Evidence map›Paper›PMID 37760463›Full record

ArticleCancers2023

Treatment of Clival Chordomas: A 20-Year Experience and Systematic Literature Review.

Carolina Noya, Quintino Giorgio D'Alessandris, Francesco Doglietto, Roberto Pallini, Mario Rigante, Pier Paolo Mattogno, Marco Gessi, Nicola Montano, Claudio Parrilla, Jacopo Galli and 2 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.2field-weighted citation impact, top 11% of its field
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

5 citing papers in PubMed, 9 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Carolina NoyaSchool of Medicine, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Quintino Giorgio D'AlessandrisSchool of Medicine, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.ORCID 0000-0002-2953-9291
Francesco DogliettoSchool of Medicine, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.ORCID 0000-0002-7438-0734
Roberto PalliniSchool of Medicine, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.ORCID 0000-0002-4611-8827
Mario RiganteOtolaryngology, Head and Neck Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.ORCID 0000-0002-6111-0786
Pier Paolo MattognoNeurosurgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo Agostino Gemelli, 8, 00168 Rome, Italy.ORCID 0000-0003-2857-9096
Marco GessiSchool of Medicine, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Nicola MontanoSchool of Medicine, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.ORCID 0000-0002-4965-1950
Claudio ParrillaOtolaryngology, Head and Neck Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.
Jacopo GalliSchool of Medicine, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Alessandro OliviSchool of Medicine, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Liverana LaurettiSchool of Medicine, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.ORCID 0000-0002-6463-055X
Università Cattolica del Sacro Cuore · ITAgostino Gemelli University Polyclinic · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clival chordomas are rare but aggressive skull base tumors that pose significant treatment challenges and portend dismal prognosis. The aim of this study was to highlight the advantages and limitations of available treatments, to furnish prognostic indicators, and to shed light on novel therapeutic strategies. We conducted a retrospective study of clival chordomas that were surgically treated at our institution from 2003 to 2022; for comparison purposes, we provided a systematic review of published surgical series and, finally, we reviewed the most recent advancements in molecular research. A total of 42 patients underwent 85 surgeries; median follow-up was 15.8 years, overall survival rate was 49.9% at 10 years; meanwhile, progression-free survival was 26.6% at 10 years. A significantly improved survival was observed in younger patients (<50 years), in tumors with Ki67 ≤ 5% and when adjuvant radiotherapy was performed. To conclude, clival chordomas are aggressive tumors in which surgery and radiotherapy play a fundamental role while molecular targeted drugs still have an ancillary position. Recognizing risk factors for recurrence and performing a molecular characterization of more aggressive lesions may be the key to future effective treatment.

Indexed as

chordomasclivusendoscopic endonasal approachoncologyradiotherapyskull basesurgerysurvival

Identifiers

PMID37760463
PMCPMC10527079
OpenAlexW4386607932

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.