Evidence map›Paper›PMID 40136387›Full record

ArticleCurrent oncology (Toronto, Ont.)2025

Contemporary Patterns of Care for Low-Grade Glioma in Australia and New Zealand.

Meghana Maddula, Nicholas McNamee, Hui K Gan, Laveniya Satgunaseelan, Eng-Siew Koh, Catherine H Han, Subotheni Thavaneswaran

Abstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 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

7 authors.

Meghana MaddulaThe Kinghorn Cancer Centre, St. Vincent's Hospital, 370 Victoria St., Darlinghurst, NSW 2010, Australia.ORCID 0009-0003-4819-9397
Nicholas McNameeThe Kinghorn Cancer Centre, St. Vincent's Hospital, 370 Victoria St., Darlinghurst, NSW 2010, Australia.
Hui K GanAustin Health, Austin Hospital, Heidelberg, VIC 3084, Australia.
Laveniya SatgunaseelanDepartment of Neuropathology, Royal Prince Alfred Hospital, Sydney, NSW 2050, Australia.ORCID 0000-0002-7435-0834
Eng-Siew KohDepartment of Radiation Oncology, Liverpool Hospital, Sydney, NSW 2170, Australia.
Catherine H HanAuckland Oncology & Auckland City Hospital, Auckland 1023, New Zealand.ORCID 0000-0003-1016-3113
Subotheni ThavaneswaranThe Kinghorn Cancer Centre, St. Vincent's Hospital, 370 Victoria St., Darlinghurst, NSW 2010, Australia.

Funding

Servier Laboratories (Australia) COGNO received funding support for the conduct of this survey from Servier Laboratories (Aust.) Pty Ltd, but the study design, clinical scenarios, analyses, interpretation and discussion were created and analysed independently.
6 · The paper itself

Abstract

aimThe management of low-grade gliomas (LGGs) is evolving with new insights into disease biology. Furthermore, recently, the phase III INDIGO

methodsAn online survey examining respondents' practice setting, caseload, and preferred treatment approach to three clinical scenarios was distributed through the Cooperative Trials Group for Neuro-Oncology, New Zealand Aotearoa Neuro-Oncology Society, and the Australian and New Zealand Society for Neuropathology in December 2023 with three reminders in April, June, and September of 2024.

resultsThe survey response rate was 19.6% (57/291), 87.7% from Australia, and 12.3% from New Zealand, spanning medical oncology (45.7%), pathology (22.8%), radiation oncology (17.5%), and neurosurgery (14.0%). Case 1 examined an IDH-mutant grade 2 astrocytoma following gross total resection. Observation alone was recommended by 93%. Case 2 examined an incompletely resected IDH-mutant grade 2 astrocytoma. If feasible, 38% recommended further surgery and 83% adjuvant chemotherapy and radiotherapy. After 12 months of disease stability, 53% of the respondents preferred vorasidenib over the existing therapies. Case 3 examined an incompletely resected IDH-mutant grade 3 oligodendroglioma. No respondents recommended observation alone, with 26% recommending salvage surgery and 97% recommending further chemotherapy and radiotherapy.

conclusionsThis study describes current management practices for LGGs in Australia and New Zealand, showing ongoing variation and a cautious approach to integrating IDH inhibitors. This highlights the critical role of multidisciplinary team-based decision-making in increasingly complex clinical situations.

Indexed as

Brain NeoplasmsGliomaAustraliaFemaleHumansMaleNeoplasm GradingNew ZealandSurveys and QuestionnairesastrocytomachemotherapyIDH inhibitorslow grade gliomaoligodendrogliomaradiotherapyvorasidenib

Identifiers

PMID40136387
PMCPMC11941661

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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.