Evidence map›Paper›PMID 27787380›Full record

ReviewMedicine2016

Is surgery indicated for elderly patients with early stage nonsmall cell lung cancer, in the era of stereotactic body radiotherapy?

Nam P Nguyen, Juan Godinez, Wei Shen, Vincent Vinh-Hung, Helena Gorobets, Juliette Thariat, Fred Ampil, Jacqueline Vock, Ulf Karlsson, Alexander Chi and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 24 citations in OpenAlex.

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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

11 authors at 8 institutions in 4 countries.

Nam P NguyenDepartment of Radiation Oncology, Howard University, Washington DC Department of Radiation Oncology, Rochester General Hospital, Rochester, NY Division of Pulmonary Medicine, University of Arizona, Tucson, AZ Department of Radiation Oncology, University of Martinique, Martinique, France Department of Oral Maxillofacial Surgery, University of Kiev, Kiev, Ukraine Department of Radiation Oncology, University of Nice, Nice, France Department of Radiation Oncology, Louisiana State University, Shreveport, Louisiana Department of Radiation Oncology, Lindenhofspital, Bern, Switzerland Department of Radiation Oncology, Marshfield Clinic, Marshfield Department of Radiation Oncology, University of West Virginia, Morgantown, West Virginia.
Juan Godinez
Wei Shen
Vincent Vinh-Hung
Helena Gorobets
Juliette Thariat
Fred Ampil
Jacqueline Vock
Ulf Karlsson
Alexander Chi
International Geriatric Radiotherapy Group
Centre Hospitalier Universitaire de Martinique · MQHoward University · USLindenhofspital · CHLouisiana State University in Shreveport · USMarshfield Clinic · USRochester General Hospital · USUniversité Côte d'Azur · FRUniversity of Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this article is to assess the influence of comorbidities among elderly patients (at least 70 year old) undergoing surgery for early stage nonsmall cell lung cancer (NSCLC) and to explore the tolerability and efficacy of surgery in relation to stereotactic body radiotherapy (SBRT) in this patient population.

methodsA review of the literature on the prevalence of comorbidities among elderly patients with early stage NSCLC, and the impact of comorbidity factors on survival following surgery was conducted. Survival rates and the incidence of complications following SBRT for this patient population were also identified.

resultsComorbidities in elderly patients with early stage NSCLC may preclude surgery or lead to poor survival following surgery. However, chronological age alone should not be used as a deciding factor to deny curative treatment in elderly, but fit patients. Stereotactic body radiotherapy is well tolerated by elderly lung cancer patients and may result in survival rates similar to that following surgery.

conclusionSBRT should be the treatment of choice for early stage NSCLC in elderly patients with multiple comorbidities that preclude surgery. The roles of surgery and SBRT for elderly, -fit patients with early stage NSCLC needs to be further defined in future prospective trials.

Indexed as

Early DiagnosisNeoplasm StagingAgedAged, 80 and overCarcinoma, Non-Small-Cell LungHumansLung NeoplasmsRadiosurgeryTreatment Outcome

Identifiers

PMID27787380
PMCPMC5089109
OpenAlexW2543020235

What OpenQuestion holds

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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.