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• W2247462887 abstract "Epileptogenic glioblastomas are thought to convey a favorable prognosis, either due to early diagnosis or potential antitumor effects of antiepileptic drugs. We investigated the relationship between survival and epilepsy at presentation, early diagnosis, and antiepileptic drug therapy in glioblastoma patients. Multivariable Cox regression was applied to survival data of 647 consecutive patients diagnosed with de novo glioblastoma between 2005 and 2013 in order to investigate the association between epilepsy and survival in glioblastoma patients. In addition, we quantified the association between survival and valproic acid (VPA) treatment. Epilepsy correlated positively with survival (HR: 0.75 (95% CI: 0.61–0.92), P < .01). This effect is independent of age, sex, performance status, type of surgery, adjuvant therapy, tumor location, and tumor volume, suggesting that this positive correlation cannot be attributed solely to early diagnosis. For patients who presented with epilepsy, the use of the antiepileptic drug VPA did not associate with survival when compared with patients who did not receive VPA treatment. Epilepsy is an independent prognostic factor for longer survival in glioblastoma patients. This prognostic effect is not solely explained by early diagnosis, and survival is not associated with VPA treatment." @default.
• W2247462887 created "2016-06-24" @default.
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• W2247462887 date "2015-09-29" @default.
• W2247462887 modified "2023-10-17" @default.
• W2247462887 title "Prognostic relevance of epilepsy at presentation in glioblastoma patients" @default.
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• W2247462887 doi "https://doi.org/10.1093/neuonc/nov238" @default.
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• W2247462887 hasPublicationYear "2015" @default.
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