{"id":"https://openalex.org/W2589044716","doi":"https://doi.org/10.1093/neuonc/now212.738","title":"RTHP-12. NON-OPERATIVE MANAGEMENT OF ACOUSTIC NEUROMA IN GERIATRIC PATIENTS: A NATIONWIDE CANCER DATABASE ANALYSIS","display_name":"RTHP-12. NON-OPERATIVE MANAGEMENT OF ACOUSTIC NEUROMA IN GERIATRIC PATIENTS: A NATIONWIDE CANCER DATABASE ANALYSIS","publication_year":2016,"publication_date":"2016-11-01","ids":{"openalex":"https://openalex.org/W2589044716","doi":"https://doi.org/10.1093/neuonc/now212.738","mag":"2589044716"},"language":"en","primary_location":{"id":"doi:10.1093/neuonc/now212.738","doi":"https://doi.org/10.1093/neuonc/now212.738","is_oa":true,"landing_page_url":"https://doi.org/10.1093/neuonc/now212.738","pdf_url":"https://academic.oup.com/neuro-oncology/article-pdf/18/suppl_6/vi176/9645475/now212.738.pdf","source":{"id":"https://openalex.org/S106908163","display_name":"Neuro-Oncology","issn_l":"1522-8517","issn":["1522-8517","1523-5866"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neuro-Oncology","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://academic.oup.com/neuro-oncology/article-pdf/18/suppl_6/vi176/9645475/now212.738.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5037724529","display_name":"Shearwood McClelland","orcid":"https://orcid.org/0000-0001-7951-9726","observed_orcids":["https://orcid.org/0000-0001-7951-9726"]},"institutions":[{"id":"https://openalex.org/I200719446","display_name":"Vanderbilt University","ror":"https://ror.org/02vm5rt34","country_code":"US","type":"education","lineage":["https://openalex.org/I200719446"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Shearwood McClelland","raw_affiliation_strings":["Department of Radiation Oncology, Vanderbilt University School of Medicine, Nashville, TN, USA,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiation Oncology, Vanderbilt University School of Medicine, Nashville, TN, USA,","institution_ids":["https://openalex.org/I200719446"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064099533","display_name":"James Don Murphy","orcid":"https://orcid.org/0000-0002-0523-9091","observed_orcids":["https://orcid.org/0000-0002-0523-9091","https://orcid.org/0009-0008-1719-5111"]},"institutions":[{"id":"https://openalex.org/I36258959","display_name":"University of California San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"James D Murphy","raw_affiliation_strings":["Department of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, CA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, CA, USA","institution_ids":["https://openalex.org/I36258959"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5106353859","display_name":"Charles R. Thomas","orcid":"https://orcid.org/0009-0005-2278-1818","observed_orcids":["https://orcid.org/0009-0005-2278-1818"]},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Charles R Thomas","raw_affiliation_strings":["Department of Radiation Medicine, Oregon Health & Science University, Portland, OR, USA,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiation Medicine, Oregon Health & Science University, Portland, OR, USA,","institution_ids":["https://openalex.org/I165690674"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":5132,"currency":"USD","value_usd":5132},"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"suppl_6","first_page":"vi176","last_page":"vi176"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11251","display_name":"Meningioma and schwannoma management","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11251","display_name":"Meningioma and schwannoma management","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10832","display_name":"Pituitary Gland Disorders and Treatments","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11054","display_name":"Adrenal