Evidence map›Paper›PMID 40052556›Full record

Observational studyCancer medicine2025

Evaluating Clinical and Sociodemographic Risk for Symptom Burden Associated Interference With Daily Functioning in the Primary Brain Tumor Patient Population.

Bennett A McIver, Tara S Davis, Kimberly Reinhart, Elizabeth Vera, Alvina Acquaye-Mallory, Anna Choi, Tricia Kunst, Morgan Johnson, Ewa Grajkowska, Hope Miller and 4 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03251989 (Exploring Outcomes and Risk in Patients With Rare Central Nervous System Tumors), which is not on this 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.

NCT03251989 completednot on this map

Exploring Outcomes and Risk in Patients With Rare Central Nervous System Tumors

TypeobservationalSponsorNational Cancer Institute (NCI)Ran2017 to 2025Enrolled326ConditionsHigh Grade Meningioma, Ependymoma, Medulloblastoma, PNET
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

14 authors.

Bennett A McIverNeuro-Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.ORCID https://orcid.org/0009-0007-4243-771X
Tara S DavisNeuro-Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.ORCID https://orcid.org/0000-0002-6293-3602
Kimberly ReinhartNeuro-Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Elizabeth VeraNeuro-Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Alvina Acquaye-MalloryNeuro-Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.ORCID https://orcid.org/0000-0002-9673-1312
Anna ChoiNeuro-Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Tricia KunstNeuro-Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Morgan JohnsonNeuro-Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Ewa GrajkowskaNeuro-Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Hope MillerNeuro-Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Jennifer ReyesNeuro-Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Mark R GilbertNeuro-Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Terri S ArmstrongNeuro-Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Michelle L WrightNeuro-Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.ORCID https://orcid.org/0000-0002-9348-8740

Funding

A Phase I Combination Study of Durvalumab and Vicinium in BCG refractory NMIBCZIABC011786 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI AGARWAL, PIYUSH · 2017 to 2019
$137k
Intramural NIH HHS ZIA BC011786NIH HHS 1ZIABC011786-03
6 · The paper itself

Abstract

introductionSymptom burden associated with interference in daily functioning is worse in those with progression or higher-grade glial tumors. This exploratory study aims to identify factors associated with its severity in a diverse cross-sectional cohort of 566 brain tumor patients enrolled in a natural history study (NCT03251989, PI: T.S. Armstrong).

methodsSociodemographic and clinical data and self-reported activity-related interference (work, general activity, walking), mood-related interference (relations with others, enjoyment of life, mood) were reported via the MD Anderson Symptom Inventory-Brain Tumor. Activity and mood-related interference mean scores ≥ 2 were categorized as moderate-severe. Logistic regression assessed univariate associations with moderate-severe interference. Characteristics significant in the univariate analysis were included in a multivariable analysis.

resultsThis patient sample had a median age of 48 years (18-85), was mostly male (57%), with a high-grade tumor (73%), glioblastoma (39%), and tumor recurrence (49%). Risk factors for moderate-severe activity-related interference included: ≥ 2 surgeries (OR = 1.64, 95% CI [1.10, 2.44], p = 0.015), ependymoma (OR = 2.59, 95% CI [1.21-5.53], p = 0.014), and childhood in a rural area (OR = 1.74, 95% CI [1.15-2.63] p = 0.009). Risk factors for moderate-severe mood-related interference included tumor progression (OR = 2.02, 95% CI [1.21-3.36], p = 0.009).

conclusionPatient reported interference with daily physical functioning is associated with sociodemographic and disease-related characteristics and notably worse mood-related interference in those with progression. Future studies should include social determinants of health and change over time to identify and plan interventions for those at risk.

Indexed as

Activities of Daily LivingBrain NeoplasmsAdolescentAdultAgedAged, 80 and overCost of IllnessCross-Sectional StudiesFemaleHumansMaleMiddle AgedQuality of LifeRisk FactorsSociodemographic FactorsSymptom Burdenactivity‐related interferencefunctional interferencemood‐related interferenceprimary brain tumors

Identifiers

PMID40052556
PMCPMC11886885

What OpenQuestion holds

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Registered trials

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.