Evidence map›Paper›PMID 38858236›Full record

ReviewActa neurochirurgica2024

Diagnostics and treatment delay in primary central nervous system lymphoma: What the neurosurgeon should know.

M C Hasner, M P van Opijnen, M van der Meulen, R M Verdijk, S L N Maas, L C J Te Boome, M L D Broekman

Abstract readReview
In one paragraph

Review in Acta neurochirurgica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

7 authors.

M C HasnerDepartment of Neurosurgery, Haaglanden Medical Centre, The Hague, The Netherlands. hasnermc@gmail.com.ORCID 0009-0001-7306-211X
M P van OpijnenDepartment of Neurosurgery, Leiden University Medical Centre, Leiden, The Netherlands.
M van der MeulenDepartment of Neurology, Medisch Spectrum Twente, Enschede, The Netherlands.
R M VerdijkDepartment of Pathology, Leiden University Medical Centre, Leiden, The Netherlands.
S L N MaasDepartment of Pathology, Leiden University Medical Centre, Leiden, The Netherlands.
L C J Te BoomeDepartment of Hematology, Haaglanden Medical Centre, The Hague, The Netherlands.
M L D BroekmanDepartment of Neurosurgery, Haaglanden Medical Centre, The Hague, The Netherlands.ORCID 0000-0002-0226-0119

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe gold standard for diagnostics in primary central nervous system lymphoma (PCNSL) is histopathological diagnosis after stereotactic biopsy. Yet, PCNSL has a multidisciplinary diagnostic work up, which associated with diagnostic delay and could result in treatment delay. This article offers recommendations to neurosurgeons involved in clinical decision-making regarding (novel) diagnostics and care for patients with PCNSL with the aim to improve uniformity and timeliness of the diagnostic process for patients with PCNSL.

methodsWe present a mini review to discuss the role of stereotactic biopsy in the context of novel developments in diagnostics for PCNSL, as well as the role for cytoreductive surgery.

resultsCerebrospinal fluid-based diagnostics are supplementary and cannot replace stereotactic biopsy-based diagnostics.

conclusionHistopathological diagnosis after stereotactic biopsy of the brain remains the gold standard for diagnosis. Additional diagnostics should not be a cause of diagnostic delay. There is currently no sufficient evidence supporting cytoreductive surgery in PCNSL, with recent studies showing contradictive data and suboptimal study designs.

Indexed as

Central Nervous System NeoplasmsDelayed DiagnosisLymphomaTime-to-TreatmentBiopsyCytoreduction Surgical ProceduresHumansNeurosurgeonsStereotaxic TechniquesTreatment DelayCerebrospinal fluid-based diagnosticsDiagnostic delayPrimary central nervous system lymphomaStereotactic biopsy

Identifiers

PMID38858236
PMCPMC11164806

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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.