Evidence map›Paper›PMID 39582811›Full record

ArticleNeuro-oncology advances

Treatment-related survival patterns in diffuse intrinsic pontine glioma using a historical cohort: A report from the European Society for Pediatric Oncology DIPG/DMG Registry.

Joshua N Baugh, Sophie Veldhuijzen van Zanten, Marta Fiocco, Niclas Colditz, Marion Hoffmann, Geert O Janssens, Chiara Valentini, Darren Hargrave, Maria Wiese, André O von Bueren and 12 more

Abstract read
In one paragraph

Article in Neuro-oncology advances. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Diagnostic challenges and treatment barriers in the management of diffuse intrinsic pontine glioma in low- and lower-middle-income countries: a systematic review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Pooled it
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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

22 authors.

Joshua N BaughPrincess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.ORCID https://orcid.org/0000-0001-7281-6306
Sophie Veldhuijzen van ZantenDepartment of Radiology and Nuclear Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands.
Marta FioccoDepartment of Biomedical Data Sciences, Section Medical Statistics, Leiden University Medical Center, Leiden, The Netherlands.
Niclas ColditzDivision of Pediatric Hematology and Oncology, University Medical Center Göttingen, Göttingen, Germany.
Marion HoffmannDivision of Pediatric Hematology and Oncology, University Medical Center Göttingen, Göttingen, Germany.
Geert O JanssensDepartment of Radiation Oncology, University Medical Center Utrecht, Utrecht, The Netherlands.
Chiara ValentiniNational Center for Tumor Diseases, with DKFZ Heidelberg, University Hospital and Faculty of Medicine Dresden and Institute of Radiooncology - OncoRay, Helmholtz-Zentrum Dresden-Rossendorf, Dresden, Germany.
Darren HargraveGreat Ormond Street Hospital for Children, NHS Trust London, London, UK.
Maria WieseDivision of Pediatric Hematology and Oncology, University Medical Center Göttingen, Göttingen, Germany.
André O von BuerenDivision of Pediatric Hematology and Oncology, Department of Pediatrics, Gynecology and Obstetrics, University Hospital of Geneva, Geneva, Switzerland.
Michael KarremannDepartment of Pediatric and Adolescent Medicine, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Thomas PerweinDivision of Pediatric Hemato-Oncology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria.ORCID https://orcid.org/0000-0001-6952-1339
Gunther NussbaumerDivision of Pediatric Hemato-Oncology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria.
Martin BeneschDivision of Pediatric Hemato-Oncology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria.
Dominik SturmDepartment of Pediatric Oncology, Hematology, & Immunology, Heidelberg University Hospital, Heidelberg, Germany.
Gerrit H GielenDepartment of Neuropathology, University Hospital Bonn, Bonn, Germany.
Mechthild KrauseDepartment Translational Radiooncology and Clinical Radiotherapy, Helmholtz-Zentrum Dresden-Rossendorf, Dresden, Germany.
Matthias EyrichDepartment of Pediatric Hematology, Oncology, and Stem Cell Transplantation, University Hospital Würzburg, Würzburg, Germany.
Eelco W HovingDepartment of Pediatric Neurosurgery, Utrecht University Medical Center/Wilhelmina Children's Hospital, Utrecht, The Netherlands.
Brigitte BisonDiagnostic and Interventional Neuroradiology, Faculty of Medicine, University of Augsburg, Augsburg, Germany.
Dannis G van VuurdenPrincess Máxima Center for Pediatric Oncology, Utrecht, The Netherlands.
Christof M KrammDivision of Pediatric Hematology and Oncology, University Medical Center Göttingen, Göttingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Our aim is to investigate the association of treatment with survival in patients with diffuse intrinsic pontine glioma (DIPG) by examining 6 historical treatment paths. Methods: We retrospectively analyzed data from 409 patients with radiologically centrally reviewed DIPG, sourced from the German Society of Pediatric Oncology and Hematology HIT-HGG trial database and the SIOPE-DIPG/DMG Registry. Survival outcomes were estimated using the Kaplan-Meier method, and univariable and multivariable Cox proportional hazard models were estimated to study treatment effects. Results: The median overall survival (OS) from diagnosis was 11.2 months (95% confidence interval [CI], 10.5-11.9). Patients who by choice received no frontline treatment had an OS of 3.0 months (95% CI, 2.0-4.0), while those treated with radiation therapy (RT) alone had a median OS of 10.4 months (95% CI, 9.1-11.8). Those receiving RT combined with chemotherapy had the longest median OS of 11.7 months (95% CI, 10.8-12.6). The median post-progression survival (PPS) was 4.1 months (95% CI, 3.5-4.7). Patients who relapsed and did not receive treatment had a PPS of 2.2 months (95% CI, 1.8-2.6), while those treated with chemotherapy alone had a PPS of 4.4 months (95% CI, 3.7-5.0), and those who underwent reirradiation, with or without chemotherapy, had the longest survival after relapse of 6.6 months (95% CI, 5.3-8.0). Treatment differences remained significant in multivariable analysis adjusted for age and symptom duration in both diagnosis and relapse setting. Conclusions: This study shows increased survival outcomes associated with radiation and chemotherapy treatment or a combination thereof, at diagnosis and relapse, in a historical DIPG cohort.

Indexed as

diffuse intrinsic pontine gliomadiffuse midline gliomaDIPGhistorical controlregistry

Identifiers

PMID39582811
PMCPMC11582646

What Socratic holds

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LicenceCC BY
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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 Socratic graph.