Evidence map›Paper›PMID 37381692›Full record

ArticleNeuro-oncology2023

Treatment and outcome of the Dutch Childhood Craniopharyngioma Cohort study: First results after centralization of care.

Jiska Van Schaik, Antoinette Y N Schouten-van Meeteren, Evelien Vos-Kerkhof, Geert O Janssens, Giorgio L Porro, Marta Fiocco, Boudewijn Bakker, Wim J E Tissing, Eelco W Hoving, Hanneke M van Santen

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 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.2field-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

19 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Long-term outcomes of paediatric craniopharyngiomas: a comparison of two large international series.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Observational
  7. Nordic survey on practice of neurosurgical management of craniopharyngioma in children.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Inflammatory mediator contributes to leptin resistance and obesity in craniopharyngioma.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2024
    Article
  18. Impact of stereotactic radiotherapy for craniopharyngioma: a large, academic hospital cohort.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Article
  19. 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

10 authors at 4 institutions in 1 country.

Jiska Van SchaikDepartment of Pediatric Endocrinology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0002-3606-6592
Antoinette Y N Schouten-van MeeterenDepartment of Pediatric Oncology, Princess Máxima Center for pediatric oncology, Utrecht, The Netherlands.
Evelien Vos-KerkhofDepartment of Pediatric Oncology, Princess Máxima Center for pediatric oncology, Utrecht, The Netherlands.
Geert O JanssensDepartment of Radiation Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
Giorgio L PorroDepartment of Ophthalmology, University Medical Center Utrecht, Utrecht, The Netherlands.
Marta FioccoDepartment of Pediatric Oncology, Princess Máxima Center for pediatric oncology, Utrecht, The Netherlands.
Boudewijn BakkerDepartment of Pediatric Endocrinology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Wim J E TissingDepartment of Pediatric Oncology, Princess Máxima Center for pediatric oncology, Utrecht, The Netherlands.
Eelco W HovingDepartment of Neurosurgery, Princess Máxima Center for pediatric oncology, Utrecht, The Netherlands.
Hanneke M van SantenDepartment of Pediatric Endocrinology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
University Medical Center Utrecht · NLPrincess Máxima Center · NLLeiden University · NLUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildhood craniopharyngioma (cCP) has excellent survival, but quality of life may be severely hampered by hypothalamic dysfunction. We aimed to evaluate treatment and hypothalamic outcomes of a Dutch cCP cohort, and evaluate the effect of centralization of care.

methodsA retrospective cohort study was performed, including cCP patients diagnosed between 2004 and 2021. Treatment characteristics and hypothalamic outcomes were evaluated and compared before and since centralization of care in May 2018.

resultsWe included 87 cCP patients. Cyst drainage/fenestration was performed in 29.9%, limited resection in 27.6%, near-total resection in 16.1%, and gross total resection (GTR) in 25.4%. Radiotherapy was given in 46.0%. After a median follow-up of 6.5 years, hypothalamic obesity (HO) was present in 24.7% and panhypopituitarism with diabetes insipidus in 71.3%. Higher body mass index (BMI) SDS at diagnosis and Muller grade II at last magnetic resonance imaging of follow-up were associated with overweight/obesity. No association was found between extensiveness of resection and overweight/obesity at last follow-up. When comparing before and after centralization of care, rates of GTR remained similar, but BMI outcomes changed; mean ΔBMI SDS 1 year after diagnosis from 1.12 (SD 1.15) to 0.81 (SD 1.24), and HO after 1 year decreased from 33.3% to 12.0% (P = .067), and after 2 years from 28.6% to 6.7% (P = NS).

conclusionsIn our nationwide cohort, GTR was performed in a relatively low percentage of patients and extensiveness of resection was no longer associated with HO at follow-up. A trend toward improvement of BMI is observed since centralization of care, which needs further exploration.

Indexed as

CraniopharyngiomaPituitary NeoplasmsChildCohort StudiesHumansObesityOverweightQuality of LifeRetrospective StudiesTreatment OutcomeCraniopharyngiomahypothalamic obesitymuller gradesurgical treatment

Identifiers

PMID37381692
PMCPMC10708930
OpenAlexW4382502635

What OpenQuestion holds

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LicenceCC BY-NC
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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.