Evidence map›Paper›PMID 41514555›Full record

ReviewCancers2025

Functional Outcomes After Reoperation for Recurrent Glioma: A Systematic Review and Meta-Analysis of Karnofsky Performance Status with Descriptive Health-Related Quality-of-Life Reporting.

Brooklyn Brekke-Kumley, Kamel Chebaro, Kristin Cler, Mackenzie Fox, Madison Lather, Chinmayi Balusu, Pamela R Kinder

Abstract readReview
In one paragraph

Review in Cancers, 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. 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

7 authors.

Brooklyn Brekke-KumleyMontana College of Osteopathic Medicine, Rocky Vista University, Billings, MT 59106, USA.ORCID 0009-0005-5758-7943
Kamel ChebaroCollege of Medicine, Humanitas University, Rozanno, 20089 Milan, Italy.
Kristin ClerMontana College of Osteopathic Medicine, Rocky Vista University, Billings, MT 59106, USA.
Mackenzie FoxMontana College of Osteopathic Medicine, Rocky Vista University, Billings, MT 59106, USA.
Madison LatherMontana College of Osteopathic Medicine, Rocky Vista University, Billings, MT 59106, USA.ORCID 0009-0003-5450-0692
Chinmayi BalusuCollege of Medicine, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA 91101, USA.
Pamela R KinderMontana College of Osteopathic Medicine, Rocky Vista University, Billings, MT 59106, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectiveGliomas are the most common primary brain tumors in adults, with recurrence rates varying by tumor grade and initial treatment. Reoperation is a key strategy for managing recurrence; however, its impact on functional status and health-related quality of life (HRQoL) remains insufficiently defined. While HRQoL and neurocognitive outcomes have been described after primary treatment, far less is known following reoperation. This systematic review synthesizes available evidence on postoperative functional outcomes and summarizes HRQoL reporting in the reoperation literature.

methodsA systematic search of PubMed and Google Scholar retrieved 1336 articles. After removing duplicates (

resultsFixed-effect meta-analysis demonstrated a modest decline in postoperative KPS compared with preoperative scores (-3.28, 95% CI: -3.69 to -2.86;

conclusionsAcross heterogeneous observational cohorts, reoperation for recurrent glioma was not associated with a consistent decline in functional status as measured by KPS, although substantial variability and uncertainty in outcomes remain. HRQoL reporting remains sparse and inconsistent, underscoring the need for prospective, multicenter studies employing standardized HRQoL instruments to better define quality-of-life trajectories after reoperation.

Indexed as

gliomahealth-related quality of lifeKarnofsky performance scaleneuro-oncologyreoperationtumor recurrence

Identifiers

PMID41514555
PMCPMC12785037

What OpenQuestion holds

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Registered trials

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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.