Evidence map›Paper›PMID 26237019›Full record

ArticleJournal of clinical medicine2014

Malignant Cardiac Tamponade from Non-Small Cell Lung Cancer: Case Series from the Era of Molecular Targeted Therapy.

Bob T Li, Antonia Pearson, Nick Pavlakis, David Bell, Adrian Lee, David Chan, Michael Harden, Manu Mathur, David Marshman, Peter Brady and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 27% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. A case series of malignant pericardial effusion.Journal of family medicine and primary care · 2022
    Article
  10. Article
  11. Article
  12. Review
  13. The value of the new scoring system for predicting neoplastic pericarditis in the patients with large pericardial effusion.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017
    Article
  14. Observational
  15. Article
  16. 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

11 authors at 2 institutions in 1 country.

Bob T LiDepartment of Medical Oncology, Royal North Shore Hospital, St. Leonards, NSW 2065, Sydney, Australia. bob.li@med.usyd.edu.au.
Antonia PearsonDepartment of Medical Oncology, Royal North Shore Hospital, St. Leonards, NSW 2065, Sydney, Australia. toni_35@hotmail.com.
Nick PavlakisDepartment of Medical Oncology, Royal North Shore Hospital, St. Leonards, NSW 2065, Sydney, Australia. nick.pavlakis@sydney.edu.au.
David BellDepartment of Medical Oncology, Royal North Shore Hospital, St. Leonards, NSW 2065, Sydney, Australia. bellfam@bigpond.net.au.
Adrian LeeDepartment of Medical Oncology, Royal North Shore Hospital, St. Leonards, NSW 2065, Sydney, Australia. adrian.lee@sydney.edu.au.
David ChanDepartment of Medical Oncology, Royal North Shore Hospital, St. Leonards, NSW 2065, Sydney, Australia. dlhchan1@gmail.com.
Michael HardenDepartment of Cardiothoracic Surgery, Royal North Shore Hospital, St. Leonards, NSW 2065, Sydney, Australia. mickharden@bigpond.com.
Manu MathurDepartment of Cardiothoracic Surgery, Royal North Shore Hospital, St. Leonards, NSW 2065, Sydney, Australia. manu_mathur@hotmail.com.
David MarshmanDepartment of Cardiothoracic Surgery, Royal North Shore Hospital, St. Leonards, NSW 2065, Sydney, Australia. drdmar@bigpond.com.
Peter BradyDepartment of Cardiothoracic Surgery, Royal North Shore Hospital, St. Leonards, NSW 2065, Sydney, Australia. pwbrady@ozemail.com.au.
Stephen ClarkeDepartment of Medical Oncology, Royal North Shore Hospital, St. Leonards, NSW 2065, Sydney, Australia. stephen.clarke@sydney.edu.au.
Royal North Shore Hospital · AUUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiac tamponade complicating malignant pericardial effusion from non-small cell lung cancer (NSCLC) is generally associated with extremely poor prognosis. With improved systemic chemotherapy and molecular targeted therapy for NSCLC in recent years, the prognosis of such patients and the value of invasive cardiothoracic surgery in this setting have not been adequately examined. We report outcomes from a contemporary case series of eight patients who presented with malignant cardiac tamponade due to NSCLC to an Australian academic medical institution over an 18 months period. Two cases of cardiac tamponade were de novo presentations of NSCLC and six cases were presentations following previous therapy for NSCLC. The median survival was 4.5 months with a range between 9 days to alive beyond 17 months. The two longest survivors are still receiving active therapy at 17 and 15 months after invasive surgical pericardial window respectively. One survivor had a histological subtype of large cell neuroendocrine carcinoma and the other received targeted therapy for epidermal growth factor receptor mutation. These results support the consideration of active surgical palliation to treating this oncological emergency complicating NSCLC, including the use of urgent drainage, surgical creation of pericardial window followed by appropriate systemic therapy in suitably fit patients.

Indexed as

cardiac metastasischemotherapylung cancerpalliative therapypericardial effusionpericardial window techniquespericardiocentesis

Identifiers

PMID26237019
PMCPMC4470240
OpenAlexW2114815649

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.