Evidence map›Paper›PMID 30062488›Full record

ArticleJournal of cancer research and clinical oncology2018

Second malignancy in non-small cell lung cancer (NSCLC): prevalence and overall survival (OS) in routine clinical practice.

Martin Faehling, Birgit Schwenk, Sebastian Kramberg, Sabine Fallscheer, Matthias Leschke, Jörn Sträter, Robert Eckert

Open access · greenAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
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  3. Article
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  5. Article
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

7 authors at 1 institution in 1 country.

Martin FaehlingDepartment of Cardiology and Pneumology, Hospital Esslingen, Hirschlandstr. 97, 73730, Esslingen, Germany. m.faehling@klinikum-esslingen.de.ORCID http://orcid.org/0000-0002-2439-7538
Birgit SchwenkDepartment of Cardiology and Pneumology, Hospital Esslingen, Hirschlandstr. 97, 73730, Esslingen, Germany.
Sebastian KrambergDepartment of Cardiology and Pneumology, Hospital Esslingen, Hirschlandstr. 97, 73730, Esslingen, Germany.
Sabine FallscheerDepartment of Cardiology and Pneumology, Hospital Esslingen, Hirschlandstr. 97, 73730, Esslingen, Germany.
Matthias LeschkeDepartment of Cardiology and Pneumology, Hospital Esslingen, Hirschlandstr. 97, 73730, Esslingen, Germany.
Jörn SträterInstitute of Pathology Esslingen, Esslingen, Germany.
Robert EckertOutpatient Cancer Treatment Clinic Esslingen, Esslingen, Germany.
Klinikum Esslingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with non-small cell lung cancer (NSCLC) and a prior or synchronous second malignancy are generally excluded from clinical trials. Therefore, little is known on prevalence and prognosis of these patients.

methods1252 patients diagnosed with NSCLC in our center from 2006 to 2017 were studied. Overall survival (OS) of patients with a prior or synchronous malignancy was compared to controls including case-control analysis.

results158 patients (12.6%) had a prior malignancy. The most common sites were prostate (17%), breast (16%), gastrointestinal tract (12%), head and neck (11%), bladder (10%), and lung (8%). Compared to controls, patients with prior malignancy were older (71.3 vs. 67.5 years), but had otherwise better prognostic characteristics (stage I-III 63 vs. 53%). Survival was identical compared to controls [hazard ratio (HR) 1.017, CI 0.776-1.333]. A further 3.5% of patients had a synchronous malignancy including 34% prior lung cancer. Patients with a synchronous malignancy had an earlier stage (I-III 84%), and had longer median OS in unselected patients (38.6 vs. 16.2 months, p = 0.021). However, the case-control analysis showed similar OS [hazard ratio (HR) 0.899, CI 0.497-1.621].

conclusionsPrior or synchronous second malignancies are common at diagnosis of NSCLC. The sites reflect the high proportion of smokers in the population. The earlier stage of NSCLC with a second malignancy might be attributed to chance finding of NSCLC during follow-up. The second malignancy does not affect OS of NSCLC. Therefore, the exclusion of patients with second malignancies from NSCLC trials should be reconsidered.

Indexed as

AdenocarcinomaAgedCarcinoma, Large CellCarcinoma, Non-Small-Cell LungCarcinoma, Squamous CellCombined Modality TherapyFemaleFollow-Up StudiesHumansLung NeoplasmsMaleNeoplasms, Second PrimaryPrognosisRetrospective StudiesSurvival RateLung cancerPrevalencePrevious malignancyPrognosisReal-life dataSurvival

Identifiers

PMID30062488
PMCPMC11813416
OpenAlexW2886156331

What OpenQuestion holds

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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.