Evidence map›Paper›PMID 41154339›Full record

ArticleCancers2025

Evaluating the Impact of Index Metastasis Resection in Patients with Multiple Brain Metastases.

Maria Goldberg, Luisa Mona Kraus, Cvetina Vatcheva, Denise Bernhardt, Stephanie E Combs, Chiara Negwer, Bernhard Meyer, Arthur Wagner

Abstract read
In one paragraph

Article in Cancers, 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

8 authors.

Maria GoldbergDepartment of Neurosurgery, School of Medicine, Klinikum Rechts Der Isar, Technical University Munich, 81765 Munich, Germany.ORCID 0000-0002-0706-7529
Luisa Mona KrausDepartment of Neurosurgery, School of Medicine, Klinikum Rechts Der Isar, Technical University Munich, 81765 Munich, Germany.
Cvetina VatchevaDepartment of Neurosurgery, School of Medicine, Klinikum Rechts Der Isar, Technical University Munich, 81765 Munich, Germany.
Denise BernhardtDepartment of Radiation Oncology, School of Medicine, Klinikum Rechts Der Isar, Technical University Munich, 81765 Munich, Germany.
Stephanie E CombsDepartment of Radiation Oncology, School of Medicine, Klinikum Rechts Der Isar, Technical University Munich, 81765 Munich, Germany.
Chiara NegwerDepartment of Neurosurgery, School of Medicine, Klinikum Rechts Der Isar, Technical University Munich, 81765 Munich, Germany.ORCID 0000-0003-2997-969X
Bernhard MeyerDepartment of Neurosurgery, School of Medicine, Klinikum Rechts Der Isar, Technical University Munich, 81765 Munich, Germany.ORCID 0000-0001-6486-7955
Arthur WagnerDepartment of Neurosurgery, School of Medicine, Klinikum Rechts Der Isar, Technical University Munich, 81765 Munich, Germany.ORCID 0000-0001-9947-2240

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe impact of surgical resection on the survival and functional outcomes of patients with multiple brain metastases remains a critical question in neuro-oncology.

methodsThis retrospective study involved 160 patients who underwent surgical resection of brain metastases from 2017 to 2020. Patients were classified by the number of metastases-single, oligometastatic, or multiple-and whether complete removal of the main symptomatic lesion was achieved. Outcomes such as survival rates, complications, and functional status were assessed.

resultsAmong the patients, 48.1% had a single metastasis, 21.9% were oligometastatic, and 30% had multiple metastases. Survival did not differ by number of metastases when the main lesion was completely resected and remaining lesions were radiated (

conclusionsWhile multiple brain metastases are generally associated with poor outcomes, a trend toward longer survival was observed after complete resection of the index metastasis, though this was not statistically significant. Radiation of residual lesions remains important to support prognosis. Reducing the tumor volume is key to lowering seizure risk. This study supports the role of aggressive surgical interventions, paired with radiation, to potentially enhance outcomes in patients with multiple brain metastases.

Indexed as

brain metastasesneuro-oncologyneurosurgical resection

Identifiers

PMID41154339
PMCPMC12563598

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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.