Evidence map›Paper›PMID 25396679›Full record

ArticleJournal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer2015

Validation of a molecular and pathological model for five-year mortality risk in patients with early stage lung adenocarcinoma.

Raphael Bueno, Elisha Hughes, Susanne Wagner, Alexander S Gutin, Jerry S Lanchbury, Yifan Zheng, Michael A Archer, Corinne Gustafson, Joshua T Jones, Kristen Rushton and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
5.6field-weighted citation impact, top 4% 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

26 citing papers in PubMed, 45 citations in OpenAlex.

  1. Article
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  5. Review
  6. Observational
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  8. Article
  9. Multi-Institutional Prospective Validation of Prognostic mRNA Signatures in Early Stage Squamous Lung Cancer (Alliance).Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2020
    Article
  10. Article
  11. Prognostic and predictive value of cell cycle progression (CCP) score in ductal carcinoma in situ of the breast.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2020
    Article
  12. Eight-gene signature predicts recurrence in lung adenocarcinoma.Cancer biomarkers : section A of Disease markers · 2020
    Article
  13. Addressing cellular heterogeneity in tumor and circulation for refined prognostication.Proceedings of the National Academy of Sciences of the United States of America · 2019
    Article
  14. Observational
  15. Development of biomarkers for real precision medicine.Translational lung cancer research · 2018
    Article
  16. Article
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  18. Review
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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

18 authors at 8 institutions in 3 countries.

Raphael Bueno*Division of Thoracic Surgery, Brigham and Women's Hospital and Harvard Medical School, Boston, MA; †Myriad Genetics, Inc., Salt Lake City, UT; ‡Myriad Genetic Laboratories, Inc., Salt Lake City, UT, §Levine Cancer Institute, Charlotte, NC, ‖Istituto Europeo di Oncologia, Milan, Italy; ¶Department of Translational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX; #Royal Infirmary of Edinburgh, Edinburgh, Scotland; and **School of Medicine, University of St. Andrews, St. Andrews, Scotland.
Elisha Hughes
Susanne Wagner
Alexander S Gutin
Jerry S Lanchbury
Yifan Zheng
Michael A Archer
Corinne Gustafson
Joshua T Jones
Kristen Rushton
Jennifer Saam
Edward Kim
Massimo Barberis
Ignacio Wistuba
Richard J Wenstrup
William A Wallace
Anne-Renee Hartman
David J Harrison
Myriad Genetics · USBrigham and Women's Hospital · USHarvard University · USEdinburgh Royal Infirmary · GBEuropean Institute of Oncology · ITLevine Cancer Institute · USThe University of Texas MD Anderson Cancer Center · USUniversity of St Andrews · GB

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
6 · The paper itself

Abstract

introductionThe aim of this study was to validate a molecular expression signature [cell cycle progression (CCP) score] that identifies patients with a higher risk of cancer-related death after surgical resection of early stage (I-II) lung adenocarcinoma in a large patient cohort and evaluate the effectiveness of combining CCP score and pathological stage for predicting lung cancer mortality.

methodsFormalin-fixed paraffin-embedded surgical tumor samples from 650 patients diagnosed with stage I and II adenocarcinoma who underwent definitive surgical treatment without adjuvant chemotherapy were analyzed for 31 proliferation genes by quantitative real-time polymerase chain reaction. The prognostic discrimination of the expression score was assessed by Cox proportional hazards analysis using 5-year lung cancer-specific death as primary outcome.

resultsThe CCP score was a significant predictor of lung cancer-specific mortality above clinical covariates [hazard ratio (HR) = 1.46 per interquartile range (95% confidence interval = 1.12-1.90; p = 0.0050)]. The prognostic score, a combination of CCP score and pathological stage, was a more significant indicator of lung cancer mortality risk than pathological stage in the full cohort (HR = 2.01; p = 2.8 × 10) and in stage I patients (HR = 1.67; p = 0.00027). Using the 85th percentile of the prognostic score as a threshold, there was a significant difference in lung cancer survival between low-risk and high-risk patient groups (p = 3.8 × 10).

conclusionsThis study validates the CCP score and the prognostic score as independent predictors of lung cancer death in patients with early stage lung adenocarcinoma treated with surgery alone. Patients with resected stage I lung adenocarcinoma and a high prognostic score may be candidates for adjuvant therapy to reduce cancer-related mortality.

Indexed as

AdenocarcinomaAdenocarcinoma of LungAgedFemaleFormaldehydeHumansLung NeoplasmsMaleNeoplasm StagingParaffin EmbeddingPrognosisReal-Time Polymerase Chain ReactionTissue FixationFormaldehyde

Identifiers

PMID25396679
PMCPMC4272230
OpenAlexW2140965184

What OpenQuestion holds

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Registered trials

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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.