Evidence map›Paper›PMID 38183008›Full record

ArticleBMC cancer2024

Efficacy and indications of gamma knife radiosurgery for recurrent low-and high-grade glioma.

Ying Sun, Peiru Liu, Zixi Wang, Haibo Zhang, Ying Xu, Shenghui Hu, Ying Yan

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. Review
  5. Article
  6. 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

7 authors at 3 institutions in 1 country.

Ying Sun *Department of Radiation Oncology, General Hospital of Northern Theater Command, 110016, Shenyang, China.
Peiru Liu *Beifang Hospital of China Medical University, 110016, Shenyang, China.
Zixi Wang *Graduate School of Dalian Medical University, 116000, Dalian, China.
Haibo ZhangDepartment of Radiation Oncology, General Hospital of Northern Theater Command, 110016, Shenyang, China.
Ying XuDepartment of Radiation Oncology, General Hospital of Northern Theater Command, 110016, Shenyang, China.
Shenghui HuDepartment of Radiation Oncology, General Hospital of Northern Theater Command, 110016, Shenyang, China.
Ying YanDepartment of Radiation Oncology, General Hospital of Northern Theater Command, 110016, Shenyang, China. yanyingdoctor@sina.com.
General Hospital of Shenyang Military Region · CNChina Medical University · CNDalian Medical University · CN

Funding

Major Science and Technology Project of Liaoning Province in 2019 2019JH/10300007
6 · The paper itself

Abstract

purposeTo investigate the indications and efficacy of gamma knife radiosurgery (GKRS) as a salvage treatment for recurrent low-and high-grade glioma.

methodsThis retrospective study of 107 patients with recurrent glioma treated with GKRS between 2009 and 2022, including 68 high-grade glioma (HGG) and 39 low-grade glioma (LGG) cases. The Kaplan-Meier method was used to calculate the overall survival (OS) and progression-free survival (PFS). The log-rank test was used to analyze the multivariate prognosis of the Cox proportional hazards model. Adverse reactions were evaluated according to the Common Terminology Criteria for Adverse Events version 4.03. The prognostic value of main clinical features was estimated, including histopathology, Karnofsky performance status (KPS), recurrence time interval, target location, two or more GKRS, surgery for recurrence, site of recurrence, left or right side of the brain and so on.

resultsThe median follow-up time was 74.5 months. The median OS and PFS were 17.0 months and 5.5 months for all patients. The median OS and PFS were 11.0 months and 5.0 months for HGG, respectively. The median OS and PFS were 49.0 months and 12.0 months for LGG, respectively. Multivariate analysis showed that two or more GKRS, left or right side of the brain and brainstem significantly affected PFS. Meanwhile, the KPS index, two or more GKRS, pathological grade, and brainstem significantly affected OS. Stratified analysis showed that surgery for recurrence significantly affected OS and PFS for LGG. KPS significantly affected OS and PFS for HGG. No serious adverse events were noted post-GKRS.

conclusionGKRS is a safe and effective salvage treatment for recurrent glioma. Moreover, it can be applied after multiple recurrences with tolerable adverse effects.

Indexed as

GliomaRadiosurgeryBrainBrain StemHumansRetrospective StudiesGamma knife radiosurgeryIndicationPrognosisRecurrent glioma

Identifiers

PMID38183008
PMCPMC10768340
OpenAlexW4390609283

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.