Evidence map›Paper›PMID 41663199›Full record

ArticleBrain tumor research and treatment2026

The Dual Impact of Glioma Resection on Survival and Health-Related Quality of Life: Resect More, Live Better.

Miguel Esquivel-Miranda, Dessiré Gutiérrez-Gutiérrez, Emmanuelle Vargas-Valenciano, Allan Ramos-Esquivel, Javeth Calvo-Molina, Juan Sahuquillo-Barris

Abstract read
In one paragraph

Article in Brain tumor research and treatment, 2026. 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. GABA-Producing Capabilities ofJournal of microbiology and biotechnology · 2026
    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

6 authors.

Miguel Esquivel-MirandaDepartment of Neurosurgery, Mexico's Hospital, San José, Costa Rica.ORCID https://orcid.org/0000-0002-9309-0943
Dessiré Gutiérrez-GutiérrezDepartment of Neurosurgery, Mexico's Hospital, San José, Costa Rica.ORCID https://orcid.org/0000-0003-4194-2187
Emmanuelle Vargas-ValencianoDepartment of Neurosurgery, Mexico's Hospital, San José, Costa Rica.ORCID https://orcid.org/0000-0003-2559-8099
Allan Ramos-EsquivelSchool of Medicine, University of Costa Rica, San José, Costa Rica.ORCID https://orcid.org/0000-0002-6633-771X
Javeth Calvo-MolinaDepartment of Neurosurgery, Mexico's Hospital, San José, Costa Rica.ORCID https://orcid.org/0009-0001-3327-7351
Juan Sahuquillo-BarrisDepartment of Neurosurgery, Vall d'Hebron University Hospital, University Autonomous of Barcelona, Barcelona, Spain.ORCID https://orcid.org/0000-0003-0713-5875

Funding

Mexico's Hospital of Costa Rica
6 · The paper itself

Abstract

backgroundHealth-related quality of life (HR-QoL) is a critical consideration in glioma surgery, alongside improving patient survival. Current evidence highlights maximal surgical resection as a key independent prognostic factor for enhancing HR-QoL and survivability. This study aimed to compare the impact on HR-QoL and survival rates in glioma patients before and after surgery with varying degrees of tumor resection (<10%, 10%-90%, >90%) and residual tumor volumes (≤2 cm³, >2 cm³).

methodsThis single-institution prospective study analyzed 117 patients with newly diagnosed gliomas (2009-2015). HR-QoL was assessed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) (global quality of life status [GQLS], physical, emotional, role, cognitive, and social function, as well as insomnia and fatigue). We compared survival rates and HR-QoL outcomes based on extent of resection and residual tumor volume. Clinically meaningful thresholds and statistical significance were used to evaluate HR-QoL changes.

resultsIn grade 4 gliomas, resections >90% and residual tumor volumes ≤2 cm³ significantly improved median survival compared to lesser resections. For HR-QoL, resections >90% led to clinically and statistically significant improvements in GQLS, emotional, role, and cognitive function, as well as insomnia. Residual volumes ≤2 cm³ significantly enhanced emotional and role function, with statistical improvements in GQLS, cognitive function, social function, insomnia, and fatigue. Lower resection rates and higher residual volumes resulted in significant HR-QoL declines. When stratified by tumor grade, high- and low-grade gliomas showed clinically significant improvements in different HR-QoL domains.

conclusionResections greater than 90% and residual volumes ≤2 cm³ significantly improve HR-QoL and overall survival. Conversely, partial resections and larger residual tumor volumes are associated with worse HR-QoL outcomes.

Indexed as

Brain tumorsGliomaGross total resectionNeurosurgeryQuality of life

Identifiers

PMID41663199
PMCPMC12891968

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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.