Evidence map›Paper›PMID 39849189›Full record

SynthesisNeurosurgical review2025

The efficacy and safety of Bevacizumab-based treatments in Optic Pathway Glioma among pediatric population: a systematic review and meta-analysis.

Bardia Hajikarimloo, Salem M Tos, Alireza Kooshki, Mohammadamin Sabbagh Alvani, Arman Hasanzade, Amir Hossein Zare, Amir Hessam Zare, Roozbeh Tavanaei, Mohammadhosein Akhlaghpasand, Dorsa Najari and 1 more

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Neurosurgical review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Bardia HajikarimlooDepartment of Neurological Surgery, University of Virginia, Charlottesville, VA, USA. kjh7vp@uvahealth.org.ORCID http://orcid.org/0000-0001-8801-1158
Salem M TosDepartment of Neurological Surgery, University of Virginia, Charlottesville, VA, USA.ORCID http://orcid.org/0000-0001-7154-6869
Alireza KooshkiStudent Research Committee, Birjand University of Medical Sciences, Birjand, Iran.
Mohammadamin Sabbagh AlvaniDepartment of Neurological Surgery, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Arman HasanzadeDepartment of Neurological Surgery, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Amir Hossein ZareDepartment of Neurological Surgery, Tehran University of Medical Sciences, Tehran, Iran.
Amir Hessam ZareDepartment of Neurological Surgery, Tehran University of Medical Sciences, Tehran, Iran.
Roozbeh TavanaeiDepartment of Neurological Surgery, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mohammadhosein AkhlaghpasandDepartment of Neurological Surgery, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Dorsa NajariDepartment of Neurological Surgery, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mohammad Amin HabibiDepartment of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. Mohammad.habibi1392@yahoo.com.ORCID http://orcid.org/0000-0001-7600-6925

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The optimal therapeutic intervention for pediatrics with optic pathway glioma (OPG) remained controversial in the literature. Recently, due to substantial adverse events (AEs) of chemotherapy and its impact on children's lives, the efficacy of other options has been investigated. Bevacizumab (BVZ) is an anti-vascular endothelial growth factor (VEGF) agent that alters the lesion microenvironment. In this systematic review and meta-analysis, we aimed to evaluate the efficacy of BVZ-based treatment (BBT) in pediatrics with OPG. The electronic databases of PubMed/Medline, Scopus, Embase, and Web of Science were searched from inception to 15 October 2024. The R program performed the meta-analyses, sensitivity analysis, publication bias, and meta-regression. A total of ten studies with 185 patients were included. Our meta-analysis revealed a pooled local control rate of 80% (95% CI: 60-91%), radiological response rate of 18% (95% CI: 6-41%), stable disease rate of 57% (95% CI: 39-73%), and progression rate of 20% (95% CI: 9-40%). Our results demonstrated a pooled visual acuity (VA) improvement rate of 31% (95% CI: 24-39%), a stable rate of 60% (95% CI: 52- 67%), and a worsening rate of 15% (95% CI: 6 - 30%). Our meta-analysis revealed a pooled VF improvement rate of 40% (95% CI: 20- 64%) and a worsening rate of 18% (95% CI: 10 - 30%). BBT is associated with favorable outcomes and a low occurrence rate of severe AE and could be considered a promising therapeutic option in children with OPG.

Indexed as

Angiogenesis InhibitorsAntineoplastic Agents, ImmunologicalBevacizumabOptic Nerve GliomaChildHumansTreatment OutcomeVisual AcuityAngiogenesis InhibitorsAntineoplastic Agents, ImmunologicalBevacizumabBevacizumabOptic pathway gliomaPediatricVGEF inhibitorVisual pathway glioma

Identifiers

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Read underepoch 390

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.