Evidence map›Paper›PMID 32274151›Full record

ArticleJournal of thoracic disease2020

Impact of pulmonary interstitial lesions on efficacy and prognosis of EGFR-TKI-treated advanced non-small cell lung cancers.

Xiang-Yan Zhang, Rui Cao, Yi-Jia Guo, Yan-Hua Zhen, Jia-He Zheng, Le-Tian Huang, Shu-Ling Zhang, Wei Jing, Li Sun, Jian-Zhu Zhao and 2 more

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 51% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

12 authors at 1 institution in 1 country.

Xiang-Yan ZhangDepartment of Clinical Oncology, Shengjing Hospital of China Medical University, Shenyang 110022, China.
Rui CaoDepartment of Clinical Oncology, Shengjing Hospital of China Medical University, Shenyang 110022, China.
Yi-Jia GuoDepartment of Clinical Oncology, Shengjing Hospital of China Medical University, Shenyang 110022, China.
Yan-Hua ZhenDepartment of Radiology, Shengjing Hospital of China Medical University, Shenyang 110022, China.
Jia-He ZhengDepartment of Radiology, Shengjing Hospital of China Medical University, Shenyang 110022, China.
Le-Tian HuangDepartment of Clinical Oncology, Shengjing Hospital of China Medical University, Shenyang 110022, China.
Shu-Ling ZhangDepartment of Clinical Oncology, Shengjing Hospital of China Medical University, Shenyang 110022, China.
Wei JingDepartment of Clinical Oncology, Shengjing Hospital of China Medical University, Shenyang 110022, China.
Li SunDepartment of Clinical Oncology, Shengjing Hospital of China Medical University, Shenyang 110022, China.
Jian-Zhu ZhaoDepartment of Clinical Oncology, Shengjing Hospital of China Medical University, Shenyang 110022, China.
Cheng-Bo HanDepartment of Clinical Oncology, Shengjing Hospital of China Medical University, Shenyang 110022, China.
Jie-Tao MaDepartment of Clinical Oncology, Shengjing Hospital of China Medical University, Shenyang 110022, China.
China Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to assess the impact of pre-existing pulmonary interstitial lesions (PIL) on the efficacy and prognosis of patients with epidermal growth factor receptor (EGFR) mutant non-small cell lung cancer (NSCLC) treated with EGFR tyrosine kinase inhibitor (TKI).

methodsPatients with advanced NSCLC harboring EGFR exon 19 deletion (E19 del) or exon 21 (E21) L858R were enrolled in this study. All patients underwent high resolution computed tomography (HRCT) chest scans prior to EGFR-TKI treatment. Pre-existing PIL was graded according to HRCT imaging (PIL 0, 1, 2, and 3). Cox proportional-hazards regression models were used to identify the prognostic factors for progression-free survival (PFS).

resultsA total of 134 eligible patients were enrolled. The overall objective response rate (ORR) and median PFS were 73.1% and 10.0 months (95% CI: 7.51-12.49), respectively. There were 62 (46.3%), 25 (18.7%), 28 (20.9%), and 19 (14.1%) cases of PIL grade 0, 1, 2, and 3, respectively, with median PFS and ORR of 12.9 months and 80.6%, 11.0 months and 72.0%, 10.0 months and 71.4%, and 7.0 months and 52.6%, respectively. Multivariate analysis showed that squamous cell carcinoma (

conclusionsPre-existing PIL grade is an independent prognostic factor for predicting resistance to EGFR-TKIs in patients with EGFR-mutant advanced NSCLC. Higher PIL grade suggests higher risk of early progression.

Indexed as

Epidermal growth factor receptor (EGFR)non-small cell lung cancer (NSCLC)prognosispulmonary interstitial lesions (PIL)tyrosine kinase inhibitors (TKIs)

Identifiers

PMID32274151
PMCPMC7138988
OpenAlexW3009670025

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.