Current Trends in Neurosurgical Management of Adult Diffuse Low-Grade Gliomas in Canada

Can J Neurol Sci. 2023 Mar;50(2):278-281. doi: 10.1017/cjn.2022.2. Epub 2022 May 5.

Abstract

There is considerable variability in the management of diffuse low-grade gliomas (LGGs). To characterize treatment paradigms, a survey of Canadian neurosurgeons was performed with forty neurosurgeons responding. Their responses show that the management of patients with LGGs has evolved in the past decade and findings from the RTOG9802 trial have been integrated into the practice of Canadian neurosurgeons. Most respondents stated that the patient selection and treatment strategy advocated by the RTOG9802 trial needs further evaluation. Overall, there is a trend toward more aggressive surgical resections, and future investigations will have to more accurately stratify patient risk profiles.

Keywords: Astrocytoma; Canada; LGG; Low-grade glioma; Oligodendroglioma; RTOG9802.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Brain Neoplasms* / surgery
  • Canada
  • Glioma* / surgery
  • Humans
  • Neoplasm Grading
  • Neurosurgical Procedures
  • Surveys and Questionnaires