Evidence map›Paper›PMID 39825478›Full record

ArticleCancer medicine2025

Prognostic Factors and Nomogram for Malignant Brainstem Ependymoma: A Population-Based Retrospective Surveillance, Epidemiology, and End Results Database Analysis.

Xiaoyu Ji, Siyuan Yang, Dejing Cheng, Wenbo Zhao, Xuebo Sun, Fang Su

Abstract read
In one paragraph

Article in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Xiaoyu JiDepartment of Neurosurgery, The First Affiliated Hospital of Soochow University, Suzhou, China.
Siyuan YangDepartment of Neurosurgery, The First Affiliated Hospital of Soochow University, Suzhou, China.
Dejing ChengThe Fourth Affiliated Hospital of Soochow University, Suzhou, China.
Wenbo ZhaoDepartment of Neurosurgery, Second Hospital of Shanxi Medical University, Taiyuan, Shanxi Province, China.
Xuebo SunDepartment of Neurosurgery, The First Affiliated Hospital of Soochow University, Suzhou, China.
Fang SuDepartment of Neurosurgery, The First Affiliated Hospital of Soochow University, Suzhou, China.ORCID https://orcid.org/0009-0008-8494-8662

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to identify prognostic factors and develop a nomogram for survival in patients with brainstem ependymoma.

methodsData of 652 patients diagnosed with brainstem ependymoma extracted from the Surveillance, Epidemiology, and End Results (SEER) registry from 2000 to 2020 were analyzed. Univariate and multivariable Cox regression analyses were performed to examine factors influencing overall survival (OS). Receiver operating characteristic curve (ROC) and calibration curves were used to verify the nomogram. The Kaplan-Meier method was used to analyze OS based on treatment methods stratification or different age patterns.

resultsSix independent prognostic factors of patients with brainstem ependymoma were identified, including age, race, marital status, radiation, gross total resection (GTR), and histology. A comprehensive nomogram model was developed utilizing these predictors identified through multivariable Cox regression analysis. Furthermore, we found that patients with GTR have improved overall survival than patient with no surgery and biopsy only or with partial resection (GTR vs. no: p = 0.0004, GTR vs. partial resection: p = 0.022). Patients with radiation have improved overall survival than patient without radiation (p = 0.00013). Patients with GTR combined radiation therapy have improved overall survival than patient without or with GTR or radiation therapy only (p < 0.0001). Different treatment methods have no significant difference in the overall survival probability of the elderly group.

conclusionsIndividuals who are Black and anaplastic ependymomas were negative risk factors for brainstem ependymoma associated with an increased risk of mortality. Patients aged < 50 years with GTR and radiation always had better survival.

Indexed as

Brain Stem NeoplasmsEpendymomaNomogramsAdolescentAdultAgedChildChild, PreschoolFemaleHumansKaplan-Meier EstimateMaleMiddle AgedPrognosisRetrospective StudiesSEER Programbrainstem ependymomamortalityprognosisSEERsurvival

Identifiers

PMID39825478
PMCPMC11756553

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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.