Associations of supramaximal resection with outcome in glioblastoma across age groups: A report of the RANO resect group

Teske N, Dono A, Young JS, Jünger ST, Youssef G, Häni L, Sciortino T, Bruno F, Dietrich J, Mau CY, Weller M, Beck J, Hervey-Jumper S, Molinaro AM, Chang SM, Van den Bent M, Vogelbaum MA, Ruge MI, Cahill DP, Rudà R, Bello L, Grau SJ, Schnell O, Huang RY, Wen PY, Tandon N, Berger MS, Tonn JC, Esquenazi Y, Karschnia P (2026)

Publication Type: Journal article

Publication year: 2026

Journal

Neuro-Oncology Oxford University Press

Book Volume: 28

Pages Range: 470-484

Journal Issue: 2

DOI: 10.1093/neuonc/noaf239

Abstract

BackgroundThe oncological role of resection in elderly patients with glioblastoma remains controversial. We evaluated the value of resection in patients ≥65 years with (1) newly diagnosed and (2) recurrent glioblastoma by comparing the prognostic relevance of extent of resection to patients <65 years. Methods The international RANO resect group retrospectively collected patients with newly diagnosed and recurrent IDH-wildtype glioblastoma from ten neuro-oncological centers. Associations of residual tumor with molecular and clinical markers and survival were analyzed. Results A total of 1260 patients with newly diagnosed glioblastoma were identified, including 512 patients ≥65 years. Lower postoperative contrast-enhancing tumor volumes were favorably associated with survival on uni- and multivariate analyses; however, the associations with outcome were more pronounced in younger patients. Only in patients <65 years, supramaximal resection was associated with more favorable survival (40 vs 20 months, P =.001). In 310 patients with first recurrence (≥65 years: 92), maximal resection of contrast-enhancing tumor was associated with favorable outcomes, particularly in younger patients. Neither older nor younger patients had favorable outcome associations of supramaximal resection in the recurrent setting. All findings were confirmed in propensity-score-matched analyses to minimize confounding effects of inherent differences in demographic and clinical markers (including second-line treatments) between older and younger patients. Conclusions While complete contrast-enhancing tumor resection is prognostic for favorable outcomes in older patients, associations of supramaximal resection with improved outcomes were only retained in younger patients with newly diagnosed disease. Those findings support stratified surgical approaches.

Authors with CRIS profile

Nico Teske Department of Neurosurgery Oliver Schnell Lehrstuhl für Neurochirurgie Philipp Karschnia Department of Neurosurgery

Involved external institutions

University of Texas Health Science Center at Houston (UTHealth Houston) US United States (USA) (US) University of San Francisco (USF) US United States (USA) (US) Universität zu Köln DE Germany (DE) Harvard University US United States (USA) (US) Universitätsklinikum Freiburg DE Germany (DE) Istituto Ortopedico Galeazzi IT Italy (IT) University of Turin / Università degli Studi di Torino (UNITO) IT Italy (IT) H. Lee Moffitt Cancer Center & Research Institute US United States (USA) (US) Universitätsspital Zürich (USZ) CH Switzerland (CH) Erasmus University Medical Center (MC) NL Netherlands (NL) Università degli studi di Milano IT Italy (IT) Klinikum der Universität München (LMU Klinikum) DE Germany (DE)

How to cite

APA:

Teske, N., Dono, A., Young, J.S., Jünger, S.T., Youssef, G., Häni, L.,... Karschnia, P. (2026). Associations of supramaximal resection with outcome in glioblastoma across age groups: A report of the RANO resect group. Neuro-Oncology, 28(2), 470-484. https://doi.org/10.1093/neuonc/noaf239

MLA:

Teske, Nico, et al. "Associations of supramaximal resection with outcome in glioblastoma across age groups: A report of the RANO resect group." Neuro-Oncology 28.2 (2026): 470-484.

BibTeX: Download