Evidence map›Paper›PMID 31995853›Full record

ArticleThoracic cancer2020

Salvage treatment of NSCLC recurrence after first-line chemotherapy failure: Iodine-125 seed brachytherapy or microwave ablation?

Bin Liu, Yongzheng Wang, Shilin Tian, Yancu Hertzanu, Xiaogang Zhao, Yuliang Li

Open access · goldAbstract read
In one paragraph

Article in Thoracic cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 23% 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, 11 citations in OpenAlex.

  1. Article
  2. Review
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  4. Review
  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

6 authors at 3 institutions in 2 countries.

Bin LiuDepartment of Interventional Medicine, The Second Hospital of Shandong University, Jinan, PR China.
Yongzheng WangDepartment of Interventional Medicine, The Second Hospital of Shandong University, Jinan, PR China.
Shilin TianSchool of Medicine, Shandong University, Jinan, China.
Yancu HertzanuDepartment of Radiology, Ben-Gurion University, Negev, Israel.
Xiaogang ZhaoDepartment of Interventional Medicine, The Second Hospital of Shandong University, Jinan, PR China.
Yuliang LiDepartment of Interventional Medicine, The Second Hospital of Shandong University, Jinan, PR China.ORCID 0000-0001-8117-4317
Shandong University · CNBen-Gurion University of the Negev · ILSecond Hospital of Shandong University · CN

Funding

National Natural Science Foundation of China 11971269National Natural Science Foundation of China 61671276National Science Fund for Distinguished Young Scholars 61625102Natural Science Foundation of Shandong Province ZR2018PH032Natural Science Foundation of Shandong Province ZR2018PH033
6 · The paper itself

Abstract

backgroundSalvage treatments for recurrent NSCLC after first-line chemotherapy remain challenging. This study was conducted to evaluate the clinical value of microwave ablation (MWA) and iodine-125 brachytherapy, including overall survival (OS), disease free survival (DFS), local control, hospital stay, and health economics.

methodsThe data of 51 and 32 patients who were treated with MWA and brachytherapy was retrospectively analyzed. The number of lesions was limited up to two, with a diameter <4 cm and patients diagnosed with unilateral lung disease. Peripheral tumors were treated with MWA, while lesions close to the hilum were treated with brachytherapy. Contrast-enhanced CT, blood cell count, coagulation function, liver & kidney function and tumor markers were performed for two years, with complications calculated. OS, DFS, local control rate, toxicity, hospital stay and expense were recorded.

resultsThe one and two-year OS rates were 96.08% and 92.16% versus 96.88% and 90.62% in the MWA and brachytherapy groups, respectively. The one and two-year DFS rates were 92.16% and 76.47% versus 93.75% and 78.13%, respectively. No significant differences were observed in log-rank analysis between the groups. Local control rates at six and 12 months were 100% and 96.08% versus 100% and 96.88%, while incidences of pleural effusion were 3.92% and 3.13%, respectively (P < 0.05). Medical cost was 3356.73 ± 206.87 and 6714.28 ± 35.43 U.S. dollars (P = 0.014).

conclusionMWA and brachytherapy are effective and safe options for the treatment of NSCLC recurrence after first-line chemotherapy. Which modality should be considered is dependent upon tumor location, tumor size and experience of specialists.

Indexed as

Salvage TherapyAgedAntineoplastic Combined Chemotherapy ProtocolsBrachytherapyCarcinoma, Non-Small-Cell LungFemaleFollow-Up StudiesHumansIodine RadioisotopesLung NeoplasmsMaleMicrowavesMiddle AgedNeoplasm Recurrence, LocalPrognosisRadiofrequency AblationIodine-125Iodine RadioisotopesBrachytherapyhealth economicsiodinemicrowave ablation

Identifiers

PMID31995853
PMCPMC7049489
OpenAlexW3003439109

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.