Evidence map›Paper›PMID 41461149›Full record

ArticleJournal of Korean Neurosurgical Society2026

Clinical Features and Prognostic Indicators for Brainstem Ependymomas : A Population-Based Retrospective Surveillance, Epidemiology, and End Results Database Analysis.

Rui Zhang, Chenkang Zhang, Gaoyue Jiang, Yanming Ren, Yuekang Zhang, Xiaodong Niu

Abstract read
In one paragraph

Article in Journal of Korean Neurosurgical Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Rui ZhangDepartment of Neurosurgery, West China Hospital, Sichuan University, Chengdu, China.
Chenkang ZhangRuikang School of Clinical Medicine, Guangxi University of Chinese Medicine, Nanning, China.
Gaoyue JiangDepartment of Neurosurgery, West China Hospital, Sichuan University, Chengdu, China.
Yanming RenDepartment of Neurosurgery, West China Hospital, Sichuan University, Chengdu, China.
Yuekang ZhangDepartment of Neurosurgery, West China Hospital, Sichuan University, Chengdu, China.
Xiaodong NiuDepartment of Neurosurgery, West China Hospital, Sichuan University, Chengdu, China.

Funding

National Natural Science Foundation of China 82203456National Natural Science Foundation of China 82302627National Natural Science Foundation of China 82472683Sichuan University 2024SCU12016West China Hospital, Sichuan University 2023HXBH070
6 · The paper itself

Abstract

objectiveEpendymomas is a rare brain tumor. Accumulative evidence has revealed that there are differences between pediatric and adult patients. However, the clinical features and survival prognosis of pediatric and adult patients with brainstem ependymomas remain unclear.

methodsPediatric and adult patients with brainstem ependymomas diagnosed between 2000 and 2021 were identified from the Surveillance, Epidemiology, and End Results (SEER) database. The clinical characteristics (age, sex, race, tumor size treatment methods, etc.) of the included patients were reviewed, and the survival analysis was estimated via the Kaplan-Meier method.

resultsA total of 701 patients, including 269 pediatric patients and 432 adult patients, were identified. The median age of pediatric patients is 3.0 years old and the adult patients is 46.0 years old. Compared with adult brainstem ependymomas, pediatric patients showed a higher prevalence of anaplastic ependymoma, larger tumor size, and more frequent receipt of gross total resection (GTR), radiation, and chemotherapy (all P<0.001). Cox regression analysis identified that black race (P=0.032), and chemotherapy (P=0.048) are independent risk factors for pediatric brainstem ependymomas, and aging (P<0.001), male (P=0.034), and black race (P=0.002) for adult brainstem ependymomas. Survival analysis showed that GTR combined with radiation had significant overall survival advantage compared with other treatment regimens in both pediatric and adult cohorts (P=0.045 and P=0.034, respectively).

conclusionThis study comprehensively investigated the clinical features and survival outcomes of patients with brainstem ependymomas, and identified several independent prognostic variables. The best recommended treatment method was GTR combined with radiation.

Indexed as

BrainstemEpendymomasPrognosisRisk factorsSurvival analysis

Identifiers

PMID41461149
PMCPMC12963879

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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.