Evidence map›Paper›PMID 42149193›Full record

SynthesisLangenbeck's archives of surgery2026

Postoperative outcomes in CNS WHO grade 2 and 3 meningioma: a systematic review and meta-analysis.

William H Cook, Fareha Khalil, Danesh H Sivanesan, Conor S Gillespie, Elika Karvandi, Adel E Helmy

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Langenbeck's archives of surgery, 2026. 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

6 authors.

William H CookDivision of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK. whc35@cam.ac.uk.
Fareha KhalilDivision of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
Danesh H SivanesanSchool of Medicine, University of Glasgow, Glasgow, UK.
Conor S GillespieDivision of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
Elika KarvandiDivision of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
Adel E HelmyDivision of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWHO grade 2 and 3 meningiomas account for approximately 20% of all meningiomas. The relatively lower incidence has resulted in limited representation of clinical outcomes in the literature, with only broad estimates of postoperative prognosis currently available. This study aimed to establish pooled incidence of recurrence and 5-year progression-free survival (PFS) and overall survival (OS) rates for grade 2 and 3 meningiomas.

methodsA PRISMA-compliant systematic review was prospectively registered (PROSPERO CRD42023441009). MEDLINE, EMBASE, and the Cochrane Library were searched from inception to September 2023. Eligible studies enrolled adults (≥ 16 years) with histologically confirmed WHO grade 2 or 3 cranial meningiomas who underwent surgery with or without adjuvant radiotherapy and/or stereotactic radiosurgery. The primary outcome was pooled annual incidence of recurrence; secondary outcomes were pooled 5-year PFS and OS, estimated using random-effects models.

resultsSeventy-four studies met inclusion criteria (68 reporting on grade 2, 22 on grade 3 meningiomas), comprising 4,937 grade 2 and 253 grade 3 patients. The pooled annual incidence of recurrence was 6% (95% CI: 5-7%; I

conclusionThis systematic review and meta-analysis provides pooled estimates of recurrence rate, 5-year PFS, and 5-year OS for WHO grade 2 and 3 meningiomas. Interpretation is constrained by the predominantly retrospective design of included studies and considerable clinical heterogeneity across the pooled cohorts.

Indexed as

Meningeal NeoplasmsMeningiomaHumansNeoplasm GradingNeoplasm Recurrence, LocalMeningiomaMeta-analysisRecurrenceSurvivalSystematic review

Identifiers

PMID42149193
PMCPMC13350211

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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.