Staging prognostic discussions about glioblastoma - Takeaways - MDSpire

Staging prognostic discussions about glioblastoma

  • By

  • John T. Fortunato

  • Amy Scharf

  • Andrew G. Shuman

  • Eli L. Diamond

  • January 9, 2026

  • 0 min

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  • 1

    Glioblastoma (GBM) has a median overall survival of 15–20 months with standard treatment, and 8–9 months after recurrence.

  • 2

    Current GBM treatment focuses on prolonging survival and quality of life through surgery, radiation, and temozolomide.

  • 3

    Early prognostic discussions should include incurability, life expectancy, and impending cognitive decline to aid patient decision-making.

  • 4

    There are no specific guidelines for prognostic disclosure in neuro-oncology, leading to inconsistent communication of prognosis.

  • 5

    A proposed framework suggests staged disclosure of prognostic information, starting with incurability and cognitive decline at the first visit.

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