Evidence map›Paper›PMID 39543740›Full record

SynthesisRadiation oncology (London, England)2024

Proton beam therapy for craniopharyngioma: a systematic review and meta-analysis.

Zhi Li, Qingyong Li, Haidong Tian, Maoqing Wang, Ru Lin, Juan Bai, Dandan Wang, Meng Dong

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Radiation oncology (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–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, 2 syntheses or guidelines pooled it.

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

8 authors.

Zhi LiChongqing Medical and Pharmaceutical College, Chongqing, China.
Qingyong LiDongying Hospital, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Dongying, China.
Haidong TianCollege of Life Science and Engineering, Lanzhou University of Technology, Lanzhou, China.
Maoqing Wang416 Hospital of Nuclear Industry, Chengdu, China.
Ru LinShengli Oil Field Central Hospital, Dongying, China.
Juan BaiDepartment of Oncology, Clinical Medical College &, Affiliated Hospital of Chengdu University, Chengdu, China.
Dandan WangThe First School of Clinical Medicine, Lanzhou University, Lanzhou, China. 353453024@qq.com.
Meng DongDepartment of Radiation Oncology, Division of Thoracic Tumor Multimodality Treatment and Cancer Center, West China Hospital, Sichuan University, Chengdu, China. dm86411@163.com.

Funding

Scientific and Technological Research Program of Chongqing Medical and Pharmaceutical College No. ygz2023114
6 · The paper itself

Abstract

backgroundCraniopharyngioma is a rare and slow-growing benign sellar or parasellar epithelial tumor. The number of patients receiving proton beam therapy (PBT) has increased. This study aimed to systematically evaluate and analyze the comprehensive evidence regarding the safety and efficacy of PBT for craniopharyngioma.

methodsWe searched four databases: the Cochrane Library, PubMed, Embase, and Web of Science. The period was from their inception to February 16, 2024. Two researchers independently screened the literature and extracted data.

resultsAmong 486 candidate articles, eight studies were included in our study. Exactly 393 patients with craniopharyngioma underwent PBT in these studies. These studies reported data on survival and toxicity. The median sample size was 42.5 patients. The median age was 9.1-37 years; the female proportion was 48.9%, and the median follow-up time was 29-91.4 months. All patients were treated once daily, five times a week, with a fraction of 1.8 Gy (RBE) per session. The median total dose was 54.0 Gy (RBE). The local control rates at 3 and 5 years in these studies were 99% and 93%, respectively. The overall survival rates at 3 and 5 years in these studies were both 100%. The incidence of acute and late toxicities was mainly grade 1-2. The main late toxicities included vascular and visual toxicities, hypothalamic obesity, endocrinopathy, and panhypopituitarism.

conclusionsPBT for craniopharyngioma, especially in children and adolescents, has shown impressive local control and acceptable acute and late toxicities.

Indexed as

CraniopharyngiomaPituitary NeoplasmsProton TherapyAdolescentChildHumansCraniopharyngiomaProton beam therapySystematic review and meta-analysis

Identifiers

PMID39543740
PMCPMC11566716

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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.