Evidence map›Paper›PMID 40909003›Full record

ArticleFrontiers in neurology2025

Dexamethasone in brain tumor patients: a real-world pharmacovigilance audit.

Vindhya Prasad, Ali Elhag, Louis Onyiriuka, Engelbert Mthunzi, Sarah Hatch, Awais Naeem, Fatmahelzahraa Noureldin, Francesco Marchi, Ahmed Raslan, Yasir A Chowdhury and 6 more

Abstract read
In one paragraph

Article in Frontiers in neurology, 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. Article
  2. Article
  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

16 authors.

Vindhya Prasad *Neurosurgical Department, King's College Hospital NHS Foundation Trust, London, United Kingdom.
Ali Elhag *Neurosurgical Department, King's College Hospital NHS Foundation Trust, London, United Kingdom.
Louis OnyiriukaNeurosurgical Department, King's College Hospital NHS Foundation Trust, London, United Kingdom.
Engelbert MthunziNeurosurgical Department, King's College Hospital NHS Foundation Trust, London, United Kingdom.
Sarah HatchNeurosurgical Department, King's College Hospital NHS Foundation Trust, London, United Kingdom.
Awais NaeemNeurosurgical Department, King's College Hospital NHS Foundation Trust, London, United Kingdom.
Fatmahelzahraa NoureldinNeurosurgical Department, King's College Hospital NHS Foundation Trust, London, United Kingdom.
Francesco MarchiNeurosurgical Department, King's College Hospital NHS Foundation Trust, London, United Kingdom.
Ahmed RaslanNeurosurgical Department, King's College Hospital NHS Foundation Trust, London, United Kingdom.
Yasir A ChowdhuryNeurosurgical Department, King's College Hospital NHS Foundation Trust, London, United Kingdom.
Jonathan ShapeyNeurosurgical Department, King's College Hospital NHS Foundation Trust, London, United Kingdom.
Richard GullanNeurosurgical Department, King's College Hospital NHS Foundation Trust, London, United Kingdom.
Ranjeev BhangooNeurosurgical Department, King's College Hospital NHS Foundation Trust, London, United Kingdom.
Francesco VerganiNeurosurgical Department, King's College Hospital NHS Foundation Trust, London, United Kingdom.
Keyoumars AshkanNeurosurgical Department, King's College Hospital NHS Foundation Trust, London, United Kingdom.
Jose Pedro LavradorNeurosurgical Department, King's College Hospital NHS Foundation Trust, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Dexamethasone is routinely prescribed for the management of peritumoral edema in brain tumor patients. Despite available orientations for its management in neuro-oncology patients, the individual needs according to the natural history of the disease and treatment options allied to a hierarchical system with multiple teams involved poses significant challenges in its real-world application. Methods: We conducted a retrospective single-centre observational study of 316 brain tumor referrals to a tertiary neurosurgical center over a 3-month period. Data was extracted from referral notes, multidisciplinary team (MDT) documentation and clinical records. Steroid-related variables such as indication, dose, duration, weaning plan, complications, and follow-up practices were collected alongside demographic and clinical data. Results: Of 316 referrals, 210 patients (66.5%) were started on steroids at baseline, yet only 6% had a documented weaning plan at that point. MDT referral occurred in 252 patients (79.7%), where steroid initiation was significantly associated with surgical management ( Discussion: Prolonged steroid use and incomplete documentation of steroid plan were associated with increased steroid-related complications highlighting the need for more robust prescribing protocols and improved multidisciplinary follow-up.

Indexed as

brain tumorsdexamethasoneneuro-oncologypharmacovigilancesteroid complications

Identifiers

PMID40909003
PMCPMC12406498

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.