Evidence map›Paper›PMID 29222669›Full record

ArticleSurgery today2018

The preoperative HbA1c level is an independent prognostic factor for the postoperative survival after resection of non-small cell lung cancer in elderly patients.

Makoto Motoishi, Satoru Sawai, Tetsuo Hori, Naoki Yamashita

Abstract read
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In one paragraph

Article in Surgery today, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 28% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. The Effect of Diabetes Mellitus on Prognosis of Patients with Non-Small-Cell Lung Cancer: A Systematic Review and Meta-Analysis.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2020
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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

4 authors at 2 institutions in 1 country.

Makoto MotoishiDepartment of Thoracic Surgery, Mitsubishikyoto Hospital, 1 Katsuragosyo-cho, Nishikyo-ku, Kyoto, 615-8087, Japan. mamotoishi@yahoo.co.jp.
Satoru SawaiDepartment of Thoracic Surgery, National Hospital Organization Kyoto Medical Center, Fukakusamukaihata-cho, Fushimi-ku, Kyoto, 612-8555, Japan.
Tetsuo HoriDepartment of Thoracic Surgery, Mitsubishikyoto Hospital, 1 Katsuragosyo-cho, Nishikyo-ku, Kyoto, 615-8087, Japan.
Naoki YamashitaDepartment of Thoracic Surgery, Mitsubishikyoto Hospital, 1 Katsuragosyo-cho, Nishikyo-ku, Kyoto, 615-8087, Japan.
Mitsubishi Kyoto Hospital · JPKyoto Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to investigate the influence of a history of diabetes mellitus (DM) and the glycated hemoglobin (HbA1c) level on the survival in patients who underwent complete resection for non-small cell lung cancer (NSCLC).

methodsOf the patients who underwent complete resection for NSCLC between 2007 and 2015, 468 were classified into DM (who were currently taking medication for DM) and no DM groups as well as into high HbA1c (≥ 6.5) and normal HbA1c (< 6.5) groups.

resultsThe overall survival (OS) did not differ significantly between either pair of groups. Among the elderly patients, the OS did not differ significantly between the DM and no DM groups, but was significantly higher in the normal-HbA1c group than in the high-HbA1c group (5-year survival rate: 84.7 versus 37.2%, respectively, p < 0.01). In the elderly patients, non-adenocarcinoma histology, advanced stage, a high Charlson comorbidity index, and a high preoperative HbA1c level were found to be independent risk factors for the OS.

conclusionWe revealed that a high preoperative HbA1c level was associated with a poor OS in elderly patients who underwent complete resection for NSCLC. This suggests that it is necessary to achieve diabetic control prior to complete resection in NSCLC patients.

Indexed as

Diabetes ComplicationsGlycated HemoglobinPneumonectomyAgedBiomarkersCarcinoma, Non-Small-Cell LungFemaleFollow-Up StudiesHumansLung NeoplasmsMaleMiddle AgedPreoperative PeriodPrognosisRetrospective StudiesSurvival RateBiomarkersGlycated Hemoglobinhemoglobin A1c protein, humanDiabetes mellitus (DM)Glycated hemoglobin (HbA1c)Non-small cell lung cancer (NSCLC)Operation

Identifiers

PMID29222669
OpenAlexW2772335544

What OpenQuestion holds

Textmetadata
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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.