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Impact of adjuvant treatments on survival in Korean patients with WHO grade II gliomas: KNOG 15-02 and KROG 16-04 intergroup study

Overview of attention for article published in Journal of Neuro-Oncology, August 2018
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Title
Impact of adjuvant treatments on survival in Korean patients with WHO grade II gliomas: KNOG 15-02 and KROG 16-04 intergroup study
Published in
Journal of Neuro-Oncology, August 2018
DOI 10.1007/s11060-018-2972-8
Pubmed ID
Authors

Taeryool Koo, Do Hoon Lim, Ho Jun Seol, Yun-Sik Dho, Il Han Kim, Jong Hee Chang, Jeongshim Lee, Tae-Young 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

Optimal treatment strategies for low-grade glioma (LGG) remain controversial. We analyzed treatment outcomes and evaluated prognostic factors of adult LGG patients in Korea. We reviewed the medical records of 555 patients diagnosed with WHO grade II LGG (astrocytoma 37.8%, oligoastrocytoma 15.3%, and oligodendroglioma 46.8%) at 14 institutions between 2000 and 2010. Primary and secondary endpoints were progression-free survival (PFS) and overall survival (OS). Propensity-score matching (PSM) analyses were performed to correct imbalances in patient/tumor characteristics among adjuvant treatment groups. The median follow-up time was 83.4 months, and the 5-year PFS and OS rates were 52.2% and 83.0%, respectively. Male, older age, poorer performance status, multiple lobe involvement, and astrocytoma histology were associated with poorer survival. Among the treatment factors, gross total resection (GTR) was associated with better PFS and OS, and adjuvant chemotherapy with improved PFS. Interestingly, adjuvant radiotherapy (RT) did not improve PFS; rather, it was related with poorer OS. Regarding patient/tumor characteristics, the RT group had poorer characteristics than the non-RT group. After PSM, we detected a tendency for improved PFS in the matched RT group, and no significant difference in OS compared with the matched non-RT group. The achievement of GTR is important to improve survival in LGG patients. Adjuvant chemotherapy may enhance PFS, but adjuvant RT did not improve survival outcomes. After PSM, we observed potential impacts of adjuvant RT on PFS. Our results may reflect real-world practice and consequently may help to optimize treatment strategies for LGG.

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Geographical breakdown

Country Count As %
Unknown 18 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 3 17%
Student > Bachelor 2 11%
Other 2 11%
Student > Postgraduate 2 11%
Student > Master 1 6%
Other 3 17%
Unknown 5 28%
Readers by discipline Count As %
Medicine and Dentistry 7 39%
Neuroscience 2 11%
Social Sciences 1 6%
Nursing and Health Professions 1 6%
Engineering 1 6%
Other 0 0%
Unknown 6 33%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 December 2018.
All research outputs
#20,529,980
of 23,099,576 outputs
Outputs from Journal of Neuro-Oncology
#2,594
of 2,994 outputs
Outputs of similar age
#289,023
of 331,118 outputs
Outputs of similar age from Journal of Neuro-Oncology
#49
of 67 outputs
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