Evidence map›Paper›PMID 32627148›Full record

ArticleGeneral thoracic and cardiovascular surgery2021

Surgical results and prognosis of lung cancer in elderly Japanese patients aged over 85 years: comparison with patients aged 80-84 years.

Hideomi Ichinokawa, Kazuya Takamochi, Mariko Fukui, Aritoshi Hattori, Takeshi Matsunaga, Kenji Suzuki

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Article in General thoracic and cardiovascular surgery, 2021. 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
1.3field-weighted citation impact, top 17% 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, 13 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

6 authors at 1 institution in 1 country.

Hideomi IchinokawaDepartment of General Thoracic Surgery, Juntendo University Hospital, 3-1-1, Hongo, Bunkyo-ku, Tokyo, 113-8431, Japan. hideichi@juntendo.ac.jp.
Kazuya TakamochiDepartment of General Thoracic Surgery, Juntendo University Hospital, 3-1-1, Hongo, Bunkyo-ku, Tokyo, 113-8431, Japan.
Mariko FukuiDepartment of General Thoracic Surgery, Juntendo University Hospital, 3-1-1, Hongo, Bunkyo-ku, Tokyo, 113-8431, Japan.
Aritoshi HattoriDepartment of General Thoracic Surgery, Juntendo University Hospital, 3-1-1, Hongo, Bunkyo-ku, Tokyo, 113-8431, Japan.
Takeshi MatsunagaDepartment of General Thoracic Surgery, Juntendo University Hospital, 3-1-1, Hongo, Bunkyo-ku, Tokyo, 113-8431, Japan.
Kenji SuzukiDepartment of General Thoracic Surgery, Juntendo University Hospital, 3-1-1, Hongo, Bunkyo-ku, Tokyo, 113-8431, Japan.
Juntendo University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWith the increase in lung cancer patients over 80 years of age, lobectomy with mediastinal lymph node dissection is often performed in patients in a good general condition. However, the age limit for this procedure has not yet been determined. In this study, we examined the safety, therapeutic results, and prognosis of surgical treatment for lung cancer patients over 85 years of age.

methodsAmong the 4446 lung cancer patients who underwent surgery at our hospital from January 1997 to March 2019, we assessed 320 patients (7.2%, Group A, aged 80-84 years) and 74 patients (1.7%, Group B, aged over 85 years).

resultsThe median age of the patients in Group B was 86 years. Compared to Group A, Group B had significantly more patients with a history of ischemic heart disease, lower pack-year smoking, and lobectomy and lobectomy less resection (reduced surgery), and a shorter operation time (P < 0.05). There was no significant difference between the two groups in terms of postoperative complications. There was no significant difference in survival rate and prognosis between the two groups, and the 2-, 3-, and 5-year survival rates were 79.0%, 74.7%, and 53.6%, respectively, in Group B. In Group B sex (female) and early stage of cancer were independent prognostic factors of non-small cell lung cancer (stage I).

conclusionsIn a limited number of patients, surgical resection in patients aged over 85 years was safely performed, and the survival of these patients was comparable to those aged 80-84 years.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsAgedAged, 80 and overFemaleHumansJapanLymph Node ExcisionNeoplasm StagingPneumonectomyPrognosisRetrospective StudiesElderly patientLung cancerPrognostic predictorReduction surgeryThe oldest old

Identifiers

PMID32627148
OpenAlexW3040521181

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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.