Evidence map›Paper›PMID 29383713›Full record

ArticleInternational journal of cancer2018

Prognostic factors for soft tissue sarcoma patients with lung metastases only who are receiving first-line chemotherapy: An exploratory, retrospective analysis of the European Organization for Research and Treatment of Cancer-Soft Tissue and Bone Sarcoma Group (EORTC-STBSG).

Lars H Lindner, Saskia Litière, Stefan Sleijfer, Charlotte Benson, Antoine Italiano, Bernd Kasper, Christina Messiou, Hans Gelderblom, Eva Wardelmann, Axel Le Cesne and 6 more

Abstract read
In one paragraph

Article in International journal of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–field-weighted citation impact
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

29 citing papers in PubMed.

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  4. Evaluation of RECIST v1.1 for predicting overall survival in sarcoma patients with pulmonary metastasis.Cancer imaging : the official publication of the International Cancer Imaging Society · 2026
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  18. The Long Noncoding RNAMolecular cancer research : MCR · 2020
    Article
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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

16 authors.

Lars H LindnerKlinikum der Universität München, Interdisciplinary Tumor Center (CCC LMU), Sarcoma Unit (SarKUM), Marchioninistr. 15, München, D-81377, Germany.ORCID 0000-0003-3708-8264
Saskia LitièreEuropean Organisation for Research and Treatment of Cancer (EORTC) Data Centre, Avenue Mounier 83/11, Brussels, B-1200, Belgium.
Stefan SleijferErasmus MC Cancer Institute, Groene Hilledijk 301, Rotterdam, EA, 3075, The Netherlands.ORCID 0000-0002-0446-9039
Charlotte BensonThe Sarcoma Unit, Royal Marsden NHS Foundation Trust, Fulham Road, London, SW3 6JJ, United Kingdom.
Antoine ItalianoDepartment of Medical Oncology, 229 cours de l'Argonne, Institut Bergonie, Bordeaux Cedex, 33076, France.ORCID 0000-0002-8540-5351
Bernd KasperUniversity of Heidelberg, Mannheim University Medical Center, Interdisciplinary Tumor Center, Sarcoma Unit, Theodor-Kutzer-Ufer 1-3, Mannheim, D-68167, Germany.
Christina MessiouThe Sarcoma Unit, Royal Marsden NHS Foundation Trust, Fulham Road, London, SW3 6JJ, United Kingdom.
Hans GelderblomDepartment of Clinical Oncology, Leiden University Medical Centre, Albinusdreef 2, Leiden, ZA, 2333, The Netherlands.
Eva WardelmannGerhard-Domagk-Institut für Pathologie, Universitätsklinikum Münster, Münster, 48149, Germany.
Axel Le CesneInstitut Gustave Roussy, Villejuif, France.
Jean-Yves BlayDepartment of Medicine, NetSARC and LYRIC, Centre Leon Berard, Lyon, France.
Sandrine MarreaudEuropean Organisation for Research and Treatment of Cancer (EORTC) Data Centre, Avenue Mounier 83/11, Brussels, B-1200, Belgium.
Nadia HindiDepartment of Medical Oncology, University Hospital Virgen del Rocio and Biomedicine Research Institute (IBIS), Sevilla, Spain.
Ingrid M E DesarRadboud University Medical Center Nijmegen, the Netherlands.
Alessandro GronchiDepartment of Surgery-Sarcoma Service, Fondazione IRCCS Istituto Nazionale dei Tumori, Via Venezian 1, Milan, 20133, Italy.
Winette T A van der GraafThe Sarcoma Unit, Royal Marsden NHS Foundation Trust, Fulham Road, London, SW3 6JJ, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prognosis of adult soft tissue sarcoma (STS) patients with metastases is generally poor. As little is known about the impact of the involvement of different metastatic sites and the extent of pulmonary lesions on the outcome for patients receiving first-line chemotherapy, we aimed to establish prognostic factors for STS patients with lung metastases only. A retrospective, exploratory analysis was performed on 2,913 metastatic STS patients who received first-line chemotherapy. Detailed information from 580 patients who had lung metastases only, was used for prognostic factor analysis. Patients with lung metastases only were more often asymptomatic and had undergone complete primary tumor resection more frequently compared to patients with additional metastases outside the lung or without lung metastases. For extremity STS, the incidence of lung metastases only was much higher compared to non-extremity STS. Lung involvement only was an independent favorable prognostic factor for overall survival (OS) with regard to metastatic site. Within this subgroup, in a multivariate model, other factors associated with improved OS included: good performance status (PS), no progression at primary site, low histological grade, younger age, long interval between initial diagnosis and trial registration, and smaller diameter of the largest lung lesion. This unique analysis on prognostic factors in STS patients with lung metastases confirms well-known patient factors (such as age and PS), and tumor characteristics (including tumor grade, interval between primary diagnosis, and metastases), but also identifies diameter of the largest lung lesion as a new prognostic factor. Knowledge about these factors may support decision-making within multidisciplinary tumor boards.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsDatasets as TopicFemaleHumansKaplan-Meier EstimateLung NeoplasmsMaleMiddle AgedNeoplasm MetastasisPrognosisProgression-Free SurvivalProportional Hazards ModelsRetrospective StudiesSarcomaEORTClung metastasesprognostic factorssoft tissue sarcoma

Identifiers

PMID29383713
PMCPMC5947111

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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.