Evidence map›Paper›PMID 39228184›Full record

ArticleJournal of Korean medical science2024

Bevacizumab Alone Versus Bevacizumab Plus Irinotecan in Patients With Recurrent Glioblastoma: A Nationwide Population-Based Study.

Yeonhu Lee, Eunyoung Lee, Tae Hoon Roh, Se-Hyuk Kim

Abstract read
In one paragraph

Article in Journal of Korean medical science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Yeonhu LeeDepartment of Neurosurgery, Ajou University School of Medicine, Suwon, Korea.ORCID https://orcid.org/0000-0002-4939-9978
Eunyoung LeeDepartment of Neurology, McGovern Medical School at UTHealth, Houston, TX, USA.ORCID https://orcid.org/0000-0002-9440-9119
Tae Hoon RohDepartment of Neurosurgery, Ajou University School of Medicine, Suwon, Korea. throh@ajou.ac.kr.ORCID https://orcid.org/0000-0002-1004-9364
Se-Hyuk KimDepartment of Neurosurgery, Ajou University School of Medicine, Suwon, Korea.ORCID https://orcid.org/0000-0002-7528-4007

Funding

Ministry of Health and Welfare HR22C1734National Research Foundation of Korea RS-2023-00253964
6 · The paper itself

Abstract

backgroundFor treating recurrent glioblastoma, for which there is no established treatment, the antiangiogenic antibody, bevacizumab, is used alone or with irinotecan. This study was aimed at comparing the survival of patients with recurrent glioblastoma receiving bevacizumab monotherapy and those receiving bevacizumab plus irinotecan combination therapy (B+I) by using a nationwide population-based dataset.

methodsPatients matching the International Classification of Diseases code C71.x were screened from the Health Insurance Review and Assessment Service database. From January 2008 to November 2021, patients who underwent surgery or biopsy and subsequent standard concurrent chemoradiation with temozolomide were included. Among them, those who received bevacizumab monotherapy or B+I were selected. Demographic characteristics, inpatient stay, prescription frequency, survival outcomes, and steroid prescription duration were compared between these two groups.

resultsEight hundred and forty-six patients who underwent surgery or biopsy and received concurrent chemoradiotherapy with temozolomide were included. Of these, 450 and 396 received bevacizumab monotherapy and B+I, respectively. The corresponding median overall survival from the initial surgery was 22.60 months (95% confidence interval [CI], 20.50-24.21) and 20.44 months (95% CI, 18.55-22.60;

conclusionWe found no significant difference in overall survival between the bevacizumab monotherapy and B+I groups. Considering the additional potential toxicity associated with irinotecan, bevacizumab monotherapy could be a suitable treatment option for treating recurrent glioblastoma.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBevacizumabGlioblastomaIrinotecanNeoplasm Recurrence, LocalAdultAgedBrain NeoplasmsChemoradiotherapyDatabases, FactualFemaleHumansKaplan-Meier EstimateMaleMiddle AgedRetrospective StudiesBevacizumabIrinotecanTemozolomideBevacizumabChemoradiotherapyGlioblastomaIrinotecanSurvival Analysis

Identifiers

PMID39228184
PMCPMC11372412

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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.