Evidence map›Paper›PMID 39999989›Full record

ArticleYonsei medical journal2025

Differences in Treatment Outcomes Depending on the Adjuvant Treatment Modality in Craniopharyngioma.

Byung Min Lee, Jaeho Cho, Dong-Seok Kim, Jong Hee Chang, Seok-Gu Kang, Eui-Hyun Kim, Ju Hyung Moon, Sung Soo Ahn, Yae Won Park, Chang-Ok Suh and 1 more

Abstract read
In one paragraph

Article in Yonsei medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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.

Byung Min LeeDepartment of Radiation Oncology, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-5970-9773
Jaeho ChoDepartment of Radiation Oncology, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-9966-5157
Dong-Seok KimDepartment of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-8210-170X
Jong Hee ChangDepartment of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-1509-9800
Seok-Gu KangDepartment of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-5676-2037
Eui-Hyun KimDepartment of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-2523-7122
Ju Hyung MoonDepartment of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-8925-5821
Sung Soo AhnDepartment of Radiology, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-0503-5558
Yae Won ParkDepartment of Radiology, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-8907-5401
Chang-Ok SuhDepartment of Radiation Oncology, CHA Bundang Medical Center, CHA University, Seongnam, Korea. suhchangok@cha.ac.kr.ORCID https://orcid.org/0000-0002-3375-7072
Hong In YoonDepartment of Radiation Oncology, Yonsei University College of Medicine, Seoul, Korea. yhi0225@yuhs.ac.ORCID https://orcid.org/0000-0002-2106-6856

Funding

National Research Foundation of Korea 2020R1F1A1076287
6 · The paper itself

Abstract

purposeAdjuvant treatment for craniopharyngioma after surgery is controversial. Adjuvant external beam radiation therapy (EBRT) can increase the risk of long-term sequelae. Stereotactic radiosurgery (SRS) is used to reduce treatment-related toxicity. In this study, we compared the treatment outcomes and toxicities of adjuvant therapies for craniopharyngioma. MATERIALS AND

methodsWe analyzed patients who underwent craniopharyngioma tumor removal between 2000 and 2017. Of the 153 patients, 27 and 20 received adjuvant fractionated EBRT and SRS, respectively. We compared the local control (LC), progression-free survival (PFS), and overall survival between groups that received adjuvant fractionated EBRT, SRS, and surveillance.

resultsThe median follow-up period was 77.7 months. For SRS and surveillance, the 10-year LC was 57.2% and 57.4%, respectively. No local progression was observed after adjuvant fractionated EBRT. One patient in the adjuvant fractionated EBRT group died owing to glioma 94 months after receiving radiotherapy (10-year PFS: 80%). The 10-year PFS was 43.6% and 50.7% in the SRS and surveillance groups, respectively. The treatment outcomes significantly differed according to adjuvant treatment in non-gross total resection (GTR) patients. Additional treatment-related toxicity was comparable in the adjuvant fractionated EBRT and other groups.

conclusionAdjuvant fractionated EBRT could be effective in controlling local failure, especially in patients with non-GTR, while maintaining acceptable treatment-related toxicity.

Indexed as

CraniopharyngiomaPituitary NeoplasmsAdolescentAdultAgedChildChild, PreschoolFemaleHumansMaleMiddle AgedRadiosurgeryRadiotherapy, AdjuvantRetrospective StudiesTreatment OutcomeYoung AdultcraniopharyngiomaFractionated radiotherapylocal controlprogression-free survivalstereotactic radiosurgery

Identifiers

PMID39999989
PMCPMC11865873

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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.