and Paraganglionic Tumors","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/vestibular-schwannoma","display_name":"vestibular schwannoma","score":1.0},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.8410000205039978},{"id":"https://openalex.org/keywords/conservative-treatment","display_name":"conservative treatment","score":0.9900000095367432},{"id":"https://openalex.org/keywords/stereotactic-radiosurgery","display_name":"stereotactic radiosurgery","score":0.890999972820282},{"id":"https://openalex.org/keywords/fractionated-stereotactic-radiotherapy","display_name":"fractionated stereotactic radiotherapy","score":0.9810000061988831},{"id":"https://openalex.org/keywords/treatment-patterns","display_name":"treatment patterns","score":0.5099999904632568},{"id":"https://openalex.org/keywords/charlson-deyo-comorbidity-index","display_name":"Charlson-Deyo comorbidity score","score":0.7940000295639038},{"id":"https://openalex.org/keywords/tumor-size","display_name":"tumor size","score":0.5460000038146973},{"id":"https://openalex.org/keywords/comprehensive-cancer-center","display_name":"comprehensive cancer center","score":0.5410000085830688},{"id":"https://openalex.org/keywords/national-cancer-database","display_name":"National Cancer Database","score":0.628000020980835},{"id":"https://openalex.org/keywords/insurance-status","display_name":"insurance status","score":0.35100001096725464}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8954510688781738},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.6000247001647949},{"id":"https://openalex.org/C2780858735","wikidata":"https://www.wikidata.org/wiki/Q423965","display_name":"Acoustic neuroma","level":2,"score":0.5903279185295105},{"id":"https://openalex.org/C2780387249","wikidata":"https://www.wikidata.org/wiki/Q973234","display_name":"Radiosurgery","level":3,"score":0.5815474987030029},{"id":"https://openalex.org/C509974204","wikidata":"https://www.wikidata.org/wiki/Q180507","display_name":"Radiation therapy","level":2,"score":0.5261849164962769},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.4947182834148407},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.4748407006263733},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4713194966316223},{"id":"https://openalex.org/C77088390","wikidata":"https://www.wikidata.org/wiki/Q8513","display_name":"Database","level":1,"score":0.46499601006507874},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3761400580406189},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3746838867664337},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1093/neuonc/now212.738","doi":"https://doi.org/10.1093/neuonc/now212.738","is_oa":true,"landing_page_url":"https://doi.org/10.1093/neuonc/now212.738","pdf_url":"https://academic.oup.com/neuro-oncology/article-pdf/18/suppl_6/vi176/9645475/now212.738.pdf","source":{"id":"https://openalex.org/S106908163","display_name":"Neuro-Oncology","issn_l":"1522-8517","issn":["1522-8517","1523-5866"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neuro-Oncology","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1093/neuonc/now212.738","doi":"https://doi.org/10.1093/neuonc/now212.738","is_oa":true,"landing_page_url":"https://doi.org/10.1093/neuonc/now212.738","pdf_url":"https://academic.oup.com/neuro-oncology/article-pdf/18/suppl_6/vi176/9645475/now212.738.pdf","source":{"id":"https://openalex.org/S106908163","display_name":"Neuro-Oncology","issn_l":"1522-8517","issn":["1522-8517","1523-5866"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neuro-Oncology","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2589044716.pdf","grobid_xml":"https://content.openalex.org/works/W2589044716.