Evidence map›Paper›PMID 39957858›Full record

ArticleNeurosurgery practice2024

Stereotactic Radiosurgery and Highly Active Antiretroviral Therapy for HIV-Related Primary Central Nervous System Lymphomas: A Prospective Study Analyzing the Efficacy and Safety.

Andres M Alvarez Pinzon, Jose Ramon Alonso, Aizik Wolf, Felipe Ramirez-Velandia, Jose E Valerio

Abstract read
In one paragraph

Article in Neurosurgery practice, 2024. 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

5 authors.

Andres M Alvarez PinzonThe Institute of Neuroscience of Castilla y León (INCYL), Cancer Neuroscience, Universidad de Salamanca (USAL), Salamanca, Spain.ORCID https://orcid.org/0000-0003-3488-8020
Jose Ramon AlonsoThe Institute of Neuroscience of Castilla y León (INCYL), University of Salamanca (USAL), Salamanca, Spain.
Aizik WolfDepartment of Neurosurgery, Miami Neuroscience Center at Larkin, Neurosurgery Oncology Center of Excellence, Miami, Florida, USA.
Felipe Ramirez-VelandiaDepartment of Neurological Surgery, Latino America Valerio Foundation, Weston, Florida, USA.ORCID https://orcid.org/0000-0003-1041-6360
Jose E ValerioDepartment of Neurosurgery, Miami Neuroscience Center at Larkin, Neurosurgery Oncology Center of Excellence, Miami, Florida, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesStereotactic radiosurgery (SRS) has been well established and considered a safe alternative for primary central nervous system lymphomas (PCNSLs). However, in HIV-related PCNSL, the use of SRS remains controversial. The purpose of this study was to evaluate the efficacy and safety of SRS in HIV-related PCNSL.

methodsForty-two adult patients with confirmed PCNSL and no previous radiotherapy or chemotherapy were selected, with 16 receiving Gamma Knife Radiosurgery (GKRS) alone and 26 receiving Highly Active Antiretroviral Therapy (HAART) before GKRS. Follow-up evaluations were conducted at 3, 6, 12, and 24 months post-treatment using clinical and imaging techniques. Statistical analyses were performed using SPSS v22, assessing for new lesions, changes in lesion size, progression-free survival, and overall survival.

resultsHAART/GKRS showed a significantly higher rate of complete response compared with the GKRS group, with 53.8% vs 18.8% (

conclusionThe study highlights the potential benefits of adding HAART to GKRS for patients with PCNSL, leading to improved survival outcomes. An early initiation of HAART was associated with less tumor progression, underscoring the importance of timely administration of HAART in patients with AIDS-related PCNSL.

Indexed as

AIDSGamma knife radiosurgeryHIVPrimary central nervous system lymphomaStereotactic radiosurgery

Identifiers

PMID39957858
PMCPMC11783655

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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.