Evidence map›Paper›PMID 37402894›Full record

SynthesisNeurosurgical review2023

Proton beam radiation therapy for vestibular schwannomas-tumor control and hearing preservation rates: a systematic review and meta-analysis.

Antonio Santacroce, Mioara- Florentina Trandafirescu, Marc Levivier, David Peters, Christoph Fürweger, Iuliana Toma-Dasu, Mercy George, Roy Thomas Daniel, Raphael Maire, Makoto Nakamura and 4 more

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Neurosurgical review, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
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 8 institutions in 3 countries.

Antonio SantacroceEuropean Radiosurgery Centre Munich, Munich, Germany.
Mioara- Florentina TrandafirescuUniversity of Medicine and Pharmacy "Gr. T. Popa", Iasi, Germany.
Marc LevivierNeurosurgery Service and Gamma Knife Center, Centre Hospitalier Universitaire Vaudois, Lausanne University Hospital (CHUV), Rue du Bugnon 44-46, BH-08, CH-1011, Lausanne, Switzerland.
David PetersNeurosurgery Service and Gamma Knife Center, Centre Hospitalier Universitaire Vaudois, Lausanne University Hospital (CHUV), Rue du Bugnon 44-46, BH-08, CH-1011, Lausanne, Switzerland.
Christoph FürwegerEuropean Radiosurgery Centre Munich, Munich, Germany.
Iuliana Toma-DasuOncology Pathology Department, Karolinska Institutet and Stockholm University, Stockholm, Sweden.
Mercy GeorgeENT Department, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Roy Thomas DanielNeurosurgery Service and Gamma Knife Center, Centre Hospitalier Universitaire Vaudois, Lausanne University Hospital (CHUV), Rue du Bugnon 44-46, BH-08, CH-1011, Lausanne, Switzerland.
Raphael MaireENT Department, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Makoto NakamuraDepartment of Neurosurgery, Academic Hospital Köln-Merheim, Köln, 51058, Germany.
Mohamed FaouziDivision of Biostatistics, Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland.
Luis SchiappacasseRadiation Oncology Department, Lausanne University Hospital (CHUV), Lausanne, Switzerland.
Alexandru DasuThe Skandion Clinic and Uppsala University, Uppsala, Sweden.
Constantin TuleascaNeurosurgery Service and Gamma Knife Center, Centre Hospitalier Universitaire Vaudois, Lausanne University Hospital (CHUV), Rue du Bugnon 44-46, BH-08, CH-1011, Lausanne, Switzerland. constantin.tuleasca@gmail.com.
University of Lausanne · CHCentre universitaire de médecine générale et santé publique, Lausanne · CHEuropean Patent Organisation · DELungenklinik Köln-Merheim · DELWL-Universitätsklinik Hamm · DEStockholm University · SEUniversity Hospital of Lausanne · CHUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveProton beam therapy is considered, by some authors, as having the advantage of delivering dose distributions more conformal to target compared with stereotactic radiosurgery (SRS). Here, we performed a systematic review and meta-analysis of proton beam for VSs, evaluating tumor control and cranial nerve preservation rates, particularly with regard to facial and hearing preservation.

methodsWe reviewed, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) articles published between 1968 and September 30, 2022. We retained 8 studies reporting 587 patients.

resultsOverall rate of tumor control (both stability and decrease in volume) was 95.4% (range 93.5-97.2%, p heterogeneity= 0.77, p<0.001). Overall rate of tumor progression was 4.6% (range 2.8-6.5%, p heterogeneity < 0.77, p<0.001). Overall rate of trigeminal nerve preservation (absence of numbness) was 95.6% (range 93.5-97.7%, I

conclusionProton beam therapy for VSs achieves high tumor control rates, as high as 95.4%. Facial rate preservation overall rates are 93%, which is lower compared to the most SRS series. Compared with most currently reported SRS techniques, proton beam radiation therapy for VSs does not offer an advantage for facial and hearing preservation compared to most of the currently reported SRS series.

Indexed as

Neuroma, AcousticProton TherapyRadiosurgeryCranial NervesFacial NerveFollow-Up StudiesHearingHumansRetrospective StudiesTreatment OutcomeFacial nerveHearingProton therapyRadiosurgeryVestibular schwannoma

Identifiers

PMID37402894
PMCPMC10319703
OpenAlexW4383172218

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.