Evidence map›Paper›PMID 29191778›Full record

ArticleJournal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer2018

Paraneoplastic Syndromes and Thymic Malignancies: An Examination of the International Thymic Malignancy Interest Group Retrospective Database.

Sukhmani K Padda, Xiaopan Yao, Alberto Antonicelli, Jonathan W Riess, Yue Shang, Joseph B Shrager, Robert Korst, Frank Detterbeck, James Huang, Bryan M Burt and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 3% 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

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 90 citations in OpenAlex.

  1. Pooled it
  2. Myasthenia Gravis and Thymoma.Muscle & nerve · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Thymic tumors: radiotherapy experience for single institute.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2025
    Article
  10. Article
  11. Article
  12. Immune aberrations in thymic epithelial tumors.Mediastinum (Hong Kong, China) · 2025
    Review
  13. Article
  14. Article
  15. Review
  16. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 1 country.

Sukhmani K PaddaDepartment of Medicine, Division of Oncology, Stanford Cancer Institute/Stanford University School of Medicine, Stanford, California. Electronic address: padda@stanford.edu.
Xiaopan YaoDepartment of Surgery, Division of Thoracic Surgery, Yale University School of Medicine, New Haven, Connecticut.
Alberto AntonicelliDepartment of Surgery, Division of Thoracic Surgery, Yale University School of Medicine, New Haven, Connecticut.
Jonathan W RiessDepartment of Medicine, Division of Oncology, University of California Davis Cancer Center, Sacramento, California.
Yue ShangThe MathWorks, Natick, Massachusetts.
Joseph B ShragerDepartment of Cardiothoracic Surgery, Stanford Cancer Institute/Stanford University School of Medicine, Stanford, California.
Robert KorstDepartment of Thoracic Surgery, Icahn School of Medicine at Mount Sinai Health System, New York, New York; Valley/Mount Sinai Comprehensive Cancer Care, Paramus, New Jersey.
Frank DetterbeckDepartment of Surgery, Division of Thoracic Surgery, Yale University School of Medicine, New Haven, Connecticut.
James HuangDepartment of Surgery, Thoracic Service, Memorial Sloan Kettering Cancer Center, New York, New York.
Bryan M BurtDepartment of Surgery, Division of Thoracic Surgery, Baylor College of Medicine, Houston, Texas.
Heather A WakeleeDepartment of Medicine, Division of Oncology, Stanford Cancer Institute/Stanford University School of Medicine, Stanford, California.
Sunil S BadveDepartment of Pathology, Indiana University, Indianapolis, Indiana.
Stanford University · USYale University · USBaylor College of Medicine · USIndiana University – Purdue University Indianapolis · USMathWorks (United States) · USMemorial Sloan Kettering Cancer Center · USMount Sinai Health System · USUniversity of California Davis Medical Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Elisa de Stanchina · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

introductionThymic epithelial tumors (TETs) are associated with paraneoplastic/autoimmune (PN/AI) syndromes. Myasthenia gravis is the most common PN/AI syndrome associated with TETs.

methodsThe International Thymic Malignancy Interest Group retrospective database was examined to determine (1) baseline and treatment characteristics associated with PN/AI syndromes and (2) the prognostic role of PN/AI syndromes for patients with TETs. The competing risks model was used to estimate cumulative incidence of recurrence (CIR) and the Kaplan-Meier method was used to calculate overall survival (OS). A Cox proportional hazards model was used for multivariate analysis.

resultsA total of 6670 patients with known PN/AI syndrome status from 1951 to 2012 were identified. PN/AI syndromes were associated with younger age, female sex, thymoma histologic type, earlier stage, and an increased rate of total thymectomy and complete resection status. There was a statistically significant lower CIR in the group with a PN/AI syndrome than in the group without a PN/AI syndrome (10-year CIR 17.3% versus 21.2%, respectively [p = 0.0003]). The OS was improved in the group with a PN/AI syndrome compared to the group without a PN/AI syndrome (median OS 21.6 years versus 17.0 years, respectively [hazard ratio = 0.63, 95% confidence interval: 0.54-0.74, p < 0.0001]). However, in the multivariate model for recurrence-free survival and OS, PN/AI syndrome was not an independent prognostic factor. DISCUSSION: Previously, there have been mixed data regarding the prognostic role of PN/AI syndromes for patients with TETs. Here, using the largest data set in the world for TETs, PN/AI syndromes were associated with favorable features (i.e., earlier stage and complete resection status) but were not an independent prognostic factor for patients with TETs.

Indexed as

AdolescentAdultAgedAged, 80 and overChildChild, PreschoolDatabases, FactualFemaleHumansMaleMiddle AgedParaneoplastic SyndromesRetrospective StudiesThymus NeoplasmsYoung AdultMyasthenia gravisParaneoplasticThymic carcinomaThymic epithelial tumorThymoma

Identifiers

PMID29191778
PMCPMC5983900
OpenAlexW2768579693

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.