Evidence map›Paper›PMID 40497020›Full record

ArticleBrain & spine2025

Considerations on neurological deficits in patients with glioblastoma: impact of perilesional resection on neuro-oncological outcome. A monocentric real-life experience.

Andrea Di Cristofori, Chiara Benedetta Rui, Francesca Graziano, Davide Ferlito, Paola Rebora, Andrea Trezza, Gaia Chiarello, Giovanni Stefanoni, Fulvio Da Re, Chiara Julita and 5 more

Abstract read
In one paragraph

Article in Brain & spine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Blood derived extracellular vesicles in patients with glioblastoma: preliminary experience from a monoinstitutional series.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  2. 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

15 authors.

Andrea Di CristoforiDepartment of Medicine and Surgery, University of Milano-Bicocca, Ospedale San Gerardo, Milan, Italy.
Chiara Benedetta RuiDepartment of Medicine and Surgery, University of Milano-Bicocca, Ospedale San Gerardo, Milan, Italy.
Francesca GrazianoBiostatistics and Clinical Epidemiology, Fondazione IRCCS San Gerardo Dei Tintori, Monza, Italy.
Davide FerlitoDepartment of Medicine and Surgery, University of Milano-Bicocca, Ospedale San Gerardo, Milan, Italy.
Paola ReboraBiostatistics and Clinical Epidemiology, Fondazione IRCCS San Gerardo Dei Tintori, Monza, Italy.
Andrea TrezzaNeurosurgery, Fondazione IRCCS San Gerardo Dei Tintori, Via G.B. Pergolesi 33, 20900, Monza, (MB), Italy.
Gaia ChiarelloNeuropathology, Fondazione IRCCS San Gerardo Dei Tintori, Via G.B. Pergolesi 33, 20900, Monza, (MB), Italy.
Giovanni StefanoniNeurology, Fondazione IRCCS San Gerardo Dei Tintori, Via G.B. Pergolesi 33, 20900, Monza, (MB), Italy.
Fulvio Da ReNeurology, Fondazione IRCCS San Gerardo Dei Tintori, Via G.B. Pergolesi 33, 20900, Monza, (MB), Italy.
Chiara JulitaRadiotherapy, Fondazione IRCCS San Gerardo Dei Tintori, Via G.B. Pergolesi 33, 20900, Monza, (MB), Italy.
Gianpaolo BassoNeuroradiology, Fondazione IRCCS San Gerardo Dei Tintori, Via G.B. Pergolesi 33, 20900, Monza, (MB), Italy.
Giovanni PalumboNeuroradiology, Fondazione IRCCS San Gerardo Dei Tintori, Via G.B. Pergolesi 33, 20900, Monza, (MB), Italy.
Maria Grazia ValsecchiBiostatistics and Clinical Epidemiology, Fondazione IRCCS San Gerardo Dei Tintori, Monza, Italy.
Giorgio CarrabbaDepartment of Medicine and Surgery, University of Milano-Bicocca, Ospedale San Gerardo, Milan, Italy.
Carlo GiussaniDepartment of Medicine and Surgery, University of Milano-Bicocca, Ospedale San Gerardo, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Maximal resection has a pivotal role in the treatment of glioblastoma (GB), prolonging both progression free survival (PFS) and overall survival (OS). Only few studies analyze the delicate equilibrium between maximal resection, clinical outcome and prognosis. Research question: the aim of this work is to determine the impact of neurological impairment on PFS, OS and access to adjuvant therapies on patients with GB operated with perilesional resection technique.Material and Methods: this retrospective study encompassed patients operated for GB at Fondazione IRCCS San Gerardo dei Tintori Monza (IT), from 2015 to 2023. Histological diagnosis was performed according to the WHO 2021 classification. Patients were more than 18 years old, with pre- and postoperative MRI, who underwent surgery and adjuvant treatments at our Institution. Results: A total of 209 patients fulfilled the criteria. Patients with improvement or complete regression of preoperative deficit had a higher rate of access to adjuvant therapies (p = 0.015). Patients with hemiparesis at discharge had the worst PFS (median 4.60 months) followed by patients with aphasia (6.60 months), and patients with normal neurological examination (9.67 months; p < 0.0001). The median OS was 17.93 months for patients with hemianopia Discussion and conclusion: Hemianopia has no impact on the patient's prognosis, while hemiparesis and aphasia at discharge worsen both PFS and OS prolonging time-to-treatment. When resecting GB, it is mandatory to avoid major neurological deficits that concur which reduce OS and PFS.

Indexed as

Extent of resectionGlioblastomaNeurological deficitNeuro-oncologyProgression free survivalRadiation therapy

Identifiers

PMID40497020
PMCPMC12150109

What OpenQuestion holds

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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.