ArticleAnnals of surgery2018
More Frequent Surveillance Following Lung Cancer Resection Is Not Associated With Improved Survival: A Nationally Representative Cohort Study.
Article in Annals of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Incidence Patterns and Prognostic Impact of Lung-Involving Multiple Primary Cancers: A 10-Year Hospital-Based Cohort Study.Thoracic cancer · 2026Article
- Comparison of Surveillance with Low-Dose and Contrast-Enhanced Chest Computed Tomography in Patients Disease-Free for 2 Years after Curative Resection for Lung Cancer.Cancer research and treatment · 2026Article
- Disruption of Radiological Surveillance Following a Global Health Crisis in Resected Lung Cancer.Thoracic cancer · 2026Observational
- Leveraging Landmark Analysis for Tailored Surveillance in Stage I Non-Small-Cell Lung Cancer.Cancers · 2026Article
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- Impact of postoperative surveillance via computed tomography after radical resection for thymoma.Mediastinum (Hong Kong, China) · 2025Article
- The Overlooked Cornerstone in Precise Medicine: Personalized Postoperative Surveillance Plan for NSCLC.JTO clinical and research reports · 2024Review
- Impact of radiological follow-up frequency on resected lung cancer: a propensity score matching analysis.Journal of thoracic disease · 2024Article
- The significance of regular chest computed tomography in postoperative surveillance for surgically resected non-small cell lung cancer based on TNM 8th staging system.General thoracic and cardiovascular surgery · 2024Article
- The Interval of Computed Tomography Follow-Ups after Advanced Non-Small-Cell Lung Cancer Surgery Did Not Show Any Relationship with Survival.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2024Article
- Follow-Up Imaging Guidelines for Patients with Stage III Unresectable NSCLC: Recommendations Based on the PACIFIC Trial.Current oncology (Toronto, Ont.) · 2023Review
- Association between imaging surveillance frequency and outcomes following surgical treatment of early-stage lung cancer.Journal of the National Cancer Institute · 2023Article
- Osteogenic and brain metastases after non-small cell lung cancer resection.International journal of clinical oncology · 2021Article
- Cost-Effectiveness of Surveillance Scanning Strategies after Curative Treatment of Non-Small-Cell Lung Cancer.Medical decision making : an international journal of the Society for Medical Decision Making · 2021Article
- Routine follow-up after surgical treatment of lung cancer: is chest CT useful?Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2021Article
- Impact of surveillance frequency on survival in non-small cell lung cancer (NSCLC) survivors.Translational lung cancer research · 2019Article
- Surveillance imaging for non-small cell lung cancer: mounting evidence that less is more.Translational lung cancer research · 2019Article
- Translating an Economic Analysis into a Tool for Public Health Resource Allocation in Cancer Survivorship.MDM policy & practiceArticle
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Funding
Abstract
objectiveTo evaluate whether an association exists between the intensity of surveillance following surgical resection for non-small cell lung cancer (NSCLC) and survival.
backgroundSurveillance guidelines following surgical resection of NSCLC vary widely and are based on expert opinion and limited evidence.
methodsA Special Study of the National Cancer Database randomly selected stage I to III NSCLC patients for data reabstraction. For patients diagnosed between 2006 and 2007 and followed for 5 years through 2012, registrars documented all postsurgical imaging with indication (routine surveillance, new symptoms), recurrence, new primary cancers, and survival, with 5-year follow-up. Patients were placed into surveillance groups according to existing guidelines (3-month, 6-month, annual). Overall survival and survival after recurrence were analyzed using Cox Proportional Hazards Models.
resultsA total of 4463 patients were surveilled with computed tomography scans; these patients were grouped based on time from surgery to first surveillance. Groups were similar with respect to age, sex, comorbidities, surgical procedure, and histology. Higher-stage patients received more surveillance. More frequent surveillance was not associated with longer risk-adjusted overall survival [hazard ratio for 6-month: 1.16 (0.99, 1.36) and annual: 1.06 (0.86-1.31) vs 3-month; P value 0.14]. More frequent imaging was also not associated with postrecurrence survival [hazard ratio: 1.02/month since imaging (0.99-1.04); P value 0.43].
conclusionsThese nationally representative data provide evidence that more frequent postsurgical surveillance is not associated with improved survival. As the number of lung cancer survivors increases over the next decade, surveillance is an increasingly important major health care concern and expenditure.
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