Meningioma — defining characteristics of the affected Pakistani population

Objective: To ascertain the age and gender differences, treatment, and management of meningiomas across Pakistan. Methods: Data were collected as part of the PBTES, and patients with a histopathological diagnosis of an intracranial meningioma in 2019 that presented at these centres were included...

Full description

Bibliographic Details
Main Authors: Mashal Murad Shah, Muhammad Usman Khalid , Mohammad Hamza Bajwa, Saqib Kamran Bakhshi, Saad bin Anis , Naveed Zaman Akhunzada , Altaf Ali Laghari , Muhammad Faraz Raghib, Sameen Siddiqi , Syed Ather Enam
Format: Article
Language:English
Published: Pakistan Medical Association 2022-12-01
Series:Journal of the Pakistan Medical Association
Online Access:https://www.ojs.jpma.org.pk/index.php/public_html/article/view/8674
_version_ 1797820938378543104
author Mashal Murad Shah
Muhammad Usman Khalid 
Mohammad Hamza Bajwa
Saqib Kamran Bakhshi
Saad bin Anis 
Naveed Zaman Akhunzada 
Altaf Ali Laghari 
Muhammad Faraz Raghib
Sameen Siddiqi 
Syed Ather Enam
author_facet Mashal Murad Shah
Muhammad Usman Khalid 
Mohammad Hamza Bajwa
Saqib Kamran Bakhshi
Saad bin Anis 
Naveed Zaman Akhunzada 
Altaf Ali Laghari 
Muhammad Faraz Raghib
Sameen Siddiqi 
Syed Ather Enam
author_sort Mashal Murad Shah
collection DOAJ
description Objective: To ascertain the age and gender differences, treatment, and management of meningiomas across Pakistan. Methods: Data were collected as part of the PBTES, and patients with a histopathological diagnosis of an intracranial meningioma in 2019 that presented at these centres were included in this cohort study sub-analysis. Thirty-two centres participated in the study. Medical students, residents, and faculty collated data from medical records. Results: Our data indicate that meningiomas constitute 15.6% of all intracranial tumours in Pakistan and occur more often in females (236, 55%) than in males. The mean age at diagnosis was 43.7 ± 19.9 years. Meningiomas had a slightly higher preponderance in the right hemisphere of the brain at 203 (47.32%) tumours and 267 (62.2%) of the tumours in the frontal and parietal lobes. We found that 174 (61.3%) of all meningiomas diagnosed in Pakistan in 2019 were grade I tumours, which was also the most commonly occurring tumour grade. Adjuvant chemoradiotherapy for meningiomas was rarely observed in Pakistan. Conclusion: The PBTES reveals a low hospital-based incidence of meningiomas in 2019 when compared to the incidence in high-income countries but found evidence similar to those of other LMICs. Tumour characteristics, such as location, grading and surgical procedures, were similar to global literature. Keywords: Meningioma, Chemoradiotherapy, Brain Neoplasms, Epidemiology, Gender traits. Continue...
first_indexed 2024-03-13T09:45:31Z
format Article
id doaj.art-65c1d154485a40419177684f64fcc1b9
institution Directory Open Access Journal
issn 0030-9982
language English
last_indexed 2024-03-13T09:45:31Z
publishDate 2022-12-01
publisher Pakistan Medical Association
record_format Article
series Journal of the Pakistan Medical Association
spelling doaj.art-65c1d154485a40419177684f64fcc1b92023-05-25T04:21:08ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822022-12-01721110.47391/JPMA.11-S4-AKUB08Meningioma — defining characteristics of the affected Pakistani populationMashal Murad Shah0Muhammad Usman Khalid 1Mohammad Hamza Bajwa2Saqib Kamran Bakhshi3Saad bin Anis 4Naveed Zaman Akhunzada 5Altaf Ali Laghari 6Muhammad Faraz Raghib7Sameen Siddiqi 8Syed Ather Enam9The Aga Khan University Hospital, Karachi,PakistanThe Aga Khan University Hospital, Karachi,Pakistan. The Aga Khan University