Title |
Multi-institutional study of treatment patterns in Korean patients with WHO grade II gliomas: KNOG 15-02 and KROG 16-04 intergroup study
|
---|---|
Published in |
Journal of Neuro-Oncology, March 2018
|
DOI | 10.1007/s11060-018-2839-z |
Pubmed ID | |
Authors |
Taeryool Koo, Do Hoon Lim, Ho Jun Seol, Chul-Kee Park, Il Han Kim, Jong Hee Chang, Jeongshim Lee, Shin Jung, Ho-Shin Gwak, Kwan Ho Cho, Chang-Ki Hong, Ik Jae Lee, El Kim, Jin Hee Kim, Yong-Kil Hong, Hong Seok Jang, Chae-Yong Kim, In Ah Kim, Sung Hwan Kim, Young Il Kim, Eun-Young Kim, Woo Chul Kim, Semie Hong |
Abstract |
We performed this study to identify the treatment patterns of patients with low-grade gliomas (LGG) in Korea. A total of 555 patients diagnosed as WHO grade II gliomas between 2000 and 2010 at 14 Korean institutions were included. The patients were divided into four adjuvant treatment groups: adjuvant fractionated radiotherapy (RT, N = 204), adjuvant chemotherapy (N = 20), adjuvant fractionated RT and chemotherapy (N = 65), and non-adjuvant treatment (N = 266) groups. We examined differences among the groups and validated patient/tumor characteristics associated with the adjuvant treatments. Astrocytoma was diagnosed in 210 patients (38%), oligoastrocytoma in 85 patients (15%), and oligodendroglioma in 260 patients (47%). Gross total resection was performed in 200 patients (36%), subtotal resection in 153 (28%), partial resection in 71 patients (13%), and biopsy in 131 patients (24%). RT was most commonly applied as an adjuvant treatment. The use of chemotherapy with or without RT decreased after 2008 (from 38 to 4%). The major chemotherapeutic regimen was procarbazine, lomustine, and vincristine (PCV); however, the proportion of temozolomide increased since 2005 (up to 69%). Patient/tumor characteristics related with RT were male gender, non-seizure, multiple lobes involvement, and non-gross total resection. Chemotherapy was associated with non-gross total resection and non-astrocytoma. A preference for RT and increased use of temozolomide was evident in the treatment pattern of LGG. The extent of resection was associated with a decision to perform RT and chemotherapy. To establish a robust guideline for LGG, further studies including molecular information are needed. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 40% |
Austria | 1 | 20% |
Unknown | 2 | 40% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 3 | 60% |
Science communicators (journalists, bloggers, editors) | 1 | 20% |
Scientists | 1 | 20% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 33 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Doctoral Student | 4 | 12% |
Other | 3 | 9% |
Student > Bachelor | 3 | 9% |
Professor | 3 | 9% |
Student > Master | 3 | 9% |
Other | 5 | 15% |
Unknown | 12 | 36% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 10 | 30% |
Neuroscience | 4 | 12% |
Psychology | 1 | 3% |
Computer Science | 1 | 3% |
Engineering | 1 | 3% |
Other | 0 | 0% |
Unknown | 16 | 48% |