Evidence map›Paper›PMID 23649449›Full record

GuidelineChest2013

Chemoprevention of lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines.

Eva Szabo, Jenny T Mao, Stephen Lam, Mary E Reid, Robert L Keith

Open access · bronzeAbstract readPractice GuidelineReview
In one paragraph

Guideline in Chest, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. A Randomized Phase IIb Trial of myo-Inositol in Smokers with Bronchial Dysplasia.Cancer prevention research (Philadelphia, Pa.) · 2016
    Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Can we use interleukin-1β blockade for lung cancer treatment?Translational lung cancer research · 2018
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Indeterminate pulmonary nodules: risk for having or for developing lung cancer?Cancer prevention research (Philadelphia, Pa.) · 2014
    Article
  19. Loss of miR125a expression in a model of K-ras-dependent pulmonary premalignancy.Cancer prevention research (Philadelphia, Pa.) · 2014
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 2 countries.

Eva SzaboLung and Upper Aerodigestive Cancer Research Group, National Cancer Institute, National Institutes of Health, Bethesda, MD.
Jenny T MaoDivision of Pulmonary, Critical Care, and Sleep Medicine, New Mexico VA Health Care System/University of New Mexico, Albuquerque, NM.
Stephen LamBritish Columbia Cancer Agency, Vancouver, BC, Canada.
Mary E ReidDepartment of Medicine, Roswell Park Cancer Institute, Buffalo, NY.
Robert L KeithVA Eastern Colorado Health Care System, University of Colorado School of Medicine, Denver, CO. Electronic address: Robert.keith@ucdenver.edu.
BC Cancer Agency · CANational Cancer Institute · USRoswell Park Comprehensive Cancer Center · USUniversity of New Mexico · USVA Eastern Colorado Health Care System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLung cancer is the most common cause of cancer death in men and women in the United States. Cigarette smoking is the main risk factor. Former smokers are at a substantially increased risk of developing lung cancer compared with lifetime never smokers. Chemoprevention refers to the use of specific agents to reverse, suppress, or prevent the process of carcinogenesis. This article reviews the major agents that have been studied for chemoprevention.

methodsArticles of primary, secondary, and tertiary prevention trials were reviewed and summarized to obtain recommendations.

resultsNone of the phase 3 trials with the agents β-carotene, retinol, 13-cis-retinoic acid, α-tocopherol, N-acetylcysteine, acetylsalicylic acid, or selenium has demonstrated beneficial and reproducible results. To facilitate the evaluation of promising agents and to lessen the need for a large sample size, extensive time commitment, and expense, surrogate end point biomarker trials are being conducted to assist in identifying the most promising agents for later-stage chemoprevention trials. With the understanding of important cellular signaling pathways and the expansion of potentially important targets, agents (many of which target inflammation and the arachidonic acid pathway) are being developed and tested which may prevent or reverse lung carcinogenesis.

conclusionsBy integrating biologic knowledge, additional early-phase trials can be performed in a reasonable time frame. The future of lung cancer chemoprevention should entail the evaluation of single agents or combinations that target various pathways while working toward identification and validation of intermediate end points.

Indexed as

Antineoplastic AgentsBiomarkers, TumorChemopreventionClinical Trials as TopicHumansLung NeoplasmsPrimary PreventionRisk FactorsSecondary PreventionSignal TransductionSmokingTertiary PreventionAntineoplastic AgentsBiomarkers, Tumor

Identifiers

PMID23649449
PMCPMC3749715
OpenAlexW2040261527

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.