Evidence map›Paper›PMID 32274113›Full record

ArticleJournal of thoracic disease2020

Prognostic markers in resected large cell neuroendocrine carcinoma: a multicentre retrospective analysis.

Christian Roesel, Stefan Welter, Karl-Otto Kambartel, Gerhard Weinreich, Thomas Krbek, Monika Serke, Mohammed Ibrahim, Yazan Alnajdawi, Till Plönes, Clemens Aigner

Open access · diamondAbstract read
In one paragraph

Article in Journal of thoracic disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

10 citing papers in PubMed, 11 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 4 institutions in 1 country.

Christian RoeselDepartment of Thoracic Surgery, Bethanien Hospital, Moers, Germany.
Stefan WelterDepartment of Thoracic Surgery, Lung Hospital, Hemer, Germany.
Karl-Otto KambartelDepartment of Pneumology and Allergology, Bethanien Hospital, Moers, Germany.
Gerhard WeinreichDepartment of Pneumology, Ruhrlandklinik, University of Duisburg-Essen, Essen, Germany.
Thomas KrbekDepartment of Thoracic Surgery, Bethanien Hospital, Moers, Germany.
Monika SerkeDepartment of Pneumology, Lung Hospital, Hemer, Germany.
Mohammed IbrahimDepartment of Thoracic Surgery, Lung Hospital, Hemer, Germany.
Yazan AlnajdawiDepartment of Thoracic Surgery and Thoracic Endoscopy, Ruhrlandklinik, University of Duisburg-Essen, Essen Germany.
Till PlönesDepartment of Thoracic Surgery and Thoracic Endoscopy, Ruhrlandklinik, University of Duisburg-Essen, Essen Germany.
Clemens AignerDepartment of Thoracic Surgery and Thoracic Endoscopy, Ruhrlandklinik, University of Duisburg-Essen, Essen Germany.
Krankenhaus Bethanien · DELungenklinik Hemer · DERuhrlandklinik · DEUniversity of Duisburg-Essen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLarge cell neuroendocrine carcinomas (LCNEC) are rare pulmonary malignancies. Reported survival rates are heterogeneous and the optimal therapeutic strategy is still debated. The prognosis of LCNEC is generally inferior compared to other non-small lung cancers. In early stages, surgery is recommended but might not be sufficient alone.

methodsWe retrospectively analyzed all consecutive LCNEC patients operated at three institutions with curative intent between May 2005 and January 2017. Data retrieved from individual clinical databases were analyzed with the aim to identify prognostic parameters.

resultsA total of 251 patients with LCNEC underwent curative intent surgery during the observation period. The median age was 64 years, 156 patients (62.2%) were male and 88.4% were smokers. The pathologic AJCC stage was I in 136 patients, II in 77, III in 33, and IV in 5 patients. Median follow-up was 26 months. Lymphatic vessel invasion (P=0.031) was identified as significant prognostic factor by multivariable analysis. There was a trend towards decreased survival in patients with blood vessel invasion (P=0.067). Even in earlier tumor stages, adjuvant chemotherapy had a positive effect on survival. The overall 1-, 3- and 5-year survival rates were 79.2%, 48.6% and 38.8% respectively.

conclusionsLymphatic invasion (L1) is an independent prognostic factor. Surgery in LCNEC is beneficial in early tumor stages and platinum-based adjuvant chemotherapy may help in achieving better long-term outcomes resulting in most obvious survival differences in stage Ib.

Indexed as

curative resectionLarge cell neuroendocrine carcinomaslymphatic invasionplatinum-based adjuvant chemotherapypulmonary malignancies

Identifiers

PMID32274113
PMCPMC7139022
OpenAlexW3009616626

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.