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2550674619","https://openalex.org/W2588496829","https://openalex.org/W2600128998","https://openalex.org/W2564538472","https://openalex.org/W2561839195","https://openalex.org/W2586791710","https://openalex.org/W2028585531","https://openalex.org/W2141965159","https://openalex.org/W2095135357","https://openalex.org/W2013191016"],"abstract_inverted_index":{"The":[0,48,67],"in-hospital":[1],"mortality":[2],"rate":[3],"of":[4,51,162,201,211,243,253,259,272,284],"acoustic":[5],"neuroma":[6],"(AN)":[7],"surgery":[8,149,221],"is":[9,215,279],"0.5%":[10],"and":[11,87,105,148,158,176,232,267],"increases":[12],"exponentially":[13],"with":[14,45,154,220],"age;":[15],"consequently":[16],"non-operative":[17,31,276],"management":[18,33],"has":[19,63],"gained":[20],"popularity":[21],"(McClelland":[22],"et":[23,27],"al.,":[24,28],"2011;":[25],"Lau":[26],"2012).":[29],"Predominant":[30],"AN":[32,61,77,110,213,289],"involves":[34],"either":[35],"radiation":[36,140,260,285],"(fractionated":[37],"stereotactic":[38,41],"radiotherapy":[39],"or":[40,43,125,164,203],"radiosurgery)":[42],"observation":[44,86,144],"serial":[46],"imaging.":[47],"nationwide":[49],"distribution":[50],"these":[52],"two":[53],"modalities":[54],"in":[55,265],"the":[56,108,212,224,256,268],"geriatric":[57,76,115,273,288],"(minimum":[58],"age":[59,218],"65)":[60],"population":[62,214],"not":[64],"been":[65],"examined.":[66],"National":[68],"Cancer":[69],"Data":[70],"Base":[71],"(NCDB)":[72],"from":[73],"2004-2013":[74],"identified":[75],"patients.":[78,290],"Multivariable":[79],"logistic":[80],"regression":[81],"characterized":[82],"patients":[83,177,274],"who":[84],"received":[85],"radiation,":[88,172,244],"including":[89],"variables":[90],"for":[91,101,282,287],"patient":[92],"age,":[93],"race,":[94],"sex,":[95],"income,":[96],"geographic":[97],"region,":[98],"primary":[99],"payer":[100],"care,":[102],"tumor":[103,130],"size,":[104],"comorbidities.":[106],"Of":[107],"11,614":[109],"patients,":[111],"1,725":[112],"(14.9%)":[113],"were":[114,119,167,185],"(median":[116],"69;range=65-90);":[117],"54%":[118],"female.":[120],"Most":[121],"had":[122],"Medicare":[123],"(79%)":[124],"private":[126,155],"insurance":[127,156],"(15%);":[128],"median":[129],"size":[131],"was":[132,137],"2.1":[133],"cm.":[134],"Solitary":[135],"treatment":[136,228,233,286],"administered":[138],"as":[139],"(225":[141],"patients;":[142,146,151],"13.0%),":[143],"(147":[145],"8.5%),":[147],"(1,285":[150],"74.5%).":[152],"Patients":[153],"(OR=0.7;95%CI=0.5-1.0;p=0.005)":[157],"a":[159,180,198],"Charlson/Deyo":[160,199],"score":[161,200],"1":[163,202],"2":[165,204],"(OR=0.5;95%CI=0.4-0.8;p=0.0005)":[166],"less":[168],"likely":[169,187],"to":[170,188],"receive":[171,189],"while":[173,197,245],"men":[174],"(OR=1.3;95%CI=1.0-1.7;p=0.03)":[175],"treated":[178],"at":[179,216,234],"comprehensive":[181,235],"cancer":[182,236],"center":[183],"(OR=1.4;95%CI=1.0-1.8;p=0.02)":[184],"more":[186],"radiation.":[190],"African-American":[191,246],"race":[192,247],"(OR=1.5;95%CI=0.9-2.6;p=0.03)":[193],"predicted":[194,206,241,251],"increased":[195],"observation,":[196],"(OR=0.7;95%CI=0.5-1.0;p=0.03)":[205],"decreased":[207],"observation.":[208,254],"Fifteen":[209],"percent":[210],"least":[217],"65,":[219],"by":[222],"far":[223],"most":[225],"commonly":[226],"used":[227],"modality.":[229],"Male":[230],"gender":[231],"centers":[237],"(by":[238,248],"40%)":[239],"independently":[240,250],"receipt":[242,252],"50%)":[249],"Given":[255],"proven":[257],"impact":[258],"therapy":[261],"on":[262],"local":[263],"control":[264],"AN,":[266],"relatively":[269],"small":[270],"proportion":[271],"receiving":[275],"treatment,":[277],"there":[278],"fertile":[280],"ground":[281],"dissemination":[283]},"counts_by_year":[],"updated_date":"2026-10-16T09:59:22.235173","created_date":"2017-02-24T00:00:00"}