Brain tumor is one of the diagnoses most feared by patients, physicians,
and even oncologists. Their fear is justified. More than half of the 18 400
primary malignant brain tumors diagnosed each year in the United States are
malignant gliomas1 that not only confer high
risk for death and severe disability, but also steal what is held so highly
as the essence of human life: the mind and spirit. In this issue of JAMA, Chang et al2 use data
from the Glioma Outcomes (GO) Project to provide a “report card”
on the patterns of care in patients with newly diagnosed malignant gliomas;
unfortunately, the grades are sobering. Consequently, this is an appropriate
time to reflect on the past and current status of glioma treatment and suggest
where to go from here.
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