Evidence map›Paper›PMID 40402198›Full record

ReviewJournal of neuro-oncology2025

Diffuse hemispheric glioma, H3 G34-mutant: defining the clinical picture through a single institution case series and literature analysis.

Andrew Williams, Bryan Neth, Mason Webb, Jonathan Schwartz, David Daniels, Samantha Caron, Jian Campian, Joon Uhm, Cristiane Ida, William G Breen and 2 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of neuro-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Clinical Outcomes and Prognostic Features of Diffuse Hemispheric Glioma, H3 G34-Mutant: An International Multi-institutional Study.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  4. 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

12 authors.

Andrew Williams *Department of Neurology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA. andrewmw2@gmail.com.ORCID http://orcid.org/0000-0002-2651-7484
Bryan Neth *Department of Neurology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Mason WebbDepartment of Medicine, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Jonathan SchwartzDepartment of Pediatrics, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
David DanielsDepartment of Neurologic Surgery, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Samantha CaronDepartment of Oncology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Jian CampianDepartment of Oncology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Joon UhmDepartment of Neurology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Cristiane IdaDepartment of Laboratory Medicine and Pathology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
William G BreenDepartment of Radiation Oncology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Aditya RaghunathanDepartment of Laboratory Medicine and Pathology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.
Ugur SenerDepartment of Neurology, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDiffuse hemispheric glioma, H3 G34-mutant (DHG, H3 G34) is an uncommon new tumor type defined in the World Health Organization 2021 classification. DHG, H3 G34 primarily affects children and young adults. There is paucity of knowledge regarding its demographic and prognostic factors. We present an institutional case series and a comprehensive literature review to better determine factors contributing to overall survival.

methodsWe included an institutional case series (n = 6) and comprehensively reviewed previously published individual cases of DHG, H3 G34 through January 2025. A total of 514 individual cases of DHG, H3 G34 were identified and utilized for analyses (n = 257 with individual level survival data). We performed survival analysis using the Kaplan-Meier method and Cox regression.

resultsMedian age of the cohort was 16 years (range: 1-66 years). Median OS was 21 months. OS was improved with gross total resection compared to subtotal resection and biopsy only (Log-rank p < 0.001). Patients with primary tumor location in the right hemisphere had longer OS relative to other tumor locations (Log-rank p < 0.001). Patients with H3 p.G35V (G34V) mutations as opposed to p.G35R mutations had shorter OS (Log-rank p = 0.01). There was no difference in survival outcomes by patient age, MGMT promoter methylation status, the presence of TP53/ATRX/PDGFRA mutations or contrast enhancement.

conclusionsWe present the largest combined data set of patients with DHG, H3 G34 to date and describe in greater clarity the prognostic factors which impact survival in this disease. Unlike many primary brain tumors including glioblastoma and tumors in adolescents and young adults, survival does not appear to be significantly impacted by age.

Indexed as

Brain NeoplasmsGliomaHistonesMutationAdolescentAdultAgedChildChild, PreschoolFemaleFollow-Up StudiesHumansInfantMaleMiddle AgedPrognosisHistonesGliomaH3 G34PediatricSeriesYoung adult

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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.