Evidence map›Paper›PMID 40538502›Full record

ArticleAdvances in radiation oncology2025

Multi-institutional Outcomes after Stereotactic Radiosurgery for Gastrointestinal Brain Metastases.

Jamiluddin J Qazi, David J Carpenter, Jim Leng, Christina C Huang, Steven J Chmura, Muzamil Arshad, Zachary J Reitman, John P Kirkpatrick, Julian C Hong, Scott R Floyd and 2 more

Abstract read
In one paragraph

Article in Advances in radiation oncology, 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. 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

12 authors.

Jamiluddin J QaziDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina.
David J CarpenterDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina.
Jim LengDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina.
Christina C HuangDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina.
Steven J ChmuraDepartment of Medicine, University of North Carolina, Chapel Hill, North Carolina.
Muzamil ArshadDepartment of Radiation Oncology, University of Chicago, Chicago, Ilinois.
Zachary J ReitmanDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina.
John P KirkpatrickDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina.
Julian C HongDepartment of Radiation Oncology, University of California San Francisco, San Francisco, California.
Scott R FloydDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina.
Trey C MullikinDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina.
Joseph K SalamaDepartment of Radiation Oncology, Duke University Medical Center, Durham, North Carolina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To compare outcomes between gastrointestinal and nongastrointestinal patients with brain metastases after radiosurgery. Methods and Materials: Retrospective cohort study identifying patients completing an initial course of radiosurgery between January 2015 and December 2020, with follow-up data collected through November 2022. Multi-institutional, academic referral centers. The primary outcomes were overall survival and intracranial progression-free survival, calculated by the Kaplan-Meier method. Progression was defined as concern on postradiosurgery imaging for recurrence determined by clinical multidisciplinary consensus. Cox proportional hazard models were used to assess associations between outcomes and covariates. Results: This study included 1281 nongastrointestinal patients and 102 gastrointestinal patients, of which 45.1% were colorectal, 33.3% esophageal, and the remaining 21.6% comprising other sites. Gastrointestinal patients were more likely to be younger (mean 59.1 vs 63.5 years, Conclusions: Across a multi-institutional stereotactic radiosurgery cohort, brain metastases of gastrointestinal origin demonstrated inferior overall survival and intracranial progression-free survival to those of nongastrointestinal origin. These data may help inform treatment decisions and postradiosurgery surveillance.

Identifiers

PMID40538502
PMCPMC12178711

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