Hospital, Karachi,Pakistan. The Aga Khan University Hospital, Karachi, Pakistan Shaukat Khanum Cancer Memorial Hospital, Lahore. Rehman Medical Institute, Hayatabad, Peshawar,Pakistan Aga Khan University Hospital, Karachi, Pakistan. The Aga Khan University Hospital, Karachi,PakistanThe Aga Khan University Hospital, Karachi,PakistanThe Aga Khan University Hospital, Karachi,Pakistan Objective: To ascertain the age and gender differences, treatment, and management of meningiomas across Pakistan. Methods: Data were collected as part of the PBTES, and patients with a histopathological diagnosis of an intracranial meningioma in 2019 that presented at these centres were included in this cohort study sub-analysis. Thirty-two centres participated in the study. Medical students, residents, and faculty collated data from medical records. Results: Our data indicate that meningiomas constitute 15.6% of all intracranial tumours in Pakistan and occur more often in females (236, 55%) than in males. The mean age at diagnosis was 43.7 ± 19.9 years. Meningiomas had a slightly higher preponderance in the right hemisphere of the brain at 203 (47.32%) tumours and 267 (62.2%) of the tumours in the frontal and parietal lobes. We found that 174 (61.3%) of all meningiomas diagnosed in Pakistan in 2019 were grade I tumours, which was also the most commonly occurring tumour grade. Adjuvant chemoradiotherapy for meningiomas was rarely observed in Pakistan. Conclusion: The PBTES reveals a low hospital-based incidence of meningiomas in 2019 when compared to the incidence in high-income countries but found evidence similar to those of other LMICs. Tumour characteristics, such as location, grading and surgical procedures, were similar to global literature. Keywords: Meningioma, Chemoradiotherapy, Brain Neoplasms, Epidemiology, Gender traits. Continue... https://www.ojs.jpma.org.pk/index.php/public_html/article/view/8674
spellingShingle Mashal Murad Shah
Muhammad Usman Khalid 
Mohammad Hamza Bajwa
Saqib Kamran Bakhshi
Saad bin Anis 
Naveed Zaman Akhunzada 
Altaf Ali Laghari 
Muhammad Faraz Raghib
Sameen Siddiqi 
Syed Ather Enam
Meningioma — defining characteristics of the affected Pakistani population
Journal of the Pakistan Medical Association
title Meningioma — defining characteristics of the affected Pakistani population
title_full Meningioma — defining characteristics of the affected Pakistani population
title_fullStr Meningioma — defining characteristics of the affected Pakistani population
title_full_unstemmed Meningioma — defining characteristics of the affected Pakistani population
title_short Meningioma — defining characteristics of the affected Pakistani population
title_sort meningioma defining characteristics of the affected pakistani population
url https://www.ojs.jpma.org.pk/index.php/public_html/article/view/8674
work_keys_str_mv AT mashalmuradshah meningiomadefiningcharacteristicsoftheaffectedpakistanipopulation
AT muhammadusmankhalid meningiomadefiningcharacteristicsoftheaffectedpakistanipopulation
AT mohammadhamzabajwa meningiomadefiningcharacteristicsoftheaffectedpakistanipopulation
AT saqibkamranbakhshi meningiomadefiningcharacteristicsoftheaffectedpakistanipopulation
AT saadbinanis meningiomadefiningcharacteristicsoftheaffectedpakistanipopulation
AT naveedzamanakhunzada meningiomadefiningcharacteristicsoftheaffectedpakistanipopulation
AT altafalilaghari meningiomadefiningcharacteristicsoftheaffectedpakistanipopulation
AT muhammadfarazraghib meningiomadefiningcharacteristicsoftheaffectedpakistanipopulation
AT sameensiddiqi meningiomadefiningcharacteristicsoftheaffectedpakistanipopulation
AT syedatherenam meningiomadefiningcharacteristicsoftheaffectedpakistanipopulation