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An Integrative Survival Analysis with Identification of Prognostic Factors in the Patients with Coexisting Glioma and Intracranial Aneurysm
- Source :
- World neurosurgery. 111
- Publication Year :
- 2017
-
Abstract
- This study aimed to perform an integrative clinical and survival analysis for patients with coexisting glioma and intracranial aneurysm and to assess the influence of prognostic factors on overall survival (OS).A systematic literature search on PubMed and Web of Science was performed for literature in English published from 1951 to August 2017. Detailed information including clinical characteristics, treatments, critical events, and time to events for survival analysis was extracted from the included articles. Clinical characteristics of included patients were reviewed, and survival analysis was performed to identify prognostic factors of OS.A total of 56 cases from 38 articles published in English-language journals were included in this study, and relative details were selected for integrative analysis. Univariate analysis demonstrated that age (47/≥47 years), ruptured aneurysm (yes/no), glioma type (glioblastoma multiforme [GBM]/no GBM), World Health Organization (WHO) grade (low/high), and radiotherapy (yes/no) had a statistically significant correlation with OS (log-rank P = 0.004, P = 0.037, P = 0.004, P0.001, and P0.001, respectively). Further, multivariate analysis revealed that WHO grade (hazard ratio [HR], 22.383; 95% confidence interval [CI], 1.795-279.151; P = 0.016) and receiving radiotherapy (HR, 0.054; 95% CI, 0.009-0.333; P = 0.002) were the independent prognostic factors for OS.This integrative survival analysis revealed that WHO grade and receiving radiotherapy were independent prognostic factors for OS, and patients with low-grade glioma and receiving radiotherapy had longer survival than counter groups. Nevertheless, similar clinical studies which should be larger samples, multicenter, and collaborative are needed further.
- Subjects :
- Oncology
medicine.medical_specialty
medicine.medical_treatment
Brain tumor
Neurosurgical Procedures
03 medical and health sciences
0302 clinical medicine
Aneurysm
Sex Factors
Glioma
Internal medicine
Overall survival
Medicine
Humans
Survival analysis
Univariate analysis
Radiotherapy
business.industry
Brain Neoplasms
Age Factors
Intracranial Aneurysm
medicine.disease
Prognosis
Combined Modality Therapy
Survival Analysis
Radiation therapy
030220 oncology & carcinogenesis
Surgery
Neurology (clinical)
business
030217 neurology & neurosurgery
Systematic search
Subjects
Details
- ISSN :
- 18788769
- Volume :
- 111
- Database :
- OpenAIRE
- Journal :
- World neurosurgery
- Accession number :
- edsair.doi.dedup.....e158e078bdae35e2416adf14c7ff91d5