Medical Centers · NLVrije Universiteit Amsterdam · NLCancer Center AmsterdamStichting Epilepsie Instellingen Nederland · NLUniversity of Amsterdam · NL

Funding

Dutch Epilepsy Foundation NEF 08-08, 09-09Dutch Research Council (NWO) Veni 016.146.086; Vidi 198.015the Stichting Anita Veldman Foundation CCA.2019.2-21
6 · The paper itself

Abstract

purposeTo comprehend the complex relationship between symptoms and health-related quality of life (HRQoL) in patients with diffuse glioma, we applied symptom network analysis to identify patterns of associations between depression, cognition, brain tumor-related symptoms, and HRQoL. Additionally, we aimed to compare global strength between symptom networks to understand if symptoms are more tightly connected in different subgroups of patients.

methodsWe included 256 patients and stratified the sample based on disease status (preoperative vs. postoperative), tumor grade (grade II vs. III/IV), and fatigue status (non-fatigued vs. fatigued). For each subgroup of patients, we constructed a symptom network. In these six networks, each node represented a validated subscale of a questionnaire and an edge represented a partial correlation between two nodes. We statistically compared global strength between networks.

resultsAcross the six networks, nodes were highly correlated: fatigue severity, depression, and social functioning in particular. We found no differences in GS between the networks based on disease characteristics. However, global strength was lower in the non-fatigued network compared to the fatigued network (5.51 vs. 7.49, p < 0.001).

conclusionsSymptoms and HRQoL are highly interrelated in patients with glioma. Interestingly, nodes in the network of fatigued patients were more tightly connected compared to non-fatigued patients. IMPLICATIONS FOR CANCER SURVIVORS: We introduce symptom networks as a method to understand the multidimensionality of symptoms in glioma. We find a clear association between multiple symptoms and HRQoL, which underlines the need for integrative symptom management targeting fatigue in particular.

Indexed as

Brain NeoplasmsFatigueGliomaQuality of LifeAdultAgedDepressionFemaleHumansMaleMiddle AgedSurveys and QuestionnairesBrain neoplasmsFatigueMental healthNetwork analysisPatient-reported outcome measuresQuality of life

Identifiers

PMID36922442
PMCPMC11082018
OpenAlexW4327618009

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.