Incidence trends and survival analysis of atypical meningiomas: a population-based study from 2004 to 2018 View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2022-07-11

AUTHORS

Matthew J. Recker, Cathleen C. Kuo, Dheerendra Prasad, Kristopher Attwood, Robert J. Plunkett

ABSTRACT

PurposeAtypical meningiomas have histologic and clinical features that fall between those for benign and malignant meningiomas. The incidence of atypical meningiomas has not been well studied with respect to changes in the World Health Organization (WHO) classification scheme over time.MethodsThe National Cancer Institute’s Surveillance, Epidemiology, and End Results (SEER) database was queried to obtain data from 2004 to 2018 for patients with all meningiomas, including atypical. Age-adjusted incidence rates were generated and annual percent change (APC) in the incidence rates was calculated with joinpoint regression. Survival was analyzed using the Kaplan–Meier method and Cox proportional hazards models.ResultsA total of 4476 patients diagnosed with meningioma were identified from the SEER 18 registries. The incidence of atypical meningioma increased at an APC of 5.6% [95% confidence interval [CI], 3.4–7.8]; significantly faster than all meningiomas, which rose at an APC of 2.5% (95%CI 1.8–3.1;p = 0.008). For atypical meningiomas, the 1, 3, 5, and 10-year survival rates were 91.9%, 81.3%, 68.8%, and 34.3%, respectively. Male sex, older age (≥ 60 years), and large tumor size (> 5 cm) were independent risk factors for an unfavorable prognosis.ConclusionsThe incidence of atypical meningioma was observed to be increasing relative to all meningiomas. It is important to diligently monitor atypical meningioma incidence and mortality rates over time to see whether observed uptrends persist. Continued effort toward improving outcomes in patients with atypical meningiomas is warranted, especially in light of an apparent rise in incidence. More... »

PAGES

13-22

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11060-022-04085-6

DOI

http://dx.doi.org/10.1007/s11060-022-04085-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1149410747

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/35819682


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