Evidence map›Paper›PMID 26275031›Full record

ArticleAmerican journal of respiratory and critical care medicine2015

Close Surveillance with Long-Term Follow-up of Subjects with Preinvasive Endobronchial Lesions.

Robert A A van Boerdonk, Illaa Smesseim, Daniëlle A M Heideman, Veerle M H Coupé, Darryl Tio, Katrien Grünberg, Erik Thunnissen, Peter J F Snijders, Pieter E Postmus, Egbert F Smit and 2 more

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In one paragraph

Article in American journal of respiratory and critical care medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

24 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
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  17. Detecting the Presence and Progression of Premalignant Lung Lesions via Airway Gene Expression.Clinical cancer research : an official journal of the American Association for Cancer Research · 2017
    Article
  18. Epithelial cell migration as a potential therapeutic target in early lung cancer.European respiratory review : an official journal of the European Respiratory Society · 2017
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 3 countries.

Robert A A van Boerdonk1 Department of Pathology.
Illaa Smesseim2 Department of Pulmonary Diseases, and.
Daniëlle A M Heideman1 Department of Pathology.
Veerle M H Coupé3 Department of Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, the Netherlands.
Darryl Tio2 Department of Pulmonary Diseases, and.
Katrien Grünberg1 Department of Pathology.
Erik Thunnissen1 Department of Pathology.
Peter J F Snijders1 Department of Pathology.
Pieter E Postmus4 Clatterbridge Cancer Centre, Liverpool Heart and Chest Hospital, University of Liverpool, Liverpool, United Kingdom.
Egbert F Smit2 Department of Pulmonary Diseases, and.
Johannes M A Daniels2 Department of Pulmonary Diseases, and.
Thomas G Sutedja6 Department of Pulmonology, Erasmus Medical Center, Rotterdam, the Netherlands.
Pulmonary Associates · USAmsterdam UMC Location Vrije Universiteit Amsterdam · NLErasmus MC · NLUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleAutofluorescence bronchoscopy (AFB) and computed tomography (CT) enable lung cancer (LC) detection at the early (pre-)invasive stage. However, LC risk in patients with preinvasive endobronchial lesions is unclear.

objectivesTo assess LC incidence and identify potential risk determinants in patients with preinvasive lesions.

methodsIn our tertiary care referral center, 164 subjects with preinvasive lesions were monitored up to 12.5 years by repeated AFB and CT. Occurrence of LC was monitored. Clinical management depended on histological grade, with cancer patients receiving standard care. Potential risk determinants (smoking status, baseline histology, cancer history, and chronic obstructive pulmonary disease [COPD] status) were evaluated in relation to cancer occurrence, event-free survival (EFS), and overall survival (OS). MEASUREMENTS AND MAIN

resultsDuring surveillance (median of 30 mo, range 4-152) of 164 subjects with preinvasive lesions (80 high grade and 84 low grade at inclusion), 61 LCs were detected in 55 subjects (median time to event 16.5 mo). Twenty-three LCs (38%) were detected by CT, and 38 (62%) were detected by AFB. More cancers (36 of 61; 59%) developed from separate, rather than initial lesional sites. Subjects with high-grade lesions were more likely to be diagnosed with LC at the same or another site in the lungs than those with low-grade lesions (P = 0.03). Independent risk determinants for OS were previous curatively treated cancer and COPD (P ≤ 0.05).

conclusionsPresence of preinvasive lesions, especially high-grade lesions, may serve as LC risk markers. LCs occur both at preinvasive lesion sites and elsewhere in the bronchial epithelium or lung parenchyma. Prospective validation of biomarkers and randomized intervention studies are needed to determine optimal management strategies.

Indexed as

BronchoscopyTomography, X-Ray ComputedComorbidityDisease-Free SurvivalFemaleFollow-Up StudiesHumansIncidenceLungLung NeoplasmsMaleMiddle AgedNetherlandsPulmonary Disease, Chronic ObstructiveReproducibility of ResultsRisk Factorsautofluorescence bronchoscopycomputed tomographyearly detectionlung cancersquamous dysplasia

Identifiers

PMID26275031
OpenAlexW1943341485

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.