Evidence map›Paper›PMID 29459570›Full record

ArticleAnnals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia2018

Loss of Muscle Mass is a Novel Predictor of Postoperative Early Recurrence in N2-Positive Non-Small-Cell Lung Cancer.

Takuma Tsukioka, Nobuhiro Izumi, Chung Kyukwang, Hiroaki Komatsu, Michihito Toda, Kantaro Hara, Noritoshi Nishiyama

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Article in Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 pooled it
–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

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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

11 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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4 · The record

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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

7 authors.

Takuma TsukiokaDepartment of Thoracic Surgery, Osaka City University Hospital, Osaka, Osaka, Japan.
Nobuhiro IzumiDepartment of Thoracic Surgery, Osaka City University Hospital, Osaka, Osaka, Japan.
Chung KyukwangDepartment of Thoracic Surgery, Osaka City University Hospital, Osaka, Osaka, Japan.
Hiroaki KomatsuDepartment of Thoracic Surgery, Osaka City University Hospital, Osaka, Osaka, Japan.
Michihito TodaDepartment of Thoracic Surgery, Osaka City University Hospital, Osaka, Osaka, Japan.
Kantaro HaraDepartment of Thoracic Surgery, Osaka City University Hospital, Osaka, Osaka, Japan.
Noritoshi NishiyamaDepartment of Thoracic Surgery, Osaka City University Hospital, Osaka, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe often experienced early recurrence in patients with completely resected N2-positive non-small-cell lung cancer (NSCLC). Loss of muscle mass is a poor prognostic factor in patients with several stages of NSCLC. This study aimed to investigate the relationship between preoperative loss of muscle mass and postoperative early recurrence in patients with N2-positive NSCLC.

methodsWe retrospectively analyzed 47 male patients with completely resected pathological N2-positive NSCLC. Early recurrence was defined as that diagnosed within 1 year after the operation. We used the L3 muscle index (cross-sectional area of muscle at the L3 level, normalized for height) as a clinical measurement of loss of muscle mass (cutoff value, 52.4 cm

resultsIn all, 18 patients with early recurrence had significantly poorer outcomes compared with those without (P <0.01). In univariate analysis, loss of muscle mass (P = 0.023), carcinoembryonic antigen (CEA) level >5.0 ng/mL (P = 0.002), and absence of postoperative chemotherapy (P = 0.042) were predictors of postoperative early recurrence. In multivariate analysis, loss of muscle mass (P = 0.004) and CEA level >5.0 ng/mL (P = 0.001) were independent predictors.

conclusionsLoss of muscle mass is an independent predictor of postoperative early recurrence in pathological N2-positive NSCLC patients.

Indexed as

Neoplasm Recurrence, LocalAdultAgedAged, 80 and overCarcinoembryonic AntigenCarcinoma, Non-Small-Cell LungChi-Square DistributionHumansKaplan-Meier EstimateLogistic ModelsLung NeoplasmsLymphatic MetastasisLymph Node ExcisionMaleMiddle AgedMultivariate AnalysisCarcinoembryonic Antigenearly recurrenceloss of muscle massmediastinal lymph node metastasisnon-small-cell lung cancer

Identifiers

PMID29459570
PMCPMC6033530

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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.