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Harmonized Classification Reveals Survival Gains and Persistent Gaps in European Childhood Brain Tumors

This study maps survival alongside cure estimates across Europe using a harmonized classification revealing low survival for high-grade gliomas.

Overview

  • Researchers restructured tumor categories in 80 registries across 31 countries to align data with modern diagnostics for more accurate survival comparisons.
  • Analysis of records from over 30,000 children diagnosed between 1998 and 2013 shows overall survival for the four most common pediatric brain tumors has improved.
  • Country-to-country differences in survival narrowed, indicating broadly similar access to pediatric oncology care across Europe.
  • For the first time, population-based cure fractions were estimated for low-grade gliomas, medulloblastomas, ependymomas and high-grade gliomas, providing new benchmarks for treatment success.
  • Despite overall progress, five-year survival for high-grade gliomas remains alarmingly low, underscoring the urgent need for novel therapies and enhanced registry practices.