Evidence map›Paper›PMID 28487765›Full record

ArticleAnnals of medicine and surgery (2012)2017

The long-term prognosis of induction chemotherapy followed by surgery for N2 non-small cell lung cancer: A retrospective case series study.

Naohiro Taira, Hidenori Kawasaki, Tomonori Furugen, Takaharu Ichi, Kazuaki Kushi, Tomofumi Yohena, Tsutomu Kawabata

Abstract read
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Article in Annals of medicine and surgery (2012), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Naohiro TairaDepartment of Surgery, National Hospital Organization, Okinawa National Hospital, Okinawa, Japan.
Hidenori KawasakiDepartment of Surgery, National Hospital Organization, Okinawa National Hospital, Okinawa, Japan.
Tomonori FurugenDepartment of Surgery, National Hospital Organization, Okinawa National Hospital, Okinawa, Japan.
Takaharu IchiDepartment of Surgery, National Hospital Organization, Okinawa National Hospital, Okinawa, Japan.
Kazuaki KushiDepartment of Surgery, National Hospital Organization, Okinawa National Hospital, Okinawa, Japan.
Tomofumi YohenaDepartment of Surgery, National Hospital Organization, Okinawa National Hospital, Okinawa, Japan.
Tsutomu KawabataDepartment of Surgery, National Hospital Organization, Okinawa National Hospital, Okinawa, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe long-term prognosis of induction chemotherapy followed by surgery for N2 non-small lung cell cancer (NSCLC) remains controversial. PATIENTS AND

methodsWe retrospectively reviewed the data and assessed the prognosis of 31 N2-NSCLC patients who underwent induction chemotherapy followed by surgery at our institution between January 1999 and December 2013. Potential prognostic factors, such as age, gender, tumor histology, tumor marker levels, tumor size, the number of N2 lymph nodes, the time from the last induction chemotherapy to the date of surgery, induction chemotherapy, RECIST response, downstaging status, pathological stage, adjuvant chemotherapy, and EF, were analyzed.

resultsThe chemotherapy regimens of 30 of the 31 patients included a platinum agent. Complete resection was performed in 96.7% of the cases. Pathological downstaging was induced in 9 (29%) of the 31 patients. The median follow-up period was 7.89 years. The median DFI was 13.9 months. The recurrence rate was 74.2%. The 5-year OS was 56.9%. Univariate analyses revealed that none of the factors significantly affected OS, while the tumor histology had a significant effect on the DFI.

conclusionAlthough the recurrence rate in our study was similar to previous studies, our survival data were much better than those of past reports. Although the tumor histology was the only factor that had a significant association with DFI in the current study, the possibility of bias exists.

Indexed as

Induction chemotherapyNSCLCPrognosis

Identifiers

PMID28487765
PMCPMC5408500

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