Evidence map›Paper›PMID 40347305›Full record

SynthesisEndocrine2025

Modern treatment of craniopharyngioma to improve outcomes: evidence of a change of paradigm.

Carlos González-Gallego, Pedro Molina, Cristina Hostalot, Anna Oliva, Alberto Blanco, Paloma Puyalto de Pablo, Silvia Comas, Cristina Carrato, Elena Valassi, Manel Puig-Domingo

Abstract readSystematic Review
In one paragraph

Synthesis in Endocrine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
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

10 authors.

Carlos González-GallegoEndocrine and Nutrition service, Germans Trias hospital, Badalona, Spain.
Pedro MolinaEndocrine and Nutrition service, Germans Trias hospital, Badalona, Spain.
Cristina HostalotNeurosurgery service, Germans Trias hospital, Badalona, Spain.
Anna OlivaNeuroradiology section, Department of Radiology, Germans Trias hospital, Badalona, Spain.
Alberto BlancoNeurosurgery service, Germans Trias hospital, Badalona, Spain.
Paloma Puyalto de PabloNeuroradiology section, Department of Radiology, Germans Trias hospital, Badalona, Spain.
Silvia ComasRadiotherapy Unit, Institut Català d'Oncologia, Badalona, Spain.
Cristina CarratoPathology Department, Germans Trias hospital, Badalona, Spain.
Elena ValassiEndocrine and Nutrition service, Germans Trias hospital, Badalona, Spain.
Manel Puig-DomingoEndocrine and Nutrition service, Germans Trias hospital, Badalona, Spain. ManuelLluis.Puig@uab.cat.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCraniopharyngiomas, rare primary brain tumors of the pituitary-hypothalamic axis, frequently result in sicubstantial morbidity, including compromised quality of life, vision impairment, hypothalamic and endocrine dysfunction, and neuroendocrine disturbances. Of particular importance is the development of hypothalamic obesity, which affects up to 25% of patients at diagnosis and increases to 50% after treatment. Genotyping has revealed that over 90% of papillary craniopharyngiomas (PCP) harbor BRAF V600E mutations. Recent studies have demonstrated a significant reduction in tumor size with the use of BRAF-MEK inhibitors in PCP.

methodsWe conducted a systematic review of recent literature on pretreatment or neo-adjuvant medical therapies, analyzing their effectiveness, safety, and sequelae following surgical treatment with this new approach.

resultsAt the time of this review, 15 studies involving more than 50 patients have been published, with a response rate of up to 90%.

conclusionBased on this evidence, we propose a new treatment paradigm aimed at improving outcomes by maximizing relief from compressive symptoms while minimizing hypothalamic dysfunction.

Indexed as

CraniopharyngiomaPituitary NeoplasmsHumansTreatment OutcomeAdamantinomatous craniopharyngiomaBRAF-MEK inhibitorsBRAF V600E mutationPapillary craniopharyngiomaTargeted treatmentWnt/beta-catenin

Identifiers

PMID40347305
PMCPMC12227517

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.