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Table 1 Estimates of survival following recurrence of glioblastoma

From: Biopsy vs. extensive resection for first recurrence of glioblastoma: is a prospective clinical trial warranted?

 

N

Tx

mPFS

mOS

Series involving resection ± additional adjuvant Tx at recurrence

 Quick [26]

29

GRT ± RT, CT

NA

66.5

11

SRT ± RT, CT

NA

37.4

 DeBonis [11]

17

Sx

NA

26 (13–39)

19

No Tx

NA

22 (13–30)

24

CT

NA

35 (22–43)

16

Sx + CT ± RT

NA

61 (43–78)

 Clarke [24]

758

CT (P II)

8.3 (8.0–9.6)

31.4 (25.3–35.9)

 Park [27]

34

Sx

NA

4–46.8 varies by NRGS

 McGirt [20]

294

Sx (GTR)

NA

51

 Mandl [14]

9

Sx (≥1)

NA

13

11

Sx + SRS/CT

NA

34

12

SRS/CT

NA

28

 Hau [10]

90

Sx, RT, CT

13 (10–13)

33 (26–39)

78

No Tx

15 % at 12 mos

9 (4–15)

 Pinsker [13]

38

 

NA

18–21

 Guyotat [20]

18

Sx

NA

22.6

36

No Sx

NA

8.6

 Barker [21]

43

Sx (≥1)

NA

42 (37–50)

130

No Sx

NA

23 (20–29)

 Landy [11]

12

Sx ± RT, CT

NA

8

 Harsh [17]

39

Sx

10 with KPS >70

36

 Ammirati [18]

35

Sx ± RT, CT

NA

29

Series using adjuvant bevacizumab at recurrence

 Friedman [31]

85

Bev

18.5 (12.6–25.2)

40 (35.6–46.5)

 Kresyl [32]

48

Bev

16 (12–26)

31 (21–54)

Series using CT (not bevacizumab) at recurrence

 Lamborn [33]

437

CT (P II)

8 (8–9)

30 (27–33)

 Wong [4]

225

CT (P II)

9 (8–10)

25 (21–28)

  1. Brackets indicate 95 % CI where available
  2. n number of patients in study, Tx treatment, Sx surgery, RT radiotherapy, CT chemotherapy, mPFS median progression free survival (weeks), mOS median overall survival (weeks), KPS Karnofsky performance status, NA not available, LRCT locoregional CT (i.e. bleomycin + mitoxantrone via Ommaya reservoir), P II Phase II studies