Evidence map›Paper›PMID 32256710›Full record

ArticleLung cancer management2020

Risk of brain metastases in T1-3N0 NSCLC: a population-based analysis.

Michael T Milano, James E Bates, Justin Budnik, Haoming Qiu, Sara Hardy, Michael A Cummings, Megan A Baumgart, Ronald J Maggiore, Deborah A Mulford, Kenneth Y Usuki

Open access · diamondAbstract read
In one paragraph

Article in Lung cancer management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-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

7 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Impact of Low-Dose Computed Tomography Screening for Primary Lung Cancer on Subsequent Risk of Brain Metastasis.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2021
    Article
  7. Review
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 3 institutions in 1 country.

Michael T MilanoDepartment of Radiation Oncology, University of Rochester Medical Center, Rochester, NY 14642, USA.
James E BatesDepartment of Radiation Oncology, University of Rochester Medical Center, Rochester, NY 14642, USA.
Justin BudnikDepartment of Radiation Oncology, University of Rochester Medical Center, Rochester, NY 14642, USA.
Haoming QiuDepartment of Radiation Oncology, University of Rochester Medical Center, Rochester, NY 14642, USA.
Sara HardyDepartment of Radiation Oncology, University of Rochester Medical Center, Rochester, NY 14642, USA.
Michael A CummingsDepartment of Radiation Oncology, University of Rochester Medical Center, Rochester, NY 14642, USA.
Megan A BaumgartDepartment of Radiation Oncology, University of Florida, Gainesville, FL 32610, USA.
Ronald J MaggioreDepartment of Radiation Oncology, University of Florida, Gainesville, FL 32610, USA.
Deborah A MulfordDepartment of Radiation Oncology, University of Florida, Gainesville, FL 32610, USA.
Kenneth Y UsukiDepartment of Radiation Oncology, University of Rochester Medical Center, Rochester, NY 14642, USA.
University of Rochester Medical Center · USUniversity of Florida Health · USUniversity of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimSeveral consensus guidelines recommend against routine brain imaging at diagnosis of T1-3N0 non-small cell lung cancer (NSCLC).

methodsFrom the Surveillance, Epidemiology and End Results registry, patients with pathologically confirmed T1-3N0 NSCLC were identified. Risks of brain metastases at time of initial diagnosis were analyzed.

resultsPatients selected to not undergo primary NSCLC resection had approximately tenfold greater incidence of brain metastases versus those who did. Younger age, adenocarcinoma histology, higher tumor stage and higher histologic grade were all significantly (p < 0.0001) associated with greater likelihood of presenting with brain metastases.

conclusionGiven the morbidity and mortality of brain metastases, routine brain screening after NSCLC diagnosis (particularly adenocarcinoma) may be justifiable, though more refined cost-benefit analyses are warranted.

Indexed as

adenocarcinomabrain metastasesNSCLCsquamous cell carcinoma

Identifiers

PMID32256710
PMCPMC7110582
OpenAlexW3008535430

What OpenQuestion holds

Textmetadata
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.