Evidence map›Paper›PMID 39873790›Full record

SynthesisNeurosurgical review2025

Radiosurgery versus radiation therapy for long term local control rate of craniopharyngioma: a meta-analysis.

Hee Jun Yoo, Chang Hwa Ham, Haewon Roh, Hyun Jun Jo, Woo Keun Kwon, Wonki Yoon, Jong Hyun Kim, Taek Hyun Kwon, Joonho Byun

Abstract readMeta-AnalysisComparative Study
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 5 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 4 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

5 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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

9 authors.

Hee Jun YooDepartment of Neurosurgery, Chung Ang University Gwangmyung Hospital, Chung Ang University College of Medicine, Seoul, Korea.
Chang Hwa HamDepartment of Neurosurgery, Korea University Guro Hospital, Korea University Medical College, Seoul, Korea.
Haewon RohDepartment of Neurosurgery, Korea University Guro Hospital, Korea University Medical College, Seoul, Korea.
Hyun Jun JoDepartment of Neurosurgery, Korea University Guro Hospital, Korea University Medical College, Seoul, Korea.
Woo Keun KwonDepartment of Neurosurgery, Korea University Guro Hospital, Korea University Medical College, Seoul, Korea.
Wonki YoonDepartment of Neurosurgery, Korea University Guro Hospital, Korea University Medical College, Seoul, Korea.
Jong Hyun KimDepartment of Neurosurgery, Korea University Guro Hospital, Korea University Medical College, Seoul, Korea.
Taek Hyun KwonDepartment of Neurosurgery, Korea University Guro Hospital, Korea University Medical College, Seoul, Korea.
Joonho ByunDepartment of Neurosurgery, Korea University Guro Hospital, Korea University Medical College, Seoul, Korea. drjunho2@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCraniopharyngiomas are challenging benign tumors arising from Rathke's pouch remnants, often requiring multidisciplinary management due to their proximity to critical neurovascular structures. This meta-analysis systematically compares conventional radiation therapy (RT) and stereotactic radiosurgery (RS) in treating residual or recurrent craniopharyngiomas.

methodA comprehensive literature search identified 44 studies, including 46 reports, meeting inclusion criteria such as progression-free survival (PFS) and post-radiotherapy complications. Data extraction followed PRISMA guidelines.

resultsThe pooled 5-year PFS favored RT (0.843; 95% CI: 0.767-0.898) over RS (0.680; 95% CI: 0.631-0.727), as did 10-year PFS (RT: 0.813; 95% CI: 0.683-0.888; RS: 0.553; 95% CI: 0.470-0.634). RT demonstrated mitigating tumor recurrence risks. Visual and hormonal complication rates between the modalities were comparable (visual: ~4%; hormonal: ~6%).

conclusionRT consistently achieved superior long-term PFS compared to RS, reaffirming its role as the standard for adjuvant therapy in craniopharyngiomas. This analysis highlights the need for tailored treatment strategies balancing efficacy and safety, ultimately enhancing patient outcomes.

Indexed as

CraniopharyngiomaNeoplasm Recurrence, LocalPituitary NeoplasmsRadiosurgeryHumansTreatment OutcomeAdjuvant treatmentComplicationsCraniopharyngiomaRadiation therapyRadiosurgeryTumor control

Identifiers

What OpenQuestion holds

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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.