Evidence map›Paper›PMID 42120297›Full record

ArticleBrain tumor research and treatment2026

Prognostic Importance of Histomolecular Subtyping of Central Nervous System Gliomas in Low and Middle-Income Countries.

Altaf Ali Laghari, Mohammad Hamza Bajwa, Ahmed Gilani, Sana Naeem, Sufiyan Sufiyan, Wajiha Amin, Nouman Mughal, Syed Ather Enam

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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. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Altaf Ali LaghariSection of Neurosurgery, The Aga Khan University, Karachi, Pakistan.ORCID https://orcid.org/0000-0001-9091-9413
Mohammad Hamza BajwaSection of Neurosurgery, The Aga Khan University, Karachi, Pakistan.ORCID https://orcid.org/0000-0001-7727-565X
Ahmed GilaniDepartment of Medicine, The Aga Khan University, Karachi, Pakistan.
Sana NaeemCenter of Oncological Research in Surgery COORs, The Aga Khan University, Karachi, Pakistan.
Sufiyan SufiyanDepartment of Paediatrics and Child Health, The Aga Khan University, Karachi, Pakistan.ORCID https://orcid.org/0000-0002-0208-0206
Wajiha AminCenter of Oncological Research in Surgery COORs, The Aga Khan University, Karachi, Pakistan.
Nouman MughalCenter of Oncological Research in Surgery COORs, The Aga Khan University, Karachi, Pakistan.ORCID https://orcid.org/0000-0002-3298-3959
Syed Ather EnamSection of Neurosurgery, The Aga Khan University, Karachi, Pakistan.ORCID https://orcid.org/0000-0003-2194-0723

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccess to advanced histomolecular diagnostic testing for central nervous system (CNS) tumors is limited in low and middle-income countries (LMICs), hindering adequate characterization and failure to reach a WHO CNS 2021 diagnosis. LMICs also lack access to targeted therapies, and even conventional chemotherapy and radiation therapies vary between LMICs and high-income countries. Consequently, whether histomolecular subclassification is clinically beneficial and if it provides prognostic information in an LMIC setting is not clear. Here, we address this question by presenting the first systematic prospective study of CNS glioma patients from Pakistan, examining differences in overall survival (OS) by histomolecular subtype.

methodsA total of 194 patients with CNS tumors were enrolled at a single tertiary-care center in Karachi, Pakistan. Routine histochemical processing, immunohistochemistry, and molecular testing using fluorescence

resultsThe results revealed that IDH status was a significant independent prognostic factor, regardless of age (

conclusionWe provide empirical evidence supporting a role for histo-morphological and limited molecular testing in neuro-oncology practice in LMICs.

Indexed as

GliomaHistomolecularKaplan–MeierLow and middle-income countriesNeuro-oncology

Identifiers

PMID42120297
PMCPMC13175686

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