Evidence map›Paper›PMID 25791825›Full record

ArticleThe Journal of surgical research2015

Impact of mesothelioma histologic subtype on outcomes in the Surveillance, Epidemiology, and End Results database.

Robert Ryan Meyerhoff, Chi-Fu Jeffrey Yang, Paul J Speicher, Brian C Gulack, Matthew G Hartwig, Thomas A D'Amico, David H Harpole, Mark F Berry

Abstract read
In one paragraph

Article in The Journal of surgical research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 4 pooled it
8.6field-weighted citation impact, top 2% 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

103 citing papers in PubMed, 4 syntheses or guidelines pooled it, 200 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Treatment of Malignant Pleural Mesothelioma: American Society of Clinical Oncology Clinical Practice Guideline.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018
    Guideline
  4. NCCN Guidelines Insights: Malignant Pleural Mesothelioma, Version 3.2016.Journal of the National Comprehensive Cancer Network : JNCCN · 2016
    Guideline
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. [Recent Advances in Medical Treatment of Malignant Pleural Mesothelioma].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2025
    Review
  20. Correlation of Histologic Features with Gene Alterations in Pleural Mesothelioma.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2025
    Article

43 more citing papers are in PubMed but not listed here.

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

8 authors at 2 institutions in 1 country.

Robert Ryan MeyerhoffDivision of Thoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina; Department of Immunology, Duke University, Durham, North Carolina.
Chi-Fu Jeffrey YangDivision of Thoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina.
Paul J SpeicherDivision of Thoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina.
Brian C GulackDivision of Thoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina.
Matthew G HartwigDivision of Thoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina.
Thomas A D'AmicoDivision of Thoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina.
David H HarpoleDivision of Thoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina.
Mark F BerryDivision of Thoracic Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina; Department of Cardiothoracic Surgery, Stanford University Medical Center, Stanford, California. Electronic address: berry037@stanford.edu.
Duke Medical Center · USDuke University · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007171 · NIGMS · DUKE UNIVERSITY · PI KONTOS, CHRISTOPHER D · 1985 to 2021
$31.2M
Cardiothoracic Surgical Network Clinical CenterU01HL088953 · NHLBI · DUKE UNIVERSITY · PI SMITH, PETER K · 2007 to 2013
$2.6M
Core Clinical Centers for the CTSNUM1HL088953 · NHLBI · DUKE UNIVERSITY · PI SMITH, PETER K · 2013 to 2017
$2.5M
NHLBI NIH HHS 5U01HL088952-05NHLBI NIH HHS U01 HL088953NHLBI NIH HHS UM1 HL088953NIGMS NIH HHS T32 GM007171NIGMS NIH HHS T32GM007171
6 · The paper itself

Abstract

backgroundThis study was conducted to determine how malignant pleural mesothelioma (MPM) histology was associated with the use of surgery and survival.

methodsOverall survival of patients with stage I-III epithelioid, sarcomatoid, and biphasic MPM in the Surveillance, Epidemiology, and End Results database from 2004-2010 was evaluated using multivariate Cox proportional hazards models.

resultsOf 1183 patients who met inclusion criteria, histologic subtype was epithelioid in 811 patients (69%), biphasic in 148 patients (12%), and sarcomatoid in 224 patients (19%). Median survival was 14 mo in the epithelioid group, 10 mo in the biphasic group, and 4 mo in the sarcomatoid group (P < 0.01). Cancer-directed surgery was used more often in patients with epithelioid (37%, 299/811) and biphasic (44%, 65/148) histologies as compared with patients with sarcomatoid histology (26%, 58/224; P < 0.01). Among patients who underwent surgery, median survival was 19 mo in the epithelioid group, 12 mo in the biphasic group, and 4 mo in the sarcomatoid group (P < 0.01). In multivariate analysis, surgery was associated with improved survival in the epithelioid group (hazard ratio [HR] 0.72; P < 0.01) but not in biphasic (HR 0.73; P = 0.19) or sarcomatoid (HR 0.79; P = 0.18) groups.

conclusionsCancer-directed surgery is associated with significantly improved survival for MPM patients with epithelioid histology, but patients with sarcomatoid and biphasic histologies have poor prognoses that may not be favored by operative treatment. The specific histology should be identified before treatment, so that surgery can be offered to patients with epithelioid histology, as these patients are most likely to benefit.

Indexed as

AdultAgedAged, 80 and overFemaleHumansLung NeoplasmsMaleMesotheliomaMesothelioma, MalignantMiddle AgedNeoplasm StagingPleural NeoplasmsSEER ProgramBiphasicEpithelioidFibrousMesotheliomaSarcomatoidSEERSurgery

Identifiers

PMID25791825
PMCPMC4430361
OpenAlexW1997241984

What OpenQuestion holds

Textmetadata
LicenceTDM
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.