Evidence map›Paper›PMID 31436042›Full record

ArticleThoracic cancer2019

Risk factors and cancer recurrence associated with postoperative complications after thoracoscopic lobectomy for clinical stage I non-small cell lung cancer.

Takeo Nakada, Yuki Noda, Daiki Kato, Takamasa Shibasaki, Shohei Mori, Hisatoshi Asano, Hideki Matsudaira, Jun Hirano, Makoto Odaka, Takashi Ohtsuka

Open access · goldAbstract read
In one paragraph

Article in Thoracic cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

21 citing papers in PubMed, 30 citations in OpenAlex.

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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

10 authors at 1 institution in 1 country.

Takeo NakadaThe Jikei University School of Medicine, Department of Surgery, Division of Thoracic Surgery, Tokyo, Japan.ORCID 0000-0003-1168-0163
Yuki NodaThe Jikei University School of Medicine, Department of Surgery, Division of Thoracic Surgery, Tokyo, Japan.
Daiki KatoThe Jikei University School of Medicine, Department of Surgery, Division of Thoracic Surgery, Tokyo, Japan.
Takamasa ShibasakiThe Jikei University School of Medicine, Department of Surgery, Division of Thoracic Surgery, Tokyo, Japan.
Shohei MoriThe Jikei University School of Medicine, Department of Surgery, Division of Thoracic Surgery, Tokyo, Japan.
Hisatoshi AsanoThe Jikei University School of Medicine, Department of Surgery, Division of Thoracic Surgery, Tokyo, Japan.
Hideki MatsudairaThe Jikei University School of Medicine, Department of Surgery, Division of Thoracic Surgery, Tokyo, Japan.
Jun HiranoThe Jikei University School of Medicine, Department of Surgery, Division of Thoracic Surgery, Tokyo, Japan.
Makoto OdakaThe Jikei University School of Medicine, Department of Surgery, Division of Thoracic Surgery, Tokyo, Japan.
Takashi OhtsukaThe Jikei University School of Medicine, Department of Surgery, Division of Thoracic Surgery, Tokyo, Japan.
Jikei University School of Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimally invasive thoracoscopic lobectomy is the recommended surgery for clinical stage I non-small cell lung cancer (NSCLC). The purpose of this study was to identify the risk factors, including sarcopenia, for postoperative complications in patients undergoing a complete single-lobe thoracoscopic lobectomy for clinical stage I NSCLC, as well as the impact of complications on disease-free survival.

methodsWe retrospectively investigated 173 patients with pathologically-diagnosed NSCLC who underwent curative thoracoscopic lobectomies between April 2013 and March 2018. Sarcopenia was assessed using the psoas muscle index calculated from preoperative computed tomography images at the third lumbar vertebral level.

resultsComplications developed in 38 (22%) patients, including 21 with prolonged air leak. In univariate analysis, the significant risk factors for complications were advanced age, male sex, higher Charlson Comorbidity Index (CCI) score, lower cholinesterase, lower albumin, higher creatinine level, pleural adhesion, operative time ≥ five hours, nonadenocarcinoma cancer, and larger tumor size. Multivariate analysis showed that age ≥ 75 years (P = 0.002) and pleural adhesion (P = 0.026) were significant independent risk factors for complications. Compared with the patient group without complications, postoperative complications were independently associated with shorter disease-free survival (P = 0.01).

conclusionsAdvanced age and pleural adhesion were independent risk factors for complications after complete single-lobe thoracoscopic lobectomies for clinical stage I NSCLC, and postoperative complications were statistically associated with poor prognosis. Surgical teams should ensure an experienced surgeon leads the operation for patients at higher risk to avoid prolonged postoperative hospitalization and a possible poor prognosis.

Indexed as

AdultAgedAged, 80 and overCarcinoma, Non-Small-Cell LungFemaleFollow-Up StudiesHumansLung NeoplasmsMaleMiddle AgedNeoplasm StagingOdds RatioPatient Outcome AssessmentPneumonectomyPostoperative ComplicationsPrognosisLung cancerpostoperative complicationrisk factorsarcopeniathoracoscopic surgery

Identifiers

PMID31436042
PMCPMC6775224
OpenAlexW2969647500

What OpenQuestion holds

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LicenceCC BY
